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
Preferred Basic PPO Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$5,000
$10,000
No Coverage
Coinsurance
20%
Out-Of-Pocket Maximum
$6,350
$12,700
Preventive Care
100% Covered
Physician Services
Primary
Specialist
$20 Copay
$40 Copay
Hospital Services Inpatients & Outpatient Care
20%*
Emergency Services**
Emergency Room
Emergency Medical Transportation
$250 Copay
Convenience Clinic
$35 Copay
Urgent Care Services
$75 Copay
Chiropractic Services
Mental health/Chemical Dependency
Inpatient
Outpatient
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
$10 Copay
$60 Copay
$120 Copay
$80 Copay
Not Available
*After Deductible
**True emergencies covered at in-network level
$500 PPO Plan
$500
$1,000
$2,000
10%
50%
$4,000
$8,000
50%*
$15 Copay
$30 Copay
10%*
$150 Copay
$25 Copay
Formulary
Non-Formulary
$5 Copay
If you prefer talking with a HealthEZ representative, call 1-888-204-7871