Plan Details

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.

Summary Of Medical Benefits

MEC Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

N/A

N/A

 

N/A

N/A

Out-Of-Pocket Maximum

Individual

Family

 

N/A

N/A

 

N/A

N/A

Preventive Care

No Charge

No Coverage

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

No Coverage

No Coverage

No Coverage

 

No Coverage

No Coverage

No Coverage

Urgent Care Services

No Coverage

No Coverage

Complex Imaging: MRI/CT/PET Scans

No Coverage

No Coverage

Hospital Services Inpatient & Outpatient

No Coverage

No Coverage

Emergency Room Services

Emergency Medical Transportation

No Coverage

No Coverage

No Coverage

No Coverage

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Prescription Drug Coverage

Preventive

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

No Charge

Not Covered

Not Covered

Not Covered

Not Covered

Mail Order 90 Day Supply

No Charge

Not Covered

Not Covered

Not Covered

Not Covered

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

 

 


If you prefer talking with a HealthEZ representative, call 1-844-449-5534