exclusive provider organizations (epos)

What are the Limitations of EPOs for Cancer Patients?

While EPOs offer financial advantages, there are critical limitations for cancer patients:
Limited Provider Access: Cancer patients might find the network does not include the necessary specialists or acclaimed cancer treatment centers.
No Out-of-Network Coverage: Unless in an emergency, seeking care outside the network can lead to significant out-of-pocket expenses, as EPOs typically do not cover these costs.
Referral Constraints: Patients may require referrals from primary care doctors to see specialists, adding an extra layer of administration.

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