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

In-Network

Out-Of-Network

Calendar Year Deductible

Individual Coverage

Family

 

$2,500

$5,000

 

$5,000

$10,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Individual Coverage

Family

 

$5,000

$10,000

 

$10,000

$20,000

Preventive Care

No Charge

40%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$25 Copay

$25 Copay

 

40%*

40%*

40%*

Urgent Care Services

$50 Copay

40%*

Complex Imaging: MRI/CT/PET Scans

20%*

40%*

Hospital Services

20%*

40%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$150 Copay, then 20%*

20%*

 

$150 Copay, then 20%*

20%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$25 Copay

 

40%*

40%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$30 Copay

$50 Copay

20% up to $350/Rx

Mail Order 90 day Supply

$25 Copay

$75 Copay

$125 Copay

Not Available

* After deductible

 

 

HDHP Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual Coverage

Family

 

$3,300

$6,000

 

$6,000

$12,000

Coinsurance

0%

20%

Out-Of-Pocket Maximum

Individual Coverage

Family

 

$5,000

$10,000

 

$10,000

$20,000

Preventive Care

No Charge

Not Covered

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

0%*

0%*

0%*

 

20%*

20%*

20%*

Urgent Care Services

0%*

20%*

Complex Imaging: MRI/CT/PET Scans

0%*

20%*

Hospital Services

0%*

20%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

20%*

20%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay*

$35 Copay*

$60 Copay*

20%* up to $350/Rx

Mail Order 90 day Supply

$25 Copay*

$87.50 Copay*

$150 Copay*

Not Available

* Coinsurance/Copay after deductible

 

 


If you prefer talking with a HealthEZ representative, call 844-672-1394