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 11
In-Network
Out-of-Network
Embedded Deductible
Individual Coverage
Family Coverage
$6,000
$12,000
$10,000
$20,000
Embedded Out-of-Pocket Maximum
$8,000
$16,000
$40,000
Preventive Care Services
No Charge
50% Coinsurance
Office Visits
Primary Office Visit
Specialist Office Visit
Chiropractic Visit
$20 Copay
$50 Copay
30% Coinsurance*
50% Coinsurance*
Urgent Care Services
$40 Copay
Complex Imaging: MRI/CT/PET Scans
Inpatient Hospital Care
Facility Fee
Physician Fee
Outpatient Procedures
Emergency Room Services
Emergency Medical Transportation**
0% Coinsurance*
Mental Health/Chemical Dependency
Inpatient
Office Visit
Recuro Benefits
General Consultations
Prescription Drug Coverage
Generic
Preferred Brand
Non-Preferred Brand
Specialty
Retail 30 Day Supply
$10 Copay
$25 Copay
$200 Copay
Mail Order 90 Day Supply
Not Available
Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.
* After deductible
** Covered as in-network in true-emergency
If you prefer talking with a HealthEZ representative, call 855-255-7060