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

High Deductible / HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible, Embedded

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$12,000

$24,000

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

 

20%*

20%*

 

40%*

40%*

Hospital Services- Inpatient & Outpatient Care

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transporation

 

$250 Copay*

20%*

 

$250 Copay*

40%*

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

Formulary

Non-Formulary

Specialty

 

20%*

20%*

20%*

20%*

 

20%*

20%*

20%*

Not Available

*After deductible

 

 

**Covered as in-network in true emergency

 

 

Enhanced Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible, Non-Embedded

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$8,000

$16,00

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

 

$35 Copay

$50 Copay

 

40%*

40%*

Hospital Services- Inpatient & Outpatient Care

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$250 Copay

20%*

 

$250 Copay

40%*

Urgent Care Services

$100 Copay

40%*

Chiropractic Services

20%*

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$35 Copay

$70 Copay

$200 Copay

 

$20 Copay

$70 Copay

$140 Copay

Not Available

*After Deductible

 

 

**Covered as in-network in true emergency

 

 


If you prefer talking with a HealthEZ representative, call 1-844-281-5220