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Stand the difference between exclusive provider organization and point of service providers.

is a HMO/PPO hybrid
costs more to see out of
network providers
Ef
does not cover out of
network providers
exclusive provider
organization
Z
F
selects a primary care
physician
point of service
TAMARAN

User Ravelinx
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1 Answer

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Final answer:

An exclusive provider organization (EPO) only covers in-network providers, while a point of service (POS) plan allows for out-of-network providers at a higher cost.


Step-by-step explanation:

An exclusive provider organization (EPO) is a type of health insurance plan where members can only receive coverage if they see healthcare providers within a specified network. EPOs do not cover out-of-network providers, meaning that members will have to pay the full cost of treatment if they choose to see a provider outside of the network.

A point of service (POS) plan, on the other hand, is a hybrid between a health maintenance organization (HMO) and a preferred provider organization (PPO). POS plans allow members to choose healthcare providers outside of the network, but typically at a higher cost. However, members must select a primary care physician and obtain referrals to see specialists.

In summary, while both EPO and POS plans have network restrictions, EPOs only cover in-network providers, while POS plans offer the flexibility to see out-of-network providers at a higher cost.


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User Carmenita
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