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

Base Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$6,600

$13,200

 

$13,200

$26,400

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,600

$13,200

 

$26,400

$52,800

Preventive Care

100% covered

50%*

Office Visits

Primary & Specialist Services

 

$35 Copay for first 3 visits, Remaining visits subject to 20%*

 

50%*

Hospital Services Inpatients & Outpatient Care

0%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$400 copay

0%*

 

50%*

50%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

0%*

$35 Copay for first 3 visits, then 20%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$12 copay

$35 copay

$65 copay

$90 copay

 

$24 copay

$70 copay

$130 copay

Not available

*After Deductible

 

 

Buy-Up Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,500

$9,000

 

$12,000

$24,000

Preventive Care

100% covered

50%*

Office Visits

Primary & Specialist Services

 

$35 Copay for first 3 visits, then 20%*

 

50%*

Hospital Services Inpatients & Outpatient Care

0%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$400 copay

0%*

 

50%*

50%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

0%*

$35 Copay for first 3 visits, then 20%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$12 copay

$35 copay

$65 copay

$90 copay

 

$24 copay

$70 copay

$130 copay

Not available

*After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-844-449-5541