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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

Copay Plan

In-Network

Out-of-Network

Deductible

Individual

Family

 

$1,000

$3,000

 

$2,000

$6,000

Out-of-Pocket Maximum

Individual

Family

 

$3,000

$9,000

 

$9,000

$18,000

Preventative Services

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$35 Copay

$70 Copay

$70 Copay

 

50%*

50%*

50%*

Urgent Care Services

$100 Copay

50%*

Complex Imaging: MRI/CT/PET Scans

30%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

30%*

30%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

30%*

30%*

 

50%*

50%*

Emergency Room Services**

Emergency Medical Transportation**

$300 Copay

30%*

50%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

30%*

$70 Copay

 

50%*

50%*

HealthiestYou Benefits

General Consultations

Dermatology

Mental Health- Therapist

Mental Health- Psychiatrist, Initial Evaluation

Mental Health- Psychiatrist, Ongoing Session

 

No Charge

$75 Copay

Not Covered

Not Covered

Not Covered

 

No Charge

$75 Copay

Not Covered

Not Covered

Not Covered

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$15 Copay

$40 Copay

$70 Copay

20% Coinsurance

Mail Order 90 Day Supply

$37.50 Copay

$100 Copay

$175 Copay

Not Available


If you prefer talking with a HealthEZ representative, call 844-801-1915