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
Reference Based Pricing (RBP)
Plan Year Deductible
Individual
Individual Under Family
Family
$2,500
$5,000
Coinsurance
20%
Out-of-Pocket Maximum
$10,000
Preventative Care
100% Covered
Office Visits
Primary Services
Specialist Services
Chiropractic Services
$35 Copay
$50 Copay
20*
Hospital Services
20%*
Emergency Services**
Emergency Room
Emergency Medical Transportation
$250 Copay
Urgent Care Services
$75 Copay
Teledoc Services
General Consultations
Dermatology
Mental Health- Therapist
Mental Health- Psychiatrist, initial evaluation
Mental Health- Psychiatrist, ongoing session
No Charge
$85 Copay
Mental Health/Chemical Dependency
Inpatient
Outpatient
Summary of Pharmacy Benefits (Copay Plan 1)
Retail 30 Day Supply
Mail Order 90 Day Supply
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
$15 Copay
$45 Copay
$60 Copay
$200 Copay
$135 Copay
$180 Copay
Not Available
Copay Plan 2
Reference Base Pricing (RBP)
$8,550
$17,100
Summary of Pharmacy Benefits (Copay 2)
Non-Preferred brand
If you prefer talking with a HealthEZ representative, call 844-660-2443