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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

$2,000 PPO Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$8,000

$16,000

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

 

$25 Copay

$50 Copay

 

40%*

40%*

Hospital Services

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$350 Copay

20%*

 

40%*

40%

Urgent Care Services

$50 Copay

40%*

Chiropractic Services

$25 Copay

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$35 Copay

$60 Copay

$60 Copay

 

$20 Copay

$70 Copay

$120 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

$2,500 PPO Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,500

$5,000

 

$5,000

$10,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,500

$13,000

 

$10,000

20,000

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

 

$35 Copay

$60 Copay

 

40%*

40%*

Hospital Services

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

40%*

40%*

Urgent Care Services

$50 Copay

40%*

Chiropractic Services

20%*

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$5 Copay

$50 Copay

$75 Copay

$150 Copay

 

$10 Copay

$100 Copay

$150 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

$5,000 HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

30%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,500

$13,500

 

$20,000

$40,000

Preventive Care

100%

50%*

Office Visits

Primary Services

Specialist Services

 

30%*

30%*

 

50%*

50%*

Hospital Services

30%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transpprtation

 

30%*

30%*

 

50%*

50%*

Urgent Care Services

30%*

50%*

Chiropractic Services

30%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

30%*

30%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

30%*

30%*

30%*

30%*

 

30%*

30%*

30%*

30%*


If you prefer talking with a HealthEZ representative, call 844-302-7783