Difference Between PPO And EPO

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Difference Between PPO And EPO. In this article, you will read about what is PPO, what is EPO, and what is the main difference between PPO and EPO. Both the terms are related to each other, but have significant differences between them. Here, we will first understand the main difference between PPO and EPO, then differentiate between them in detail.

In US and many other foreign countries, a citizen is given an insurance plan to receive medical treatment by consulting doctors and various specialists. These insurance plans are pretty expensive. But, the government provides various types of plans, so an individual can choose the health insurance plan according to their needs. The plans may differ in terms of cost, size of the plan network, coverage of out-of-network services, availability of specialists.

There are three types of health insurance plans, i.e. HMO, PPO, and EPO. In this piece of information, we will discuss PPO and EPO.

What Is The Main Difference Between PPO And EPO?

The main difference between PPO and EPO is that the:

-PPO stands for ‘Preferred Provider Organization’. It is a health insurance plan that provides hospitals, doctors, and specialists outside or inside the network, according to the desire of patients. It is expensive.

-EPO stands for ‘Exclusive Provider Organization’. It is a health insurance plan the provides hospitals, doctors and specialists within the network, but the network is larger than the HMO’s plan. You have an option to select specialists and doctors out-of-network with extra cost.

Difference Between PPO And EPO - chart

What Is PPO?

PPO stands for ‘Preferred Provider Organization’. It is a health insurance plan that provides hospitals, doctors, and specialists outside or inside the network, according to the desire of patients. It is expensive. It has fewer restrictions as compared to other health insurance plans. It allows the patients to seek treatment without any limitations.

PPO does not ask for a referral for special visits or tests from PCP. And also the registration of PCP is not required. It provides your desired services in-network and out-of-network with slightly charges. As it is an expensive health insurance plan but offers higher coverage with effective flexibility.

What Is EPO?

EPO stands for ‘Exclusive Provider Organization’. It is a health insurance plan the provides hospitals, doctors and specialists within the network, but the network is larger than the HMO’s plan. You have an option to select specialists and doctors out-of-network only in an emergency.

It is a pocket-friendly insurance plan. You can avail some high facilities by keeping your pocket in the budget.

Also check: Difference Between Type 1 Diabetes And Type 2 Diabetes

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