insurance

EPO (Exclusive Provider Organization)

EPO（専属医療機関組織） (EPO (senzoku iryō kikan soshiki))

An EPO (Exclusive Provider Organization) combines features of HMO and PPO plans. Like an HMO, it typically does not cover out-of-network care (except emergencies), but like a PPO, it usually does not require referrals to see specialists. Members must use the plan's network of providers for all non-emergency care. EPOs often have premiums between HMO and PPO levels. They are increasingly common in ACA marketplace plans.

EPO members should verify that their providers and hospitals are in-network before scheduling any non-emergency procedure.

In 9 languages

Language	Term
English	EPO (Exclusive Provider Organization)
Japanese (日本語)	EPO（専属医療機関組織）
Chinese (中文)	专属医疗提供者组织
Korean (한국어)	독점 의료 공급자 조직
Portuguese	Organização de Provedores Exclusivos
Spanish	Organización de Proveedores Exclusivos
Filipino	EPO
Thai	องค์กรผู้ให้บริการเฉพาะ
Vietnamese	Tổ chức nhà cung cấp độc quyền
Romanization	EPO (senzoku iryō kikan soshiki)

Related terms

• In-Network Provider ネットワーク内プロバイダー
• HMO (Health Maintenance Organization) HMO（健康維持機構）
• PPO (Preferred Provider Organization) PPO（優先医療機関組織）
• Health Insurance Marketplace 保険マーケットプレイス

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