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: Embedded

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$250

$750

 

$750

$3,000

Coinsurance

20%

40%*

Out-Of-Pocket Maximum

Employee Only

Family

 

$750

$6,000

 

$6,000

$12,000

Preventive Care

Wellness Care

Colonoscopy

 

$20 Copay*

20%*

 

40%*

40%*

Office Visits

Primary Services

Specialist Services

 

$20 Copay

$35 Copay

 

40%*

40%*

Hospital Services

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$200 Copay, then 20%

20%*

 

40%*

40%*

Urgent Care Services

$30 Copay

40%*

Chiropractic Services

$20 Copay

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$20 Copay

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$10 Copay

$20 Copay

$40 Copay

$40 Copay

 

$20 Copay

$40 Copay

$80 Copay

Not Available

* 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

 

$5,200

$5,200

$10,400

Coinsurance

0%

0%

Out-Of-Pocket Maximum

Individual

Family

 

$2,600

$5,200

 

$5,200

$10,400

Preventive Care

100% Covered

0%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

0%*

0%*

Hospital Services

0%*

0%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Urgent Care Services

0%*

0%*

Chiropractic Services

0%*

0%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

0%*

0%*

0%*

0%*

0%*

0%*

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

 

 

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

 

$5,200

$5,200

$10,400

Coinsurance

0%

0%

Out-Of-Pocket Maximum

Individual

Family

 

$1,500

$3,000

 

$5,200

$10,400

Preventive Care

100% Covered

0%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

0%*

0%*

Hospital Services

0%*

0%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Urgent Care Services

0%*

0%*

Chiropractic Services

0%*

0%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

0%*

0%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred Bran

Non-Preferred Brand

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

* After Deductible

 

 


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