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Exclusive Provider Organization (EPO)

An EPO plan provides comprehensive medical services through an exclusive network of providers. Only one EPO is offered to employees – Exclusive Care. Employees who are eligible for either the County Medical Plans or the CalPERS Medical Plans may enroll in this plan.

How an EPO Plan Works

With Exclusive Care, you will choose a primary care physician (PCP), who is a part of the Exclusive Care network. Your chosen PCP will coordinate all of your healthcare needs. This PCP will be a general practitioner or a pediatrician. If you need specialty care (e.g. cardiology), your PCP will refer you to a network specialist or hospital. Through your PCP, you will have access to full service medical care within the network. You pay no annual deductible under this plan and will generally receive 100% coverage with a small co-payment for office visits. In a life-threatening emergency, you are covered wherever you seek services. If you need a Provider Directory, contact Member Services for the plan, or visit the web site at www.exclusivecare.com. If you have an eligible dependent who resides outside of the service network, please contact Exclusive Care to obtain benefit plan information.

  

 
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