Question: Looking over the providers that will be available in my area (San Diego), I note that the Anthem Plan is an “EPO”. I know what a “PPO” is, that is what I have had for years, but I am wondering what an “EPO” is, other than a drug that will get you kicked out of the Tour de France. What are the similarities/differences between a PPO and an EPO ?
Answer: EPO stands for “Exclusive Provider Organization” plan. As a member of an EPO, you can use the doctors and hospitals within the EPO network, but cannot go outside the network for care. There are no out-of-network benefits.