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

Calendar Year Deductible

Employee Only

Family

 

$2,000

$6.000

 

N/a

N/a

Coinsurance

0%

N/a

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

N/a

N/a

Preventive Care

100% Covered

No Coverage

Office Visits

Primary Services

Specialist Services

 

100% Covered

$40 Copay

 

No Coverage

No Coverage

Hospital Services

0%*

No Coverage

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$150 Copay

0%*

 

No Coverage

No Coverage

Urgent Care Services

$75 Copay

No Coverage

Chiropractic Services

$30 Copay

No Coverage

HealthiestYou Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$40 Copay

100% Covered

100% Covered

100% Covered

 

100% Covered

$40 Copay

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

No Charge After Deductible

100% Covered

 

No Coverage

100% Covered

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

100% Covered

$40 Copay

$100 Copay

$250 Copay

 

100% Covered

$100 Copay

$250 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6.000

 

$6,000

$12,000

Coinsurance

10%

30%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Preventive Care

100% Covered

30%*

Office Visits

Primary Services

Specialist Services

 

10%*

10%*

 

30%*

30%*

Hospital Services

10%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

 

30%*

30%*

Urgent Care Services

10%*

30%*

Chiropractic Services

10%*

30%*

HealthiestYou Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

$55 fee applies until deductible is met, then 100% covered

$85 fee applies until deductible is met, then 100% covered

$90 fee applies until deductible is met, then 100% covered

$220 fee applies until deductible is met, then 100% covered

$100 fee applies until deductible is met, then 100% covered

 

$55 fee applies until deductible is met, then 100% covered

$85 fee applies until deductible is met, then 100% covered

$90 fee applies until deductible is met, then 100% covered

$220 fee applies until deductible is met, then 100% covered

$100 fee applies until deductible is met, then 100% covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

10%*

100% Covered

 

30%*

100% Covered

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

10%*

10%*

10%*

10%*

 

10%*

10%*

10%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-844-804-8120