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
PPO 6
In-Network
Out-of-Network
Embedded Deductible
Employee only
Family
$5,000
$10,000
Coinsurance
0%
50%
Embedded Out-of-Pocket Maximum
$7,000
$14,000
$15,000
$30,000
WellVia (a Recuro Health company) Telemedicne Services
No charge
Preventative Care
50% Coinsurance
Office Visits
Primary Services
Specialist Services
Chiropractic Services
$20 copay
$75 Copay
25%* after deductible
50%* after Deductible
Urgent Care Services
$50 Copay
50% * after Deductible
Emergency Services**
Emergency Room
Emergency Medical Transportation
$300 Copay after Deductible
0%* after Deductible
Hospital Services
Inpatient Hospital Facility
Outpatient Surgery
$750 Copay after Deductible
Diagnostic Testing & Imaging
Labs
X-rays
CT/PET/MRI
$50 Copay after Deductible
$75 Copay after Deductible
Mental Health/Chemical Dependency
Inpatient
Outpatient
Prescription Drug Coverage
Generic
Preferred brand
Non-Preferred Brand & Generics
Specialty
Retail 30 Day Supply
$10 Copay
$25 Copay
50%*
$200 Copay
Mail Order 90 Day Supply
$20 Copay
Not Available
*Coinsurance
**Covered as In-Network in true emergency
HSA 1
$20,000
20%
$6,750
$13,500
No Charge
Preventive Care
20%* after deductible
50%* after deductible
Emergency Services
Emergency Room**
Expanded Preventive*
If you prefer talking with a HealthEZ representative, call 855-255-7060