An exclusive provider organization (EPO) operates much like a PPO. However, one difference between an EPO and a PPO is that an EPO

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An EPO generally provides no benefits for out-of-network care, while a PPO typically offers some coverage for out-of-network care. The other options are incorrect: A) An EPO is not regulated under federal HMO legislation; C) An EPO does have a provider network of physicians; and D) An EPO is subject to state insurance laws.

An Exclusive Provider Organization (EPO) Operates Much Like a PPO