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.

If you prefer talking with a HealthEZ representative, call 1-855-535-4497

Summary Of Medical Benefits

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,500

$3,000

 

$6,000

$12,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,000

$7,000

 

$12,000

$24,000

Preventive Care

100% covered

No coverage

Physician Services

$25 copay

50%*

Hospital Services Inpatients & Outpatient Care

20%*

50%*

Emergency Services

Treated as In-Network during true emergency

$500 copay

 

50%*

 

Urgent Care Services

$75 copay

50%*

Chiropractic Services

$50 copay

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%

$50 copay

 

50%

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Pharmacy Out-Of-Pocket (Medical OOP expenses count towards Rx OOP)

Individual

Family

 

$7,350

$14,700

 

$7,350

$14,700

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$5 copay

$40 copay

$70 copay

25% coinsurance

 

$10 copay

$80 copay

$140 copay

Not Available

*After Deductible

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible (Embedded)

Employee Only

Family

 

$3,500

$7,000

 

$7,000

$14,000

Coinsurance

0%

50%

Out-of-Pocket Maximum

Employee Only

Family

 

$3,500

$7,000

 

$14,000

$28,000

Preventative Care

100% Covered

Not Covered

Physician Services

0%*

50%*

Hospital Services - Inpatient & Outpatient Care

0%*

50%*

Emergency Services

Treated as In-Network during true emergency

0%*

 

50%*

 

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 Out-Of-Pocket Maximum

Individual

Family

 

$6,650

$13,300

 

$6,650

$13,300

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

 

25%*

25%*

25%*

25%*

 

25%*

25%*

25%*

Not Available

NOTE: *After Deductible

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-855-535-4497