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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

$0 Deductible Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$0

$0

 

$10,000

$20,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,500

$5,000

 

$20,000

$40,000

Coinsurance

10%

50%

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$25 Copay

$25 Copay

 

50%*

50%*

50%*

Hospital Services

10%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

 

10%*

10%*

Urgent Care Services

$25 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

10%*

$25 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$50 Copay

$100 Copay

20% Coinsurance up to $400

 

$45 Copay

$150 Copay

$300 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

$1,000 Deductible Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,000

$3,000

 

$10,000

$20,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,000

$6,000

 

$20,000

$40,000

Coinsurance

20%

50%

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$25 Copay

$25 Copay

 

50%*

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

20%*

20%*

Urgent Care Services

$25 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$25 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$50 Copay

$100 Copay

20% Coinsurance up to $400

 

$45 Copay

$150 Copay

$300 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,500

$7,000

 

$10,000

 

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,500

$7,000

 

$20,000

$40,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

0%*

0%*

0%*

 

50%*

50%*

50%*

Hospital Services

0%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Urgent Care Services

0%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 855-255-7060