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.

Summary Of Medical Benefits

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$9,000

 

$3,000

$9,000

Coinsurance

30%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$13,000

$39,000

Preventive Care

100% covered

30%*

Physician Services

$40 copay

30%*

Hospital Services Inpatients & Outpatient Care

30%*

50%*

Emergency Services

Covered as In-Network during true emergency

$100 copay, then 30%*

 

30%*

 

Urgent Care Services

$40 Copay

30%*

Chiropractic Services

30%*

30%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

30%*

$40 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$20 Copay

$40 Copay

$60 Copay

25% coinsurance

 

$60 Copay

$120 Copay

$180 Copay

Not Available

NOTE: *After Deductible

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee

Family

 

$3,500

$7,000

 

$7,000

$14,000

Coinsurance

0%

30%

Out-Of-Pocket Maximum

Employee

Family

 

$3,500

$7,000

 

$14,000

$28,000

Preventive Care

100% covered

30%*

Physician Services

0%*

30%*

Hospital Services Inpatients & Outpatient Care

0%*

30%*

Emergency Services

Covered as In-Network during true emergency

0%*

 

30%*

 

Urgent Care Services

0%*

30%*

Chiropractic Services

0%*

30%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

30%*

30%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

NOTE: *After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 844-204-3759