AHIP PHIAS Practice Questions - Professional, Health Insurance Advanced Studies Exam

An Exclusive Provider Organization (EPO) is best described as a plan that:

Requires referrals but covers out-of-network care Has no network and pays any licensed provider Covers only in-network providers but typically does not require PCP referrals Pays providers solely through global capitation

Correct Answer:

Covers only in-network providers but typically does not require PCP referrals

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