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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

Calendar Year Deductible

Individual Coverage

Family Coverage

 

$2,000

$6,000

 

N/a

N/a

Out-Of-Pocket Maximum

Individual Coverage

Family Coverage

 

$5,000

$10,000

 

N/a

N/a

Preventive Care

100% Covered

No Coverage

Office Visits

Primary Services

Specialist Services

 

100% Covered

$40 Copay

 

No Coverage

No Coverage

Hospital Services

0%*

No Coverage

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$150 Copay

0%*

 

No Coverage

No Coverage

Urgent Care Services

$75 Copay

No Coverage

Chiropractic Services

$30 Copay

No Coverage

HealthiestYou Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$40 Copay

100% Covered

100% Covered

100% Covered

 

100% Covered

$40 Copay

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

No Charge After Deductible

100% Covered

 

No Coverage

100% Covered

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

100% Covered

$40 Copay

$100 Copay

$250 Copay

 

100% Covered

$100 Copay

$250 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HSA $3,000 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual Coverage

Individual Under Family Coverage

Family Coverage

 

$3,000

$3,200

$6.000

 

$6,000

$6,000

$12,000

Out-Of-Pocket Maximum

Individual Coverage

Individual Under Family Coverage

Family Coverage

 

$5,000

$3,200

$10,000

 

$10,000

$10,000

$20,000

Preventive Care

100% Covered

30%*

Office Visits

Primary Services

Specialist Services

 

10%*

10%*

 

30%*

30%*

Hospital Services

10%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

 

30%*

30%*

Urgent Care Services

10%*

30%*

Chiropractic Services

10%*

30%*

HealthiestYou Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

 

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

$55 fee applies until deductible is met, then 100% covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

10%*

100% Covered

 

30%*

100% Covered

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

10%*

10%*

10%*

10%*

 

10%*

10%*

10%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-844-804-8120