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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

Embedded Deductible

Individual Coverage

Family

 

$2,500

$5,000

 

$4,000

$8,000

Coinsurance

30%

50%

Embedded Out-of-Pocket Maximum

Individual Coverage

Family

 

$6,850

$13,700

 

$10,000

$20,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$30 Copay

$45 Copay

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

30%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$250 Copay*

30%*

 

50%*

50%*

Urgent Care Services

$45 Copay

50%*

Chiropractic Services

30%*

50%

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

30%*

$30 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$40 Copay

50%*

$1,000 Copay

Mail Order 90 day Supply

$20 copay

$80 copay

50%*

Not Available

* After Deductible

 

 

HSA Plan

In-Network

Out-Of-Network

Embedded Deductible

Individual Coverage

Family

 

$3,200

$5,600

 

$5,000

$10,000

Coinsurance

30%

50%

Embedded Out-of-Pocket Maximum

Individual Coverage

Family

 

$5,500

$11,000

 

$10,000

$20,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$20 Copay*

$30 Copay*

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

30%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

30%*

30%*

 

50%*

50%*

Urgent Care Services

$30 Copay*

50%*

Chiropractic Services

30%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

30%*

$20 Copay*

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

25%*

35%*

50%*

$1,000 Copay*

Mail Order 90 day Supply

25%*

35%*

50%*

Not Available

* After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-844-449-5548