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

$1,000 Traditional Plan

In-Network

Out-Of-Network

Plan Year Deductible- Embedded

Employee Only

Family

 

$1,000

$3,000

 

$4,000

$8,000

Coinsurance

10%

30%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,000

$6,000

 

$8,000

$16,000

Preventive Care

100% covered

30%*

Office Visits

Physician Office Visit

Specialist Office Visit

 

$25 Copay

$60 Copay

 

30%*

30%*

Hospital Services- Inpatient & Outpatient Care

10%*

30%*

Emergency Services

Covered as In-Network during true emergency

10%*

 

30%*

 

Urgent Care Services

$60 Copay

30%*

Chiropractic Services

$60 Copay

30%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

10%*

$60 Copay

 

30%*

30%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$35 Copay

$60 Copay

20% Coinsurance up to $200

 

$20 Copay

$70 Copay

$120 Copay

Not Available

NOTE: *After Deductible

 

 

$2,000 HSA Plan

In-Network

Out-Of-Network

Plan Year Deductible- Non-Embedded

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Coinsurance

10%

30%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,000

$6,000

 

$8,000

$16,000

Preventive Care

100% covered

30%*

Physician Services

10%*

30%*

Hospital Services- Inpatient & Outpatient Care

10%*

30%*

Emergency Services

Covered as In-Network during true emergency

10%*

 

30%*

 

Urgent Care Services

10%*

30%*

Chiropractic Services

10%*

30%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

10%*

10%*

 

30%*

30%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$10 Copay*

$35 Copay*

$60 Copay*

$60 Copay*

 

$25 Copay*

$87.50 Copay*

$150 Copay*

Not Available

NOTE: *After Deductible

 

 

$2,800 HSA Plan

In-Network

Out-Of-Network

Play Year Deductible- Embedded

Employee Only

Family

 

$2,800

$5,200

 

$4,000

$8,000

Coinsurance

10%

30%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,600

$7,200

 

$8,000

$16,000

Preventive Care

100% Covered

30%*

Physician Services

10%*

30%*

Hospital Services- Inpatient & Outpatient Care

10%*

30%*

Emergency Services

Covered as In-Network during true emergency

10%*

 

30%*

 

Urgent Care Services

10%*

30%*

Chiropractic Services

10%*

30%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

10%*

10%*

 

30%*

30%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay*

$35 Copay*

$60 Copay*

$60 Copay*

 

$25 Copay*

$87.50 Copay*

$150 Copay*

Not Available

NOTE: *After Deductible

 

 

Value-Based HSA Plan

In-Network

Out-Of-Network

Plan Year Deductible- Non-Embedded

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Coinsurance

10%

30%

Out-Of-Pocket

Employee Only

Family

 

$3,000

$6,000

 

$8,000

$16,000

Preventative Care

100%

30%*

Physician Services

10%*

30%*

Hospital Services- Inpatient & Outpatient Care

10%*

30%*

Emergency Services

Covered as In-Network in true emergency

10%*

 

10%*

 

Urgent Care Services

10%*

10%*

Chiropractic Services

10%*

30%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

10%*

10%*

 

10%*

30%*

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-Preferred brand

Specialty

 

$10 Copay*

$35 Copay*

$60 Copay*

$60 Copay*

 

$25 Copay*

$87.50 Copay*

$150 Copay*

Not Available


If you prefer talking with a HealthEZ representative, call 855-520-4324