EPO

The EPO medical coverage option offers comprehensive coverage for care from Blue Cross Blue Shield network providers, at a lower monthly cost than the PPO.

 

The exclusive provider organization (EPO) option offers comprehensive coverage for care from network providers, at a lower monthly cost to both you and your employees than the PPO. EPO participants have access to the same Blue Cross Blue Shield network of physicians, hospitals, and other healthcare providers as members in the PPO.

The EPO does not cover out-of-network care; however, 97 percent of current Medical Plan members receive their care from network providers, making the EPO a lower-cost option than the PPO while still providing the same network access as the PPO.

Coverage details

Here are key details about EPO coverage:

  • Members pay a flat copay for most outpatient services, including doctor's office or urgent care center visits; telemedicine consultations; outpatient lab work; X-rays; and physical, speech, and occupational therapy.
  • Members pay an annual deductible for in- and outpatient hospital services, surgery, and emergency room visits. When the deductible is reached, members pay 20 percent (their copayment) and the plan pays 80 percent for these services.
  • When the annual copayment maximum amount is met, the plan pays 100 percent of allowable charges for the rest of the calendar year.

Read more details about costs to EPO participants.

Value-added features

The EPO includes unique features — available with all Medical Plan options — that provide exceptional value and promote well-being and wholeness.

Eligibility to participate

Employers may choose to offer the EPO to employees who are regularly scheduled to work at least 20 hours a week. Read more details about eligibility for the EPO.

Call to Health

Employees enrolled in the Medical Plan have access to Call to Health, the Board's online well-being program. Participants in this program complete challenges to improve wholeness in four key areas — spiritual, health, financial, and vocational — and earn points toward reduced deductibles for the following year.

Learn how to answer the call

Board University

Benefits Plan members have access to online and in-person learning opportunities through Board University. These offerings promote wholeness in all areas: spiritual, vocational, health, and financial.

Learn more

Assistance Program

The Assistance Program provides financial assistance to employees and their families in need. The program offers many types of grants — all need based — in amounts ranging from a few hundred to many thousands of dollars.

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