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.

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Summary Of Medical Benefits

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual Only

Family

 

$1,500

$3,000

 

$4,200

$8,400

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Individual Only

Family

 

$4,200

$8,400

 

$6,000

$12,000

Preventive Care

100% covered

50%*

Office visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 copay

$45 Copay

20%*

 

50%*

50%*

50%*

Hospital Services Inpatients & Outpatient Care

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$250 Copay then 20%*

20%*

 

50%*

50%*

Urgent Care Services

$45 Copay

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$25 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$5 copay

$30 copay

50%*

50%*

Mail Order 90 day Supply

$10 copay

$60 copay

50%*

Not Available

*After Deductible

 

 

**True emergencies covered as in-network

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual Only

Individual under Family Plan

Family

 

$1,700

$3,400

$3,400

 

$3,400

$6,800

$6,800

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Individual Only

Individual under Family Plan

Family

 

$3,400

$6,800

$6,800

 

$6,800

$13,600

$13,600

Preventative Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20%*

20%*

20%*

 

40%*

40%*

40%*

Hospital Services Inpatient & Outpatient Care

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

40%*

40%*

Urgent Care Services

20%*

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

40%*

40%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

20%*

20%*

20%*

20%*

Mail Order 90 Day Supply

20%*

20%*

20%*

Not available

*After Deductible

 

 

**True emergencies covered as in-network

 

 


If you prefer talking with a HealthEZ representative, call 844-801-1909