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

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

0%

30%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$20,000

$40,000

Preventive Care

100% covered

30%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

30%*

30%*

Routine Eye Exam --One per 12 months

100% Covered

30%*

Hospital Services- Inpatient & Outpatient Care

0%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

30%*

30%*

Urgent Care Services

0%*

30%*

Chiropractic Services

0%*

30%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

30%*

30%*

Prescription Drug Services

Deductibles

 

Generic Prescription Coverage: $1,500 Individual/ $3,000 Family

 

N/A

Retail 30 Day Supply

Mail Order 90 day Supply

Generic

Preferred brand

Non-preferred brand

Specialty

No Charge After Generic Rx Deductible

$40 Copay After Medical Deductible

$70 Copay After Medical Deductible

$300 Copay After Medical Deductible

No Charge After Generic Rx Deductible

$80 Copay After Medical Deductible

$140 Copay After Medical Deductible

Not Available

* Coinsurance after deductible

** Covered as in-network in true-emergency

 

 

 

 

 

 

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

0%

30%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$20,000

$40,000

Preventive Care

100% covered

30%*

Office Visits

Primary Services

Specialist Services

 

$25 Copay

$50 Copay

 

30%*

30%*

Routine Eye Exam --One per 12 months

100% Covered

30%*

Hospital Services- Inpatient & Outpatient Care

0%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$500 Copay

0%*

 

30%*

30%*

Urgent Care Services

$75 Copay

30%*

Chiropractic Services

$50 Copay

30%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

30%*

30%*

Prescription Drug Services

 

 

Retail 30 Day Supply

Mail Order 90 day Supply

Generic

Preferred brand

Non-preferred brand

Specialty

$10 Copay

$40 Copay

$70 Copay

$300 Copay

$20 Copay

$80 Copay

$140 Copay

Not Available

* Coinsurance after deductible

** Covered as in-network in true-emergency

 

 

 

 

 

 


If you prefer talking with a HealthEZ representative, call 1-877-496-0754