Our exclusive provider organization (EPO) plans offer exceptional coverage and flexibility to members who are living and working in Massachusetts, or across the country. Members who have an EPO plan:
- Can see any of the 1,000,000+ providers throughout the U.S. and Puerto Rico that are included in our national Preferred Provider Organization (PPO) network
- Aren’t required to choose a primary care provider (PCP)
- Don’t need referrals to see a specialist
- Have no out-of-network coverage, except for emergency care and specific radiology, anesthesia, and pathology services
We update our health plans regularly to ensure they meet the requirements set by the Affordable Care Act (ACA), while continuing to provide high-quality health care coverage.
If you have more than 50 eligible employees, you can add the Hospital Choice Cost Sharing feature, which groups acute care hospitals in Massachusetts into two different cost sharing levels for members.
For more information, and to see if you’re eligible for cost savings associated with the plan, talk to your account executive.