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
Reference Based Pricing Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$3,500
$7,000
N/A
Coinsurance
20%
Out-Of-Pocket Maximum
$14,000
Preventive Care
100% Covered
No Coverage
Office Visits
Primary Services
Specialist Services
$30 Copay
$50 Copay
Hospital Services
20%*
Emergency Services
Emergency Room
Emergency Medical Transportation
Urgent Care Services
$70 Copay
Chiropractic Services
Mental Health / Chemical Dependency
Inpatient
Outpatient
50%*
$60 Copay
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
Retail 30 Day Supply
$20 Copay
$75 Copay
20% Coinsurance
Mail Order 90 day Supply
$40 Copay
$100 Copay
$150 Copay
Not Available
NOTE: * Coinsurance After Deductible
Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
If you prefer talking with a HealthEZ representative, call 844-801-1912