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

Standard Option 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

 

$6,850

$13,700

 

$20,000

$40,000

Preventive Care

100% Covered

30% After Deductible

Office Visits

Primary Services

Specialist Services

 

$30 Copay

Deductible, then $60 Copay

 

30% After Deductible

30% After Deductible

Hospital Services

Inpatient Hospital Services

Outpatient Procedures

 

Deductible, then $500 Copay

Deductible, then $5250 Copay

 

30% After Deductible

30% After Deductible

Emergency Services*

Emergency Room

Emergency Medical Transportation

 

Deductible, then $500 Copay

0% After Deductible

 

30% After Deductible

30% After Deductible

Urgent Care Services

$75 Copay

30% After Deductible

Chiropractic Services

Deductible, then $60 Copay

30% After Deductible

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

Deductible, then $500 Copay

Deductible, then $60 Copay

 

30% After Deductible

30% After Deductible

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription (Medical) Deductible

Employee Only

Family

 

$5,000

$10,000

 

$5,000

$10,000

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$15 Copay

Deductible, then $35 Copay

Deductible, then $65 Copay

Deductible, then 20% up to $250

 

$37.50 Copay

Deductible, then $87.50 Copay

Deductible, then $162.50 Copay

Not Available

* True emergencies covered at in-network level

 

 

High Value Option 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

 

$6,850

$13,700

 

$20,000

$40,000

Preventive Care

100% Covered

30% After Deductible

Office Visits

Primary Services

Specialist Services

 

$25 Copay

$50 Copay

 

30% After Deductible

30% After Deductible

Hospital Services

0% After Deductible

30% After Deductible

Emergency Services*

Emergency Room

Emergency Medical Transportation

 

$400 Copay

0% After Deductible

 

30% After Deductible

30% After Deductible

Urgent Care Services

$75 Copay

30% After Deductible

Chiropractic Services

Deductible, then $50 Copay

30% After Deductible

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0% After Deductible

$50 Copay

 

30% After Deductible

30% After Deductible

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Deductible

Employee Only

Family

 

$200

$400

 

$200

$400

Prescription Drug Coverage

Generic (Prescription Deducitble does not apply)

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$35 Copay

$65 Copay

20% Coinsurance up to $250

 

$20 Copay

$70 Copay

$130 Copay

Not Available

* True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-844-302-7780