Exclusive Provider Organization in Massachusetts

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.

Providers

NameTypeCity
ACCESS MDOrganizationWELLESLEY
ATTRACTA CAFFREY, RNIndividualBOSTON
BOSTON WOMAN'S HOSPITALOrganizationDEDHAM
CADRE IDEAL LLCOrganizationDEDHAM
CAMBRIDGE HEALTH ALLIANCE ELDER SERVICE PLANOrganizationCAMBRIDGE
CARING HOME HEALTH CARE, LLCOrganizationMALDEN
CHARLES TREY M D & ASSOCIATES P COrganizationBOSTON
CLEGHORN PROFESSIONAL COUNSELING CENTEROrganizationFITCHBURG
CLINICAL & SUPPORT OPTIONSOrganizationEAST LONGMEADOW
COMMONWEALTH CARE ALLIANCEOrganizationCHARLESTOWN
COMMONWEALTH CARE ALLIANCE, INC.OrganizationBOSTON
DIANA BRISSETTE, ASSOCIATESIndividualNORTH EASTON
DRS. MONTMINY, INC.OrganizationLOWELL
DUBE OPTICAL INCOrganizationSTONEHAM
EMILY MILNERIndividualBOSTON
GREENE WELLNESS AND REHAB CENTER LLC.OrganizationREVERE
HELIX HUMAN SERVICESOrganizationSPRINGFIELD
JANET VODVARKAOrganizationWAYLAND
JOHN B. CODJOE, D.D.S., P.C.OrganizationBARNSTABLE
LISA M LYNCH, LICSW LLCOrganizationSTONEHAM
LUZ STELLA LOAIZAOrganizationWEST ROXBURY
MAGA HERRERAIndividualFALL RIVER
MASS KIDZ HEALTHY SMILES LLCOrganizationBRAINTREE
MASSACHUSETTS WELLNESS GROUPOrganizationABINGTON
MASSAGE AWAYOrganizationOSTERVILLE
METROWEST OCCUPATIONAL THERAPYOrganizationWALTHAM
MGHOrganizationBEVERLY
MICHAEL K GAVIGAN DPMOrganizationPOCASSET
NEWTON PEDIATRICS LLCOrganizationCHESTNUT HILL
PERIODONTAL HEALTH CARE P.C.OrganizationMETHUEN
PROCARE DENTAL INCOrganizationHANOVER
REPASSY MEDICAL, LLCOrganizationNATICK
SOUTH BAY MENTAL HEALTHOrganizationBROCKTON
SOUTH SHORE MENTAL HEALTHOrganizationSTOUGHTON
SUPERIOR SKIN CARE AND ELECTROLYSISOrganizationWELLESLEY
THE PSYCHOLOGICAL CENTEROrganizationLAWRENCE
TRAIN BOSTON PHYSICAL THERAPY, INC.OrganizationWELLESLEY
UBERDOC, INC.OrganizationANDOVER
VILLAGE REST HOME INCOrganizationBROCKTON
VINFENOrganizationBRADFORD
WHITMAN COUNSELINGOrganizationWHITMAN
WICFOL HUMAN SERVICESOrganizationBRIDGEWATER
WIEGANDT AND ASSOCIATES PCOrganizationWAREHAM

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Derived from NPPES (public domain) and CMS Medicare data. Not affiliated with CMS, NPPES, or any government agency.