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

PPO Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,500

$9,000

 

$9,000

$18,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$30 Copay

$60 Copay

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$350 Copay

20%*

 

50%*

50%*

Urgent Care Services

$60 Copay

50%*

Chiropractic Services

$60 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$30 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$30 Copay

$75 Copay

25% Coinsurance up to $500

 

$15 Copay

$60 Copay

$180 Copay

Not Available

*After Deductible

 

 

**Covered as in-network in true emergency

 

 

HSA 1 Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

20%*

20%*

 

50%*

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

50%*

50%*

Urgent Care Services

20%*

50%*

Chiropractic Services

20%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Speciality

 

$10 Copay*

$25 Copay*

$50 Copay*

25%* up to $500

 

$30 Copay*

$75 Copay*

$150 Copay*

Not Available

*After deductible

 

 

**Covered as in-network in true emergency

 

 

HSA 2 Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

0%

50%

Out-of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

50%*

50%*

Hospital Services

0%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

50%*

50%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

*After Deductible

 

 

**Covered as in-network in true emergency

 

 


If you prefer talking with a HealthEZ representative, call 1-844-302-7781