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

Plan Year Deductible

Employee Only

Family

 

$1,500

$3,000

 

 

 

Coinsurance

20%

 

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

 

 

Preventive Care

100% Covered

 

Physician Services

Specialist Services

$25 Copay

$50 Copay

 

 

Hospital Services - Inpatient & Outpatient Care

20%*

 

Emergency Services

$300 Copay then 20%*

 

Urgent Care Services

$50 Copay

 

Chiropractic Services

Life Clinic Chiropractic Services

$50 Copay

$15 Copay

 

 

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

 

 

Retail 30 Day Supply

 

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

 

$15 Copay

$60 Copay

$90 Copay

30% Coinsurance

 

 

 

 

 

NOTE: *After Deductible

 

 

$2,500 HSA Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Employee on Family Plan

Family

 

$2,500

$2,800

$5,000

 

 

 

 

Coinsurance

20%*

 

Out-Of-Pocket Maximum

Employee Only

Employee on Family Plan

Family

 

$6,000

$6,000

$12,000

 

 

 

 

Preventive Care

100% covered

 

Physician Services

20%*

 

Hospital Services - Inpatient & Outpatient Care

Outpatient Surgery

20%*

20%*

 

 

Emergency Services

20%*

 

Urgent Care Services

20%*

 

Chiropractic Services

20%*

 

Mental health/Chemical Dependency

20%*

 

Retail 30 Day Supply

 

Prescription Drug Coverage

Preventative Drugs per PBM List

Generic

Formulary

Non-Formulary

Specialty

 

No Charge

20%*

20%*

20%*

30%*

 

 

 

 

 

 

*After Deductible

 

 

$5,500 HSA Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$5,500

$11,000

 

 

 

Coinsurance

10%*

 

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,900

$13,800

 

 

 

Preventive Care

100% covered

 

Physician Services

10%*

 

Hospital Services - Inpatient & Outpatient Care

Outpatient Surgery

10%*

10%*

 

 

Emergency Services

10%*

 

Urgent Care Services

10%*

 

Chiropractic Services

10%*

 

Mental health/Chemical Dependency

10%*

 

Retail 30 Day Supply

 

Prescription Drug Coverage

Preventative Drugs per PBM List

Generic

Formulary

Non-Formulary

Specialty

 

No Charge

10%*

10%*

10%*

30%*

 

 

 

 

 

 

*After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-800-948-3253