There are many healthcare insurances out there and many of which is the EPO insurance plan this type of insurance health care will let you anymore get those referral to see a specialist and will also be less expensive than those of the HMO and the PMO and yes this is a convenient plan but this plan will not let get you any reimbursement if you will go out of the network and not just you also the doctor.
What type of healthcare organization is EPO?
If you want to know what is EPO insurance plan is first you need to know the meaning of it is actually Exclusive Provider Organization. This is a combination of much health care insurance that which does not need a primary care provider but which is a network that is predetermining the health care providers that is seen within a network. But once it is not inside the predetermined network anymore the care will not be provided. This type of organization is different than other healthcare insurance plan because doctors are being paid as a provided function care. The healthcare providers will be paid through capitation, and will receive fees despite if the patients will appear or not and this will happen every month.
Things to know about EPO Insurance Plan
This type of organization is an individual network of medical care providers, or they may be a group of health care providers who had entered a contract with an insurer to provide the subscribers with health care. Through the established network of much health care providers will, in turn, lower the services that will provide and in turn it will be at a significantly lower rate than what should have been charged to the patients.