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An EPO health insurance plan can be a good option if you dont want the hassle of getting referrals and want to manage your own care without the help of a primary care provider. Its also a good choice if youre looking for a plan with some flexibility but dont want to pay the highest premium for a PPO plan.
An EPO health plan may be right for you if you want to pay lower monthly premiums. It may also be right for you if you are willing to pay a higher deductible when you need health care.
EPO disadvantages: You are responsible for the full cost of all other out-of-network services. Other out-of-pocket costs: While EPO premiums may be lower compared to other plan types, your EPO may charge deductibles and coinsurance. HMO and point of service (POS) plans generally do not assess deductibles.
A PPO offers more flexibility with limited coverage or reimbursement for out-of-network providers. An EPO is more restrictive, with less coverage or reimbursement for out-of-network providers. For budget-friendly members, the cost of an EPO is typically lower than a PPO.
EPO plans offer a larger network than an HMO plan but typically do not have the out-of-network benefits of PPO plans. EPO plans do not require you to select a primary care physician (PCP) giving you a broader network of providers.
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The United Healthcare (UHC) Exclusive Provider Organization (EPO) plan operates just like a Health Maintenance Organization (HMO) in that you may only select doctors in a designated network (UHC network).
EPO is used mostly to relieve the itchiness caused by skin conditions, such as eczema and dermatitis. It is also used to ease breast tenderness from premenstrual syndrome (PMS) or other causes, and to help manage menopausal symptoms.
EPOS (exclusive provider organizations) combine features of HMOs and PPOs. They have exclusive networks like HMOs do, which means they are usually less expensive than PPOs. But as with PPOs, youll be able to make your own appointments with specialists. card. Want to get started with Covered California?

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