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.
Advocates@CrumdalePartners.com
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Summary Of Medical Benefits
2023 PPO 5 Plan
In-Network
Out-Of-Network
Calendar Year Deductible
Employee Only
Family
$3,000
$6,000
$5,000
$10,000
Coinsurance
0%
50%
Out-Of-Pocket Maximum
$6,750
$13,500
$15,000
$30,000
Preventive Care
100% Covered
Office Visits
Primary Services
Specialist Services
Walk In Clinics
Chiropractic Services
$20 Copay
$75 Copay
$50 Copay
25%* After Deductible
50%* After Deductible
Hospital Services
Inpatient Hospital Facility
Outpatient Surgery
Deductible, then 100% Covered
Deductible, then $750 Copay
Emergency Services**
Emergency Room
Emergency Medical Transportation
Deductible, then $300 Copay
Urgent Care Services
Mental Health / Chemical Dependency
Inpatient
Outpatient
Retail 30 Day Supply
Mail Order 90 day Supply
Prescription Drug Coverage
Generic
Preferred brand
Non-preferred brand
Specialty
$10 Copay
$25 Copay
50% Coinsurance
$200 Copay
Not Available
* Coinsurance
Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
** True emergencies covered at in-network level
2023 PPO 6 Plan
$7,000
$14,000
* After deductible
2023 HDHP Plan
$20,000
20%
20%* After Deductible
*Emergency Services covered at in-network benefit level if deteremine medically necessary
If you prefer talking with a HealthEZ representative, call 855-255-7060