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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.


Summary of Medical Benefits

HDHP 4 Plan

In-Network

Out of Network

Plan Year Deductible

 

 

Embedded Deductible

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$5,000

$5,000

$10,000

 

$10,000

$10,000

$20,000

Embedded Out-of-Pocket Maximum

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$6,750

$6,750

$13,500

 

$15,000

$15,000

$30,000

Coinsurance

20%

50%

Preventive Care Services

No Charge

50%

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

20%*

20%*

20%*

 

50%*

50%*

50%*

Recuro Telemedicine Services

No Charge

No Charge

Urgent Care Services

20%*

50%*

Emergency Room Services

Emergency Medical Transportation

20%*

20%*

20%*

20%*

Complex Imaging: MRI/CT/PET Scans

20%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

20%*

20%*

 

50%*

50%*

* After deductible

 

 

Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.

 

 


If you prefer talking with a HealthEZ representative, call 855-255-7060