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

PPO Plan: Embedded

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$250

$750

 

 

 

Coinsurance

20%

 

Out-Of-Pocket Maximum

Employee Only

Family

 

$750

$6,000

 

 

 

Preventive Care

Wellness Care

Colonoscopy

 

$20 Copay*

20%*

 

 

 

Office Visits

Primary Services

Specialist Services

 

$20 Copay

$35 Copay

 

 

 

Hospital Services

20%*

 

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$200 Copay, then 20%

20%*

 

 

 

Urgent Care Services

$30 Copay

 

Chiropractic Services

$20 Copay

 

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$20 Copay

 

 

 

Retail 30 Day Supply

 

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$10 Copay

$20 Copay

$40 Copay

$40 Copay

 

 

 

 

 

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HDHP Plan 1: Non-Embedded

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Individual under Family Coverage

Family

 

$2,600

$2,700

$5,200

 

 

 

 

Coinsurance

0%

 

Out-Of-Pocket Maximum

Individual

Family

 

$2,600

$5,200

 

 

 

Preventive Care

100% Covered

 

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

 

 

Hospital Services

0%*

 

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

 

 

Urgent Care Services

0%*

 

Chiropractic Services

0%*

 

Mental Health / Chemical Dependency

Inpatient

Outpatient

0%*

0%*

0%*

 

 

 

Retail 30 Day Supply

 

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

0%*

0%*

0%*

0%*

 

 

 

 

 

* After deductible

 

 

HDHP Plan 2: Non-Embedded

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Individual under Family Coverage

Family

 

$1,500

$2,700

$3,000

 

 

 

 

Coinsurance

0%

 

Out-Of-Pocket Maximum

Individual

Family

 

$1,500

$3,000

 

 

 

Preventive Care

100% Covered

 

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

 

 

Hospital Services

0%*

 

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

 

 

Urgent Care Services

0%*

 

Chiropractic Services

0%*

 

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

 

 

Retail 30 Day Supply

 

Prescription Drug Coverage

Generic

Preferred Bran

Non-Preferred Brand

Specialty

 

0%*

0%*

0%*

0%*

 

 

 

 

 

* After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-844-449-5545