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

Plan Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$12,000

$24,000

Preventive Care

100% covered

50%*

Office Visits

Primary Services

Specialist Services

 

$35 Copay

$35 Copay

 

50%*

50%*

Hospital Services Inpatients & Outpatient Care

20%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

20%*

20%*

Urgent Care Services

$50 copay

50%*

Chiropractic Services

$35 copay

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$35 copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$12 copay

$35 copay

$65 copay

$200 copay

 

$24 copay

$70 copay

$130 copay

Not available

*After Deductible

 

 

High Deductible Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$6,600

$13,200

 

$13,200

$26,400

Coinsurance

0%*

50%*

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,600

$13,200

 

$26,400

$52,800

Preventive Care

100% covered

50%*

Office Visits

Primary and Specialist Services- First 3 combined visits

Primary and Specialist Services- After first 3 combined visits

 

$35 Copay for first three (3) visits combined, remaining visits No Charge After Deductible

$35 Copay for first three (3) visits combined, remaining visits No Charge After Deductible

 

50%*

50%*

Hospital Services Inpatients & Outpatient Care

0%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

50%*

50%*

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

*After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-844-302-7791