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What is an epo health insurance

what is an epo health insurance

How do I find HumanaOne dental providers?

Full Answer

When using a medical provider, states that inadvertently using care that is out of the network can be a very costly mistake. To avoid paying the entire cost for the health care received, it is the insurance holder's responsibility to make sure prior to receiving the services that the health care provider, including the lab and imaging service used, is a part of the network. If the EPO does not have a provider for a service that the holder needs, pre-arranging and notifying the EPO can prevent the need to pay the bill out of pocket. An EPO does, however, pay for the cost of emergency care if the insurance holder must go to the nearest emergency room that is not in-network.

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What is a PPO plan?

A preferred provider organization, or PPO, insurance network is a three-party group insurance structure. A person covered by a PPO plan has "network" insurance coverage from general and specialist medical providers. In-network providers agree to contracted service rates with insurance companies in exchange for participation in the PPO plan.

How do health care providers apply to be apart of the Aetna network?

Health care providers apply to be part of the Aetna network by going to the Health Care Professionals section on Aetna’s website, according to Aetna. From there they can choose one of the links under How to Apply, which includes medical professionals, dental professionals and behavioral health professionals.

How do you find Coventry Health Care insurance providers?

Category: Insurance

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