EPO Plans

A business considered of medium or large size must have its principal location in New York State and employ 51 or more eligible employees who work in New York State.

EPO (exclusive provider option) plans provide referral-free in-network only coverage.

8 Plan(s) found based on your selection

EmblemHealth EPO

EmblemHealth EPO offers members in-network, national coverage. No referrals to specialists needed. Gives comprehensive coverage, including medical and pharmacy benefits.

CompreHealth EPO

A plan for experience-rated groups. It doesn’t require referrals to specialists. No PCP selection is required.  Gives comprehensive coverage, including hospital, medical and pharmacy benefits.

InBalance EPO

InBalance EPO offers members in-network, national coverage. No referrals to specialists needed. The plan features special cost-sharing requirements resulting in  lower costs. Gives comprehensive coverage, including medical and pharmacy benefits.

InBalance EPO Large Group

InBalance EPO offers members in-network, national coverage. No referrals to specialists needed. The plan features special cost-sharing requirements resulting in  lower costs. Gives comprehensive coverage, including medical and pharmacy benefits.

ConsumerDirect EPO

This is a high deductible health plan. It offers affordable premiums and tax savings with HRAs or HSAs. Preventive services are covered in full. Gives comprehensive coverage, including medical and pharmacy benefits.

ConsumerDirect EPO

This is a high deductible health plan. It offers affordable premiums and tax savings with HRAs or HSAs. Preventive services are covered in full. Gives comprehensive coverage, including medical and pharmacy benefits.

EmblemHealth EPO Value

Our EPO Value Plan offers a large network of doctors and hospitals, and a broad range of in-network-only benefits. It’s an affordable and convenient plan for members and groups.

Health Essentials Plus

Health Essentials Plus is a low-cost EPO hospital plan that offers basic hospital insurance and three (3) office visits per calendar year.