Exclusive Provider Organization (EPO)
GPTKB entity
Statements (21)
Predicate | Object |
---|---|
gptkbp:instanceOf |
health insurance plan
|
gptkbp:abbreviation |
gptkb:EPO
|
gptkbp:contrastsWith |
gptkb:Health_Maintenance_Organization_(HMO)
gptkb:Preferred_Provider_Organization_(PPO) |
gptkbp:countryOfOperation |
gptkb:United_States
|
gptkbp:covers |
medical services
|
gptkbp:coversOutOfNetworkCare |
false
|
gptkbp:emergencyCoverage |
true
|
gptkbp:hasHigherPremiumsThan |
gptkb:Health_Maintenance_Organization_(HMO)
|
gptkbp:hasLowerPremiumsThan |
gptkb:Preferred_Provider_Organization_(PPO)
|
https://www.w3.org/2000/01/rdf-schema#label |
Exclusive Provider Organization (EPO)
|
gptkbp:regulates |
state insurance departments
|
gptkbp:requiresInNetworkProviders |
true
|
gptkbp:requiresPrimaryCarePhysician |
false
|
gptkbp:requiresReferralsForSpecialists |
false
|
gptkbp:roadType |
exclusive provider network
|
gptkbp:usedBy |
individuals
employers |
gptkbp:bfsParent |
gptkb:Health_Maintenance_Organization_(HMO)
gptkb:Preferred_Provider_Organization_(PPO) |
gptkbp:bfsLayer |
7
|