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
HSA 4 Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Individual Under Family
Family
$1,600
$3,200
$3,000
$6,000
Out-Of-Pocket Maximum
$12,000
Preventive Care
100% Covered
30%*
Office Visits
Primary Services
Specialist Services
Chiropractic Services
10%*
Urgent Care Services
Emergency Services**
Emergency Room
Emergency Medical Transportation
Hospital Services
Inpatient Hospital Facility
Outpatient Services
Mental Health / Chemical Dependency
Inpatient
Outpatient
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
Retail 30 Day Supply
$10 Copay*
$25 Copay*
$50 Copay*
$10/$25/$50 Copay*
Mail Order 90 day Supply
$62.50 Copay*
$125 Copay*
Not Available
* After deductible
** True emergencies covered at in-network level
Summary of Medical Benefits
Copay 2 Plan
Out-of-Network
Individual
$500
$1,000
Coinsurance
10%
30%
Out-of-Pocket Maximum
$7,000
$14,000
$20 Copay
$30 Copay
$75 Copay
$150 Copay
$250 Copay, then 10%*
$250 Copay, then 30%*
Mental Health/Chemical Dependency
$10 Copay
$60 Copay
$10/$30/$60 Copay
Mail Order 90 Day Supply
$25 Copay
If you prefer talking with a HealthEZ representative, call 844-660-2446