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

$1,500 HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family*

 

$1,500

$3,000

 

$3,000

$6,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$1,500

$3,000

 

$6,000

$12,000

Preventive Care

100% Covered

50%**

Physician Services

0%**

50%**

Hospital Services Inpatients & Outpatient Care

0%**

50%**

Emergency Services

0%**

0%**

Urgent Care Services

0%**

50%**

Chiropractic Services

0%**

50%**

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%**

0%**

 

50%**

50%**

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%**

 

*Members on family plan must individual or collectively meet the Family Deductible before the plan pays for most Covered Expenses

 

 

**After Deductible

 

 

$3,000 Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

$12,000

$24,000

Preventive Care

100% Covered

50%*

Physician Services

0%*

50%*

Hospital Services Inpatients & Outpatient Care

0%*

50%*

Emergency Services

0%*

0%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$10 Copay

$35 Copay

$100 Copay

$150 Copay

 

$20 Copay

$70 Copay

$200 Copay

Not Available

*After Deductible

 

 

$5,000 HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$15,000

$30,000

Preventative Care

100% Covered

50%*

Physician Services

0%*

50%*

Hospital Services Inpatients & Outpatient Care

0%*

50%*

Emergency Services

0%*

0%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

 

 

Generic

Formulary

Non-Formulary

Specialty

0%*

0%*

0%*

0%*

0%*

0%*

0%*

Not Available

*After Deductible

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 844-839-6735