PureCare One EPO
The PureCare Exclusive Provider Organization (EPO) plans require members to access benefits through participating PureCare providers in their service area networks (PDF). Out-of-network services are not covered unless authorized by the plan. Refer to the member's PureCare One EPO identification (ID) card (PDF) or quick reference (PDF) for more information.
PCPs and Self-Referrals
Members enrolled in a PureCare One EPO plan are required to select a primary care physician (PCP) or Essential Community Providers (clinics). The clinic is listed as the member's PCP instead of the physician's name. PureCare One EPO members may self-refer within the PureCare One EPO service area for services that do not require prior authorization.
Acupuncture services are administered by American Specialty Health Plans of California, Inc. (ASH). Behavioral health and substance abuse services are administered by MHN Services.