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

Deductible

Employee Only

Family

 

$4,500

$9,000

 

$7,000

$14,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,500

$13,000

 

$10,000

$20,000

Preventive Care

No Charge

50%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

25%*

25%*

25%*

 

50%*

50%*

50%*

Urgent Care Services

25%*

50%*

Complex Imaging: MRI/CT/PET Scans

25%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

25%*

25%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

25%*

25%*

 

50%*

50%*

Emergency Room Services

Emergency Medical Transportation

25%*

25%*

50%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

25%*

25%*

 

50%*

50%*

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

25%*

25%*

25%*

25%*

Mail Order 90 day Supply

25%*

25%*

25%*

Not Available

NOTE: *Coinsurance after deductible

Please refer to your summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 

Copay Plan

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$4,000

$8,000

 

$5,000

$10,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$10,000

$20,000

Preventive Care

No Charge

50%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$35 Copay

$70 Copay

$70 Copay

 

50%*

50%*

50%*

Urgent Care Services

$70 Copay

50%*

Complex Imaging: MRI/CT/PET Scans

25%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

25%*

25%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

25%*

25%*

 

50%*

50%*

Emergency Room Services

Emergency Medical Transportation

$500 Copay

25%*

$500 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

25%*

25%*

 

50%*

50%*

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

25%*

25%*

25%*

25%*

Mail Order 90 day Supply

25%*

25%*

25%*

Not Available

NOTE: *Coinsurance after deductible

Please refer to your summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 


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