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

Copay plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

30%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,500

$11,000

 

$11,000

$22,000

Preventive Care

100% covered

50%*

Physician Services

$40 copay

50%*

Hospital Services- Inpatient & Outpatient Care

30%*

50%*

Emergency Services

$150 copay

$150 copay

Urgent Care Services

$50 copay

50%*

Chiropractic Services

30%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

30%*

$60 copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$20 copay

$50 copay

$75 copay

 

 

$60 copay

$150 copay

$225 copay

30 day supply only

* After Deductible

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

0%*

50%*

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Preventive Care

100% covered

50%*

Physician Services

No charge*

50%*

Hospital Services- Inpatient & Outpatient Care

No charge*

50%*

Emergency Services

No charge*

50%*

Urgent Care Services

No charge*

50%*

Chiropractic Services

No charge*

50%*

Mental Health / Chemical Dependency

No charge*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

 

No charge*

No charge*

No charge*

 

No charge*

No charge*

30 day supply only

* After Deductible

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-844-288-5707