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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.

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Summary Of Medical Benefits

MEC Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

N/A

N/A

 

N/A

N/A

Out-Of-Pocket Maximum

Employee Only

Family

 

N/A

N/A

 

N/A

N/A

Preventive Care

100% Covered

No Coverage

Telemedicine Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$85 Copay

$90 Copay

$220 Copay

$100 Copay

 

100% Covered

$85 Copay

$90 Copay

$220 Copay

$100 Copay

Office Visits

Primary Care

Specialist

Chiropractic

 

No Coverage

No Coverage

No Coverage

 

No Coverage

No Coverage

No Coverage

Urgent Care Services

No Coverage

No Coverage

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Hospital Services

Inpatient Care

Outpatient Surgery

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Labs & Scans

Office Visit Lab

Outpatient Lab

Outpatient X-Ray

Outpatient Major Diagnostic

 

No Coverage

No Coverage

No Coverage

No Coverage

 

No Coverage

No Coverage

No Coverage

No Coverage

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Preventive

Non-Preventive Generic

Non-Preventive Preferred Brand

Non-Preventive Non-Preferred Brand

Non-Preventive Specialty

 

100% Covered

No Coverage

No Coverage

No Coverage

No Coverage

 

100% Covered

No Coverage

No Coverage

No Coverage

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

MEC Plus

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

N/A

N/A

 

N/A

N/A

Out-Of-Pocket Maximum

Employee Only

Family

 

N/A

N/A

 

N/A

N/A

Preventive Care

100% Covered

No Coverage

Telemedicine Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$85 Copay

$90 Copay

$220 Copay

$100 Copay

 

100% Covered

$85 Copay

$90 Copay

$220 Copay

$100 Copay

Office Visits

Primary Care

Specialist

Chiropractic

 

$25 Copay

$50 Copay

No Coverage

 

No Coverage

No Coverage

No Coverage

Urgent Care Services

$75 Copay

No Coverage

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Hospital Services

Inpatient Care

Outpatient Surgery

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Labs & Scans

Office Visit Lab

Outpatient Lab

Outpatient X-Ray

Outpatient Major Diagnostic

 

100% Covered

$50 Copay

$100 Copay

No Coverage

 

No Coverage

No Coverage

$100 Copay

No Coverage

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Preventive

Non-Preventive Generic

Non-Preventive Preferred brand

Non-Preventive Non Preferred Brand

Non-Preventive Specialty

 

100% Covered

$10 Copay

No Coverage

No Coverage

No Coverage

 

100% Covered

No Coverage

No Coverage

No Coverage

No Coverage

* After deductible

 

 

** True emergencies covered at in-network level

 

 

MEC Enhanced

In-Network

Out-Of-Network

Calendar year Deductible

Employee Only

Family

 

N/A

N/A

 

N/A

N/A

Out-of-Pocket-Maximum

Employee Only

Family

 

N/A

N/A

 

N/A

N/A

Preventive Care

100% Covered

No Coverage

Telemedicine Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$85 Copay

$90 Copay

$220 Copay

$100 Copay

 

100% Covered

$85 Copay

$90 Copay

$220 Copay

$100 Copay

Office Visits

Primary Care

Specialist

Chiropractic

 

$25 Copay

$50 Copay

No Coverage

 

No Coverage

No Coverage

No Coverage

Urgent Care Services

$75 Copay

No Coverage

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$500 Copay

No Coverage

 

No Coverage

No Coverage

Hospital Services

Inpatient Care (limit 10 days per year)

Outpatient Surgery (limit 1 per year)

 

$1,000 benefit per day

$1,000 benefit

 

No Coverage

No Coverage

Labs & Scans

Office Visit Lab

Outpatient Lab

Outpatient X-Ray

Outpatient Major Diagnostic (limit 1 per year)

 

100% Covered

$50 Copay

$100 Copay

$500 Copay

 

No Coverage

No Coverage

No Coverage

No Coverage

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Preventive

Non-Preventive Generic

Non-Preventive Preferred Brand

Non-Preventive Non-Preferred Brand

Non-Preventive Specialty

 

100% Covered

$10 Copay

No Coverage

No Coverage

No Coverage

 

100% Covered

No Coverage

No Coverage

No Coverage

No Coverage


If you prefer talking with a HealthEZ representative, call 844-302-7774