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 1

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,500

$3,000

 

$3,000

$6,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$8,000

$16,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$25 Copay

$75 Copay

 

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$300 Copay

20%*

 

50%*

50%*

Urgent Care Services

$50 Copay

50%*

Chiropractic Services

$75 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$75 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$35 Copay

$75 Copay

$250 Copay

 

$30 Copay

$70 Copay

$150 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Copay Plan 2

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,500

$5,000

 

$5,000

$10,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,900

$15,800

 

$15,800

$31,600

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$25 Copay

$75 Copay

 

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$300 Copay

20%*

 

50%*

50%*

Urgent Care Services

$50 Copay

50%*

Chiropractic Services

$75 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$75 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$15 Copay

$35 Copay

$75 Copay

$250 Copay

 

$30 Copay

$70 Copay

$150 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Copay Plan 3

In-Network

Out-Of-Network

Calendar Year Deductible

Employee only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Out-of-Pocket Maximum

Employee only

Family

 

$7,900

$15,800

 

$15,800

$31,600

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

100% Covered

$75 Copay

 

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$300 Copay

20%*

 

50%*

50%*

Urgent Care

$50 Copay

50%*

Chiropractic Services

$75 Copay

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$75 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

 

100% Covered

$35 Copay

$75 Copay

$250 Copay

 

100% Covered

$70 Copay

$150 Copay

Not available

* After Deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-844-281-5214