Not all coverage is the right coverage.
Your healthcare coverage is important to us. 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. This summary will help you understand your plan and its coverage.
service@healthez.com
>>Click here
Summary Of Medical Benefits
Copay Plan
In-Network
Out-Of-Network
Deductible
Individual
Family
$2,500
$5,000
Out-Of-Pocket Maximum
$6,000
$12,000
Preventive Care
No Charge
Office Visits
Primary Office Visit
Specialist Office Visit
Chiropractic Visit
$10 Copay
$25 Copay
Urgent Care Services
$30 Copay
Inpatient Hospital Care
Facility Fee
Physician Fee
20%*
Outpatient Procedures
Emergency Services
Emergency Room
Emergency Medical Transportation
$200 Copay, then 20%*
Mental Health/Chemical Dependency
Inpatient
Office Visit
Prescription Drug Coverage
Generic
Formulary
Non-Formulary
Specialty
Retail 30 Day Supply
$5 Copay
$60 Copay
20%* up to $250
Mail Order 90 day Supply
$120 Copay
Not Available
NOTE: * Coinsurance After Deductible
Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
If you prefer talking with a HealthEZ representative, call 1-888-806-3268