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
$500 Copay Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$500
$1,000
$1,500
$3,000
Coinsurance
10%
50%
Out-Of-Pocket Maximum
$2,000
$4,000
$8,000
Preventive Care
100% Covered
No Coverage
Office Visits
Primary
Specialist
Chiropractic Services
$30 Copay
$45 Copay
$40 Copay
50%*
Hospital Services Inpatients & Outpatient Care
10%*
Emergency Services
Emergency Medical Transportation
$250 Copay
0%*
$250 copay
Urgent Care Services
$50 Copay
Mental Health/Chemical Dependency
Inpatient
Outpatient
Teladoc Services
General Consultations
Dermatology
Mental Health - Therapist
Mental Health - Psychiatrist, initial evaluation
Mental Health - Psychiatrist, ongoing session
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty (Mail order available for a 30 day supply
$5 Copay
$15 Copay
25%*
$10 Copay
$60 Copay
Not available
*After Deductible
$1,000 Copay Plan
$6,000
20%
$5,000
$10,000
$20,000
Chiropractic
$75 Copay
20%*
$75 copay
Mental health/Chemical Dependency
Outpatient Office Visits
Formulary
Non-Formulary
Specialty (Mail order available for a 30 day supply)
$25 Copay
$90 Copay
$1,500 HSA Plan
Individual on Family Plan
$3,250
$6,250
$55 Copay until Deductible is met, then 100% Covered
$85 Copay until deductible is met, then 20% coinsurance
$90 Copay until deductible is met, then 20% coinsurance
$220 Copay until deductible is met, then 20% coinsurance
$100 Copay until deductible is met, then 20% coinsurance
Specialty (Available for 30 day mail order)
$3,000 HSA Plan
$5,300
$5,350
$10,650
HealthiestYou Services
$1,500 Dental Plan Benefit
Deductible
$50
$150
Annual Maximum
Non-Orthodontics
Orthodontics
$1,500/person/year
$1,500/person/lifetime
Preventive Health Care
Diagnostic Services
Basic Dental Services
Major Dental Services
Orthodontic Services
$2,500 Dental Plan Benefit
$2,500/person/year
$2,500/person/lifetime
If you prefer talking with a HealthEZ representative, call 1-844-288-5703