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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

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

30%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,150

$14,300

 

$14,300

$28,600

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$40 Copay

$60 Copay

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

30%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

30%*

30%*

 

50%*

50%*

Urgent Care Services

$75 Copay

50%*

Chiropractic Services

30%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

30%*

$60 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$20 Copay

$50 Copay

$75 Copay

$500 Copay

 

$60 Copay

$150 Copay

$225 Copay

Not Available

*After Deductible

 

 

**Covered as in-network in true emergency

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$20,000

$40,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

0%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

50%*

50%*

Urgent Care Services

0%*

50%*

Chiropractic 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

Formulary

Non-Formulary

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

*After Deductible

 

 

**Covered as in-network in true emergency

 

 


If you prefer talking with a HealthEZ representative, call 1-844-288-5707