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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

$2,000 Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$9,000

$18,000

Preventive Care

100% Covered

50%*

Physician Services

Primary

Specialist

 

$20 Copay

$55 Copay

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services

Emergency Room**

Emergency Medical Transportation**

 

$300 Copay

20%*

 

50%*

50%*

Urgent Care Services

$100 Copay

50%*

Chiropractic Services

$55 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$55 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$35 Copay

20%

50%

 

$20 Copay

$70 Copay

20%

Not Available

* After Deductible

 

 

**True emergencies covered at in-network level

 

 

$5,000 Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$9,600

$19,200

Coinsurance

10%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$10,000

$20,000

Preventive Care

100% Covered

50%*

Physician Services

Primary

Specialist

 

$20 Copay

$55 Copay

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

10%*

50%*

Emergency Services

Emergency Room**

Emergency Medical Transportation**

 

$300 Copay

10%*

 

50%*

50%*

Urgent Care Services

$100 Copay

50%*

Chiropractic Services

$55 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

10%*

$55 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialist

 

$10 Copay

$35 Copay

20%

50%

 

$20 Copay

$70 Copay

20%

Not Available

* After Deductible

 

 

**True emergencies covered at in-network level

 

 

HSA $3,000 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,200

$6,000

 

$5,000

$10,000

Coinsurance

10%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$10,000

$20,000

Preventive Care

100% Covered

50%*

Physician Services

Primary

Specialist

 

20%*

20%*

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services

Emergency Room**

Emergency Medical Transportation**

 

20%*

20%*

 

50%*

50%*

Urgent Care Services

20%*

50%*

Chiropractic Services

20%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialist

 

20%*

20%*

20%*

20%*

 

20%*

20%*

20%*

Not Available

* After Deductible

 

 

**True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-888-806-3296