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
$2,000
$6.000
N/a
Coinsurance
0%
Out-Of-Pocket Maximum
$5,000
$10,000
Preventive Care
100% Covered
No Coverage
Office Visits
Primary Services
Specialist Services
$40 Copay
Hospital Services
0%*
Emergency Services**
Emergency Room
Emergency Medical Transportation
$150 Copay
Urgent Care Services
$75 Copay
Chiropractic Services
$30 Copay
HealthiestYou Services
General Consultations
Dermatology
Mental Health - Therapist
Mental Health - Psychiatrist, initial evaluation
Mental Health - Psychiatrist, ongoing session
Mental Health / Chemical Dependency
Inpatient
Outpatient
No Charge After Deductible
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
$100 Copay
$250 Copay
Not Available
* After deductible
** True emergencies covered at in-network level
HSA Plan
$3,000
$6,000
$12,000
10%
30%
$20,000
30%*
10%*
$55 fee applies until deductible is met, then 100% covered
If you prefer talking with a HealthEZ representative, call 1-844-804-8120