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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

$2,500 Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,500

$5,000

 

$10,000

$20,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,500

$5,000

 

$15,000

$30,000

Preventive Care

100% Covered

Not Covered

Office Visits

Primary Services

Specialist Services

 

$35 Copay

$70 Copay

 

50%*

50%*

Hospital Services Inpatients & Outpatient Care

0%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$400 Copay

0%*

 

$400 Copay

0%*

Urgent Care Services

$75 Copay

50%*

Chiropractic Services

0%*

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

0%*

$70 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$40 Copay

$70 Copay

$70 Copay

 

$37.50 Copay

$100 Copay

$175 Copay

Not Available

*After Deductible

 

 

$5,000 Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$20,000

$40,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$30,000

$60,000

Preventive Care

100% Covered

Not Covered

Office Visits

Primary Services

Specialist Services

 

$35 Copay

$70 Copay

 

50%*

50%*

Hospital Services Inpatients & Outpatient Care

0%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$400 Copay

0%*

 

$400 Copay

0%*

Urgent Care Services

$75 Copay

50%*

Chiropractic Services

0%*

50%*

Mental health/Chemical Dependency

Inpatient

Opatient

 

0%*

$70 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-Preferred brand

Specialty

 

$15 Copay

$65 Copay

$90 Copay

20% up to $200

 

$37.50 Copay

$130 Copay

$180 Copay

Not Available

*After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-855-280-9640