Exclusive Provider Organization

Updated: 29 February 2024

What Does Exclusive Provider Organization Mean?

An exclusive provider organization (EPO) is a network of healthcare providers whose services are covered by a healthcare plan that will not provide any coverage for medical care outside the network.

Insuranceopedia Explains Exclusive Provider Organization

Exclusive provider organizations are made up of hospitals, laboratories, clinics, and medical professionals. If a person wants to enroll in its health plan, they can only avail themselves of the facilities and professionals that are part of the network. They will receive no financial assistance for services outside the network and will have to pay out of pocket for treatment.

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