Plan Details

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

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,300

$5,600

 

$8,100

$16,200

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,650

$7,300

 

$10,950

$21,900

Preventive Care

No Charge

30%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

0%*

0%*

0%*

 

30%*

30%*

30%*

Urgent Care Services

0%*

30%*

Inpatient & OutpatientHospital Services

0%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

30%*

30%*

Mental Health / Chemical Dependency

Inpatient

Office Visit

 

0%*

0%*

 

30%*

30%*

* Coinsurance After deductible

** True emergencies covered at in-network level

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

 

 

 

 

 

 


If you prefer talking with a HealthEZ representative, call 1-844-288-5710