Compare Plans

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.

Questions about your benefits?

Advocates@CrumdalePartners.com

Register your myHealthEZ account

>>Click here

Summary Of Medical Benefits

PPO 5

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$3,000

$6,000

 

$5,000

$10,000

Out-of-Pocket Maximum

Individual

Family

 

$6,750

$13,500

 

$15,000

$30,000

Preventive Care Services

No Charge

50% Coinsurance

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$20 Copay

$75 Copay

25%*

 

50%*

50%*

50%*

Urgent Care Services

$50 Copay

50%*

Emergency Room Services

Emergency Medical Transportation

$300 Copay After Deductible

No Charge

$300 Copay After Deductible

0%*

Inpatient Hospital Care

0%*

50%*

Outpatient Procedures

$750 Copay After Deductible

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

0%*

$20 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50% Coinsurance

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50% Coinsurance

Not Available

NOTE: * Coinsurance After Deductible

Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 

HDHP 2

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$2,000

$4,000

 

$4,000

$8,000

Out-of-Pocket Maximum

Individual

Family

 

$5,000

$10,000

 

$10,000

$20,000

Preventive Care Services

No Charge

50% Coinsurance

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$30 Copay After Deductible

$75 Copay After Deductible

$75 Copay After Deductible

 

25%*

25%*

25%*

Urgent Care Services

$75 Copay After Deductible

25%*

Emergency Room Services

Emergency Medical Transportation

$300 Copay After Deductible

0%*

$300 Copay After Deductible

0%*

Inpatient Hospital Care

0%*

25%*

Outpatient Procedures

0%*

25%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

0%*

$30 Copay After Deductible

 

25%*

25%*

Prescription Drug Coverage

Generic

Expanded Preventive - Generic

Preferred Brand

Expanded Preventive - Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay After Deductiblw

$10 Copay

$25 Copay After Deductible

$25 Copay

$75 Copay After Deductible

$150 Copay After Deductible

Mail Order 90 Day Supply

$20 Copay After Deductible

$20 Copay

$50 Copay After Deductible

$50 Copay

$150 Copay After Deductible

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 855-255-7060