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

Copay 1 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$7,500

 

$7,000

$15,000

Coinsurance

0%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,500

$15,000

 

$12,000

$24,000

Preventive Care

100% Covered

Not Covered

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$30 Copay

$60 Copay

$30 Copay

 

40%*

40%*

40%*

Hospital Services

20%*

40%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$500 Copay

20%*

 

$500 Copay

20%*

Urgent Care Services

$50 Copay

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$30 Copay

 

40%*

40%*

Prescription Drug Coverage

Retail 30 Day Supply

Mail Order 90 day Supply

Generic

Preferred brand

Non-preferred brand

Specialty

$10 Copay

$35 Copay

$70 Copay

$10/$35/$70 Copay

$25 Copay

$87.50 Copay

$175 Copay

Not Available

* After deductible

 

 

Copay 2 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,500

$3,000

 

$3,000

$6,000

Coinsurance

0%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Preventive Care

100% Covered

Not Covered

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$30 Copay

$60 Copay

$30 Copay

 

40%*

40%*

40%*

Hospital Services

20%*

40%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$500 Copay

20%*

 

$500 Copay

20%*

Urgent Care Services

$50 Copay

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$30 Copay

 

40%*

40%*

Prescription Drug Coverage

Retail 30 Day Supply

Mail Order 90 day Supply

Generic

Preferred brand

Non-preferred brand

Specialty

$10 Copay

$35 Copay

$70 Copay

$10/$35/$70 Copay

$25 Copay

$87.50 Copay

$175 Copay

Not Available

* After deductible

 

 


If you prefer talking with a HealthEZ representative, call 844-281-5227