Not all coverage is the right coverage.
Your healthcare coverage is important to us. 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. This summary will help you understand your plan and its coverage.
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Summary Of Medical Benefits
HSA Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$3,400
$5,600
$8,100
$16,200
Out-Of-Pocket Maximum
$3,650
$7,300
$10,950
$21,900
Preventive Care
No Charge
30%*
Office Visits
Primary Office Visit
Specialist Office Visit
Chiropractic Visit
0%*
Urgent Care Services
Inpatient & OutpatientHospital Services
Emergency Services**
Emergency Room
Emergency Medical Transportation
Mental Health / Chemical Dependency
Inpatient
Office Visit
* 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