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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

PPO 8

In-Network

Out of Network

Embedded Deductible

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$2,000

$2,000

$4,000

 

$4,000

$4,000

$8,000

Out-of-Pocket Maximum

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$6,000

$6,000

$12,000

 

$12,000

$12,000

$24,000

Preventive Care Services

No Charge

50%

Primary Office Visit

$20 Copay

50%*

Specialist Office Visit

$50 Copay

50%*

Chiropractic Visit

20%*

50%*

Urgent Care Services

$40 Copay

50%*

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%*

Emergency Room Services

$300 Copay*

$300 Copay*

Emergency Medical Transportation**

20%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

20%*

$50 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50% Coinsurance

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50% Coinsurance

Not Available

Recuro Benefits

General Consultations

 

No Charge

 

No Charge

PPO 9

In-Network

Out of Network

Embedded Deductible

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$3,000

$3,000

$6,000

 

$6,000

$6,000

$10,000

Out-of-Pocket Maximum

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$6,750

$6,750

$13,500

 

$15,000

$15,000

$30,000

Preventive Care Services

No Charge

50%

Primary Office Visit

$20 Copay

50%*

Specialist Office Visit

$50 Copay

50%*

Chiropractic Visit

20%*

50%*

Urgent Care Services

$40 Copay

50%*

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%*

Emergency Room Services

$300 Copay*

$300 Copay*

Emergency Medical Transportation**

20%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

20%*

$50 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50% Coinsurance

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50% Coinsurance

Not Available

Recuro Benefits

General Consultations

 

No Charge

 

No Charge

HDHP 4

In-Network

Out of Network

Embedded Deductible

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$5,000

$5,000

$10,000

 

$10,000

$10,000

$20,000

Out-of-Pocket Maximum

Individual Coverage

Individual under Family Coverage

Family Coverage

 

$6,750

$6,750

$13,500

 

$15,000

$15,000

$30,000

Preventive Care Services

No Charge

50%

Primary Office Visit

20%*

50%*

Specialist Office Visit

20%*

50%*

Chiropractic Visit

20%*

50%*

Urgent Care Services

20%*

50%*

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%*

Emergency Room Services

20%*

20%*

Emergency Medical Transportation**

20%*

20%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

20%*

20%*

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

20%*

20%*

50%*

20%*

Mail Order 90 Day Supply

20%*

20%*

50%*

Not Available

Recuro Benefits

General Consultations

 

No Charge

 

No Charge

* After deductible

 

 

** Covered as in-network in true-emergency

 

 


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