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
Medical PPO Plan
Zelis/Payer Compass RBP
Deductible
Individual
Family
$500
$1,000
Out-of-Pocket Maximum
$2,500
$5,000
Preventive Care Services
No Charge
Office Visits
Primary Office Visit
Specialist Office Visit
Chiropractic Visit
$20 Copay
$75 Copay
Urgent Care Services
Complex Imaging: MRI/CT/PET Scans
20%*
Inpatient Hospital Care
Facility Fee
Physician Fee
Outpatient Procedures
Emergency Room
Emergency Medical Transportation
$250 Copay
Mental Health/Chemical Dependency
Inpatient
Office Visit
Prescription Drug Coverage
Generic
Preferred Brand
Non-Preferred Brand
Specialty
Retail 30 Day Supply/Mail Order 90 Day Supply
$15 Copay/$30 Copay
$45 Copay/$90 Copay
$60 Copay/$120 Copay
$80 Copay/Not Covered
Teledoc Benefits
General Consultations
Dermatology
Mental Health - Therapist
Mental Health - Psychiatrist, Initial Evaluation
Mental Health - Psychiatrist, Ongoing Session
NOTE: * Coinsurance After Deductible
Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
Medical HSA Plan
$2,000
$4,000
$3,000
$6,000
20%*/20%*
40%*/40%*
40%*/Not Covered
If you prefer talking with a HealthEZ representative, call 844-839-6745