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
HDHP Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$4,000
$8,000
$16,000
Coinsurance
20%
50%
Out-Of-Pocket Maximum
$5,500
$12,000
$24,000
Preventive Care
20%*
50%*
Office Visits
Primary Services
Specialist Services
Chiropractic Services
Urgent Care Services
Hospital Services
Emergency Services**
Emergency Room
Emergency Medical Transportation
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
$15 Copay*
$25 Copay*
25%*
$30 Copay*
$50 Copay*
Not Available
* After deductible
** True emergencies covered at in-network level
Benchmark Plan
$1,000
$2,500
$3,000
$9,000
$7,350
$14,700
$20,000
$40,000
100% Covered
$25 Copay
$40 Copay
Formulary
Non-Formulary
$15 Copay
$30 Copay
$50 Copay
Minimum Essential Coverage Plan
Deductible and Out of Pocket Maximum
N/a
Preventive Care Services
No Coverage
Urgent Care
Emergency Services
Mail Order 90 Day Supply
Preventive Prescription
Non-Preventive Prescription Drug Coverage
If you prefer talking with a HealthEZ representative, call 888-592-6339