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
Medical Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$6,500
$13,000
N/a
Coinsurance
0%
Out-Of-Pocket Maximum
Preventive Care
100% Covered
Not Covered
Physician Services
Primary
Specialist
Chiropractic
$40 Copay
$65 Copay
$50 Copay
Hospital Services Inpatients & Outpatient Care
0%*
Emergency Services**
Emergency Room
Emergency Medical Transportation
$500 Copay
Urgent Care Services
$110 Copay
HealthiestYou Services
General Consultations
Dermatology
Mental Health - Therapist
Mental Health - Psychiatrist, initial evaluation
Mental Health - Psychiatrist, ongoing session
$75 Copay
$85 Copay
$200 Copay
$95 Copay
Mental health/Chemical Dependency
Inpatient
Outpatient
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Drug Coverage
Generic
Formulary
Non-Formulary
Specialty
$10 Copay
25% Coinsurance
50% Coinsurance
*After Deductible
** Covered as in-network in true-emergency
If you prefer talking with a HealthEZ representative, call 1-844-801-1908