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
Copay Plan 1
Tier 1: Solarte
Tier 2: America's PPO/The Alliance/PHCS
Tier 3: Out-of-Network
Deductible
Individual
Individual under Family
Family
$0
$1,000
$2,000
$3,000
$9,000
Out-of-Pocket Maximum
$4,000
$8,000
$16,000
Preventative Services
No Charge
40%*
Office Visits
Primary Office Visit
Specialist Office Visit
Chiropractic Visit
10%*
Urgent Care Services
Not Available
Complex Imaging: MRI/CT/PET Scans
Inpatient Hospital Care
Facility Fee
Physician Fee
Outpatient Procedures
Emergency Room Services
Emergency Medical Transportation
$75 Copay
Mental Health/Chemical Dependency
Inpatient
Office Visit
NOTE: * Coinsurance After Deductible
** Covered as in-network in true-emergency
Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
HSA Plan 1
Tier 3 Out of Network
$1,650
$3,300
$6,600
$9,600
$19,200
$4,500
$10,000
$20,000
0%*
If you prefer talking with a HealthEZ representative, call 844-660-2450