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
Copay Plan 1 (Bronze)
In-Network
Out-of-Network
Calendar Year Accumulation
Embedded Deductible
Individual
Individual Under Family
Family
$5,000
$10,000
$20,000
Coinsurance
10%
20%
Embedded Out-of-Pocket Maximum
$6,550
$13,100
Recuro Telemedicine Services
No Charge
Preventative Care
20%* After Deductible
Office Visits
Primary Services
Specialist Services
Chiropractic Services
$25 Copay
$35 Copay
Urgent Care Services
$50 Copay
Emergency Services
Emergency Room
Emergency Medical Transportation
10%* After Deductible
Hospital Services
Inpatient Hospital Facility
Outpatient Surgery
$800 Copay
Mental Health/Chemical Dependency
Inpatient
Outpatient
Prescription Drug Coverage
Generic
Preferred Brand
Non-Preferred Brand
Specialty
Retail 30 Day Supply
$10 Copay
$30 Copay
$75 Copay
50% Coinsurance
Mail Order 90 Day Supply
$187.50 Copay
Not Available
Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
Copay Plan 1 (Platinum)
$0
$500
$1,500
0%
40%
$3,000
$6,000
40%* After Deductible
$20 Copay
$500 Copay
$750 Copay
$150 Copay
Copay Plan 1 (Gold)
$1,000
50%
$3,500
$7,000
$14,000
50%* After Deductible
$125 Copay
Copay Plan 1 (Silver)
$9,000
$18,000
$6,350
$12,700
$15,000
$30,000
$300 Copay
If you prefer talking with a HealthEZ representative, call 855-255-7060