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
$1,500
$4,500
$3,000
$9,000
Coinsurance
20%
45%
Out-Of-Pocket Maximum
$5,500
$11,000
$8,000
$16,000
Preventive Care
100% covered
No coverage
Physician Services
$30 copay
45%*
Hospital Services- Inpatient & Outpatient Care
20%*
Emergency Services
$250 Copay (1st two visits) then 20%*
Urgent Care Services
$100 Copay (1st four visits) then 20%*
Chiropractic Services
Mental Health / Chemical Dependency
Inpatient
Outpatient
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Deductible
Individual
$250
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
$15 Copay
$45 Copay
$80 Copay
$160 Copay
$30 Copay
$90 Copay
Not Available
* After Deductible
Dental Plan Coverage
$50
$150
Annual Maximum
$1,200 Per Person
Preventative & Diagnostic Services
Basic Restorative Services
10%
Major Restorative Services
50%*
Orthodontics
Annual Maximum Benefit
Diagnose or correct misalignment of the teeth or bite
$1,000 Per Person
50%
If you prefer talking with a HealthEZ representative, call 1-844-801-1915