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
Copay Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$3,000
$9,000
Coinsurance
30%
50%
Out-Of-Pocket Maximum
$6,350
$12,700
$13,000
$39,000
Preventive Care
100% covered
30%*
Physician Services
$40 copay
Hospital Services Inpatients & Outpatient Care
50%*
Emergency Services
Covered as In-Network during true emergency
$100 copay, then 30%*
Urgent Care Services
$40 Copay
Chiropractic Services
Mental health/Chemical Dependency
Inpatient
Outpatient
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
$20 Copay
$60 Copay
25% coinsurance
$120 Copay
$180 Copay
Not Available
NOTE: *After Deductible
HSA Plan
Employee
$3,500
$7,000
$14,000
0%
$28,000
0%*
Formulary
Non-Formulary
If you prefer talking with a HealthEZ representative, call 844-204-3759