Exclusive Provider Organization. A form of PPO, in which patients must visit a caregiver who is on its panel of providers. If a visit to an outside provider is made, the EPO will offer limited or no coverage for the office or hospital visit.
(Exclusive Provider Organization) A managed care organization usually made up of a group of physicians, one or more hospitals and other providers who contract with an insurer, employer or other sponsoring group to provide discounted medical services to enrollees. It is similar to a PPO in that it allows the patient to go out of network for care; however, the patients will not be reimbursed if they do so.
Exclusive Provider Organization. Health insurance plan that provides benefits only if care is provided by a particular group of medical providers with some limited exceptions such as emergency, urgent care and skilled nursing facilities. The [email protected] Health Plan is an example of an EPO offered to Stanford University faculty and staff. In order to receive benefits under this plan you must go to Stanford Hospital and Clinics, or Lucile Packard Children's Hospital, Menlo Medical Clinic, or Welch Road Pediatrics for all your medical care. Access to medical providers is limited to those listed above, except for cetrain situations such as urgent care, a life-threatening emergency or care in a skilled nursing facility.
Exclusive Provider Organization. A managed care organization that designates specific providers who can provide health care services. The term is derived from the phrase preferred provider organization (PPO). However, a PPO generally extends coverage for non-preferred provider services as well as preferred provider services. An EPO provides coverage only from contracted providers. Technically, many HMOs also can be described as EPOs.
Exclusive Provider Organization. A healthcare benefit arrangement that is similar to a preferred provider organization in administration, structure, and operation, but which does not cover out-of-network care.
Exclusive Provider Organization. A group of hospitals, physicians and other providers who provide health care services to covered patients. Patients are covered only within the EPO; if they seek care outside of the network, they must pay for it themselves. See Preferred Provider Organization.
exclusive provider organization. A health care benefit arrangement that is similar to a preferred provider organization in administration, structure and operation, but which generally has a lesser number of network providers.
Exclusive Provider Organization. This insurance plan is similar to a PPO. Patients must utilize contracted physicians within a specific group. Failure to use those contracted physicians offers limited or no coverage for services.
Exclusive Provider Organization. a dental benefit plan that provides benefits only if care is rendered by institutional and professional providers with whom the plan contracts (with some exceptions for emergency and out-of-area services).
Exclusive Provider Organization. A plan that limits coverage of non-emergency care to contracted health care providers. Operates similar to an HMO plan but is usually offered as an insured or self-funded product. Sometimes looks like a managed care organization that is organized similarly to a PPO in that physicians do not receive capitated payments, but the plan only allows patients to choose medical care from network providers. If a patient elects to seek care outside of the network, then he or she will usually not be reimbursed for the cost of the treatment. Uses a small network of providers and has primary care physicians serving as care coordinators (or gatekeepers). Typically, an EPO has financial incentives for physicians to practice cost-effective medicine by using either a prepaid per-capita rate or a discounted fee schedule, plus a bonus if cost targets are met. Most EPOs are forms of POS plans because they pay for some out-of-network care.
Exclusive provider organization. People who belong to an EPO must receive their care from approved providers (for example, certain doctors, hospitals, etc.). If a patient sees a doctor who is not on the list of approved caregivers, the insurance company either (1) will not pay the bill or (2) will make the patient pay a larger part of the bill than usual.
Exclusive provider organization. A term derived from the phrase preferred provider organization (PPO). However, where a PPO generally extends coverage for non-preferred provider services as well as preferred provider services, an EPO provides coverage only for contracted providers; hence, the term exclusive. Technically, many HMOs can also be described EPOs.
Exclusive Provider Organization, a managed care plan that provides coverage only for services from contracted providers (in contrast to Preferred Provider Organizations, which extend full or partial coverage to non-contracted providers under certain circumstances).
Short for Epogen, one brand of synthetic erythropoietin alpha. Procrit is the other brand. Natural erythropoietin is a hormone that is made by healthy kidneys which prevents anemia by stimulating red blood cell production.
Exclusive Provider Organization. Hybrid managed care organization that is sponsored by self-insured (self-funded) employers or associations and exhibits characteristics of both health maintenance organizations and preferred provider organizations. Back to the top of the page
Exclusive Provider Organization. A type of preferred provider organization where individual members use particular preferred providers rather than having a choice of a variety of preferred providers. EPOs are characterized by a primary physician who monitors care and makes referrals to a network of providers.
EXCLUSIVE PROVIDER ORGANIZATION. Arrangement consisting of a group of providers who have a contract with an insurer, employer, third party administrator or other sponsoring group. Criteria for provider participation may be the same of those in PPOs but have a more restrictive provider selection and credentialing process.
A health insurance plan which has in-network coverage only, but you are free to see whatever doctor or specialist you wish without needing to obtain a referral first. Doctor visits are subject to co-payments only. There is no coverage for care received from a non-network provider except in an emergency situation.
McAfee ePolicy Orchestrator (EPO) is an anti-virus management system which remotely monitors anti-virus software on client computers. In the event of a virus outbreak, infected machines can be easily identified and updated.