Plan Details

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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Plan Details

Copay Plan 1

In Network Benefits

Out of Network Benefits

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,500

$13,000

 

$13,000

$26,000

Preventative Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$40 Copay

$40 Copay

 

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$250 Copay*

20%*

 

50%*

50%*

Urgent Care Services

$40 Copay

50%*

Chiropractic Services

$50 Copay

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$40 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

 

20%*

20%*

20%*

20%*

 

20%*

20%*

20%*

Not Available

* After Deductible

 

 

** Covered as In-Network in True-Emergency

 

 

If you prefer talking with a HealthEZ representative, call 1-844-204-3759