Exclusive Provider Organization (EPO) | Health Insurance Glossary

A network of individual medical care providers, or group of medical care providers, that have written agreements with an insurer to provide health insurance to its subscribers. An EPO is a managed care plan where services are only covered if you go to a doctor, specialist, or hospital that is in the plan’s network. Exceptions are made in the case of an emergency. A primary care provider is not necessary in this type of plan.