Oct 22, 2014
What are the benefits of an EPO plan? Is this plan a good choice for me?
Many people are aware of HMO or PPO plans, but many carriers, such as Anthem Blue Cross, are now offering EPO plans. EPO stands for “Exclusive Provider Organization” and is a new affordable choice in health care. These EPO plans are made affordable through exclusive partnerships between EPO carriers and premier doctors and hospitals.
Anthem Blue Cross has developed EPO relationships with many premier hospitals in California including: Ronald Reagan UCLA Medical Center and Cedars-Sinai Medical Center in Los Angeles, Sharp Memorial Hospital in San Diego, and UCSF Medical Center in San Francisco.
Members of EPO plans have the flexibility to visit any doctor within the EPO network or the Pathway Providers PPO network. There is no need to choose a primary care physician or get a referral to see an in-network specialist; you can contact the doctors you wish to visit directly to make an appointment. This will save you the time, money, and hassle of receiving medical referrals.
EPO plans are ideal for clients who are concerned about the cost of healthcare. EPO plans are built through exclusive relationships between doctors and hospitals that are committed to keeping the costs of health care down.
In general, out of network care is NOT covered in an EPO plan, though there are certain exceptions made for emergency or urgent care.