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

Base Plan

In-Network

Out-Of-Network

Plan Year Deductible

Individual

Family

 

$6,600

$13,200

 

$13,200

$26,400

Out-Of-Pocket Maximum

Individual

Family

 

$6,600

$13,200

 

$26,400

$52,800

Preventive Care

No Charge

50%*

Office Visits

Primary & Specialist Services

 

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

 

50%*

Urgent Care Services

0%*

50%*

Complex Imaging: MRI/CT/PET Scans

0%*

50%*

Hospital Services Inpatient & Outpatient Care

0%*

50%*

Emergency Room Services

Emergency Medical Transportation

$400 copay

0%*

50%*

50%*

Mental health/Chemical Dependency

Inpatient

Office Visit

 

0%*

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

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$12 copay

$35 copay

$65 copay

$90 copay

Mail Order 90 day Supply

$24 copay

$70 copay

$130 copay

Not available

NOTE: * Coinsurance After Deductible

Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 

Buy-Up Plan

In-Network

Out-Of-Network

Plan Year Deductible

Individual

Family

 

$3,000

$6,000

 

$6,000

$12,000

Out-Of-Pocket Maximum

Individual

Family

 

$4,500

$9,000

 

$12,000

$24,000

Preventive Care

No Charge

50%*

Office Visits

Primary & Specialist Services

 

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

 

50%*

Urgent Care Services

0%*

50%*

Complex Imaging: MRI/CT/PET Scans

0%*

50%*

Hospital Services Inpatient & Outpatient Care

0%*

50%*

Emergency Room Services

Emergency Medical Transportation

$400 copay

0%*

50%*

50%*

Mental health/Chemical Dependency

Inpatient

Office Visit

 

0%*

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

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$12 copay

$35 copay

$65 copay

$90 copay

Mail Order 90 day Supply

$24 copay

$70 copay

$130 copay

Not available

NOTE: * Coinsurance After Deductible

Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 


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