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- Effective 1/1/2024
Calendar Year Deductible
Individual Under Family Coverage
Primary Office Visit
Specialist Office Visit
Urgent Care Services
MRI/CT/PET scans- Free standing Facility
MRI/CT/PET scans- Hospital or outpatient hospital
Inpatient Hospital Care
Emergency Room Services**
Emergency Medical Transportation**
Mental Health/Chemical Dependency
Prescription Drug Coverage
Retail 30 Day Supply
30% Coinsurance (Prudent Rx)
Mail Order 90 Day Supply
* Coinsurance after deductible
** Covered as in-network in true-emergency
Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions
Preventative Preferred Brand
Preventative Non-Preferred Brand
Non-Preventative Preferred brand
Non-Preventative Non-preferred brand
High Value / Elite Network Plan
Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.
The High Value Plan / Elite Network Plan utlizes a specific network. All scheduled surgeries should be through Fariview Health System or Twin Cities Orthopedics.
If you prefer talking with a HealthEZ representative, call 1-800-948-5988