Not all coverage is the right coverage.
The healthcare coverage you need is probably very different than the coverage some of your co-workers need. Age, family status, medical conditions, hobbies, lifestyle and a myriad of other factors will help you determine if you need a lot or a very little amount of health coverage. That’s why HealthEZ provides multiple coverage options, so you’re never caught paying too much money, or worse, having too little coverage.
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Summary Of Medical Benefits
PPO Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Individual Coverage
Family
$2,500
$5,000
$10,000
Coinsurance
20%
40%
Out-Of-Pocket Maximum
$20,000
Preventive Care
No Charge
40%*
Office Visits
Primary Services
Specialist Services
Chiropractic Services
$25 Copay
Urgent Care Services
$50 Copay
Complex Imaging: MRI/CT/PET Scans
20%*
Hospital Services
Emergency Services
Emergency Room
Emergency Medical Transportation
$150 Copay, then 20%*
Mental Health / Chemical Dependency
Inpatient
Outpatient
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
Retail 30 Day Supply
$10 Copay
$30 Copay
20% up to $350/Rx
Mail Order 90 day Supply
$75 Copay
$125 Copay
Not Available
* After deductible
HDHP Plan
$3,300
$6,000
$12,000
0%
Not Covered
0%*
$10 Copay*
$35 Copay*
$60 Copay*
20%* up to $350/Rx
$25 Copay*
$87.50 Copay*
$150 Copay*
* Coinsurance/Copay after deductible
If you prefer talking with a HealthEZ representative, call 844-672-1394