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

Employee Only

Family

 

$500

$1,000

 

$1,500

$3,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,500

$5,000

 

$5,000

$10,000

Preventive Care

100% covered

No coverage

Physician Services

$25 copay

40%*

Hospital Services Inpatients & Outpatient Care

20%*

40%*

Emergency Services

$250 copay*

$250 copay*

Urgent Care Services

$100 copay

40%*

Chiropractic Services

20%*

40%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$25 copay

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Deductible

Individual

 

$300

 

$300

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 copay

$30 copay

$60 copay

$150 copay

 

$10 copay

$30 copay

$60 copay

Not Available

*After Deductible

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$9,000

$18,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$15,000

$30,000

Preventive Care

100% covered

No coverage

Physician Services

20%*

40%*

Hospital Services Inpatients & Outpatient Care

20%*

40%*

Emergency Services

20%*

40%*

Urgent Care Services

20%*

40%*

Chiropractic Services

20%*

40%*

Mental health/Chemical Dependency

20%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

No member responsibility*

No member responsibility*

No member responsibility*

No member responsibility*

 

No member responsibility*

No member responsibility*

No member responsibility*

Not Available

*After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-844-288-5706