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
Base Plan
In-Network
Out-Of-Network
Plan Year Deductible
Employee Only
Family
$6,600
$13,200
$26,400
Out-Of-Pocket Maximum
$52,800
Preventive Care
100% covered
50%*
Office Visits
Primary & Specialist Services
$35 Copay for first 3 visits, Remaining visits subject to 20%*
Hospital Services Inpatients & Outpatient Care
0%*
Emergency Services
Emergency Room
Emergency Medical Transportation
$400 copay
Urgent Care Services
Chiropractic Services
Mental health/Chemical Dependency
Inpatient
Outpatient
$35 Copay for first 3 visits, then 20%*
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
$12 copay
$35 copay
$65 copay
$90 copay
$24 copay
$70 copay
$130 copay
Not available
*After Deductible
Buy-Up Plan
$3,000
$6,000
$12,000
$4,500
$9,000
$24,000
Formulary
Non-Formulary
If you prefer talking with a HealthEZ representative, call 1-844-449-5541