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

Employee under Family Plan

Family

 

$1,250

$1,250

$2,500

 

$3,000

$6,000

$6,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Employee under Family Plan

Family

 

$5,000

$5,000

$10,000

 

$8,000

$8,000

$16,000

Preventive Care

100% Covered

50%*

Office Visits

Primary

Specialist

Urgent Care

 

$30 Copay

$50 Copay

$50 Copay

 

50%*

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$400 Copay

20%*

 

50%*

50%*

Chiropractic Services

$50 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$30 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

$40 Copay

20%*

Mail Order 90 day Supply

$20 Copay

$50 Copay

$80 Copay

Not Available

*After Deductible

 

 

**Covered as in-network in true emergency

 

 

HSA Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Employee Under Family Coverage

Family

 

$3,000

$3,000

$5,600

 

$5,000

$5,000

$10,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Employee Under Family Coverage

Family

 

$5,000

$5,000

$10,000

 

$8,000

$8,000

$16,000

Preventive Care

100% Covered

50%*

Office Visits

Primary

Specialist

 

20%*

20%*

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services**

20%*

50%*

Urgent Care Services

20%*

50%*

Chiropractic Services

20%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

50%*

50%*

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

20%*

20%*

20%*

20%*

Mail Order 90 day Supply

20%*

20%*

20%*

Not Available

*After Deductible

 

 

**Covered as in-network in true emergency

 

 


If you prefer talking with a HealthEZ representative, call 1-888-806-3297