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

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$4,500

$9,000

 

$7,000

$14,000

Coinsurance

25%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,500

$13,000

 

$10,000

$20,000

Preventive Care

100% covered

50%*

Physician Services

25%*

50%*

Hospital Services- Inpatient & Outpatient Care

25%*

50%*

Emergency Services

25%*

25%*

Urgent Care Services

25%*

50%*

Chiropractic Services

25%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

25%*

25%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

25%*

25%*

25%*

25%*

 

25%*

25%*

25%*

Not Available

*After Deductible

 

 

Copay plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$4,000

$8,000

 

$5,000

$10,000

Coinsurance

25%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$10,000

$20,000

Preventive Care

100% covered

50%*

Physician Services

$35 copay

50%*

Specialist Services

$70 copay

50%*

Hospital Services- Inpatient & Outpatient Care

25%*

50%*

Emergency Services

$500 copay

$500 copay

Urgent Care Services

$70 copay

50%*

Chiropractic Services

$70 copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

25%*

$35 copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 copay

$35 copay

35% coinsurance

35% coinsurance w/$600 max cost per fill

 

$10 copay

$35 copay

35% coinsurance

35% coinsurance w/$600 max cost per fill

*After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-855-520-1891