Health · Chapter 14 · Managed Care Networks
Exclusive Provider Organization (EPO)
Definition
A hybrid of HMO and PPO: direct access to any in-network provider with no referrals (like a PPO), but zero out-of-network coverage except emergencies (like an HMO). Cheaper than a PPO.
Exam tip
EPO = PPO freedom inside the fence, HMO wall around it.
Easy to confuse with
These are what this term gets tested against — if you can't tell them apart cold, drill the contrast.
Related terms