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EPO (Exclusive Provider Organization)

The EPO (Exclusive Provider Organization) plan delivers in-network-only benefits through the national BlueCard® PPO network. Our BlueCard PPO network links participating doctors and hospitals to Blue Cross and Blue Shield Plans throughout the United States, providing a nationwide network of doctors, hospitals, and other health care professionals. More than 600,000 physicians and over 6,000 hospitals participate in the network, the largest health care network in the nation.

EPO members must seek care from participating BlueCard PPO providers, except in the case of a life- or limb-threatening emergency. If care is received from a nonparticipating provider, there is no benefit coverage. It is the member’s responsibility to confirm that the providers and specialists they are seeing participate in the network. Claims will not be paid if care is received from a provider who is not in the network.