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

Buy Up Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,000

$1,750

 

$3,500

$7,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,500

$5,000

 

$10,000

$20,000

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Inhouse Provider

 

20%*

No Charge

 

40%*

No Charge

Specialist Services

Chiropractic Services

 

20%*

20%

 

40%*

40%*

Hospital Services

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

20%*

20%*

Urgent Care Services

20%*

40%*

Chiropractic Services

20%*

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$4 Copay

$15 Copay

$40 Copay

$4/$15/$40 Copay

 

$8 Copay

$30 Copay

$80 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Base Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,500

$5,000

 

$6,000

$12,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,500

$9,000

 

$12,000

$24,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

In House Provider

 

$30 Copay

$60 Copay

No Charge

 

50%*

50%*

No Charge

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$500 Copay

$500 Copay

 

$500 Copay

$500 Copay

Urgent Care Services

$75 Copay

50%*

Chiropractic Services

20%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$60 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$30 Copay

$60 Copay

$10/$30/$60 Copay

 

$20 Copay

$60 Copay

$120 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$4,000

$8,000

 

$10,000

$20,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$20,000

$40,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Inhouse Provider

 

0%*

0%*

No Charge

 

50%*

50%*

No Charge

Hospital Services

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

Preferred brand

Non-preferred brand

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 844-288-5702