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.

Summary Of Medical Benefits

Basic Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$3,300

$6,500

 

$5,000

$10,000

Out-Of-Pocket Maximum

Individual

Family

 

$5,000

$10,000

 

$7,500

$15,000

Preventive Care

No Charge

40%*

Physician Services

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

20%*

20%*

20%*

 

40%*

40%*

40%*

Hospital Services Inpatients & Outpatient Care

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

40%*

40%*

Urgent Care Services

20%*

40%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

40%*

40%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

20%*

20%*

20%*

20%*

Mail Order 90 day Supply

40%*

40%*

40%*

Not Available

* Coinsurance After Deductible

**Covered as in-network in true-emergency

Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 

 

 


If you prefer talking with a HealthEZ representative, call 855-520-1890