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
PPO Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Individual
Family
$3,500
$7,000
$14,000
Out-Of-Pocket Maximum
$6,250
$12,500
$21,000
$42,000
Preventive Care
No Charge
50%*
Office Visit
Primary Office Visit
Specialist Office Visit
Chiropractic Visit
$30 Copay
$60 Copay
Urgent Care Services
$75 Copay
Inpatient Hospital Care
Facility Fee
Physician Fee
30%*
Outpatient Procedures
Emergency Services**
Emergency Room
Emergency Medical Transportation
$250 Copay
Mental Health / Chemical Dependency
Inpatient
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
Retail 30 Day Supply
$15 Copay
$50 Copay
$100 Copay
Mail Order 90 day Supply
$200 Copay
Not Available
NOTE: * Coinsurance After Deductible
**True emergencies covered at in-network level
Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
MVP Plan
None
$500
$1,000
$1,850
$12,700
Unlimited
40%*
$25 Copay
20%*
Complex Imaging: MRI/CT/PET Scans
$400 Copay
Not Covered
$125 Copay
$120 Copay
RBP Plan
$5,500
$11,000
$22,000
$20,000
$40,000
0%*
If you prefer talking with a HealthEZ representative, call 1-844-855-0617