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

 

$1,500

$3,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,000

$6,000

 

$3,000

$6,000

Preventive Care

100% covered

25%*

Physician Services

20%*

40%*

Hospital Services Inpatients & Outpatient Care

20%*

40%*

Emergency Services

20%*

$250 copay then 40%*

Urgent Care Services

20%*

40%*

Chiropractic Services

20%*

40%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

20%*

20%*

20%*

20%*

 

20%*

20%*

20%*

Not Available

*After Deductible

 

 

$6,550 HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$6,550

$13,100

 

$10,000

$20,000

Coinsurance

No Charge

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,550

$13,100

 

$15,000

$30,000

Preventive Care

100% covered

50%*

Physician Services

No Charge*

50%*

Hospital Services Inpatients & Outpatient Care

No Charge*

50%*

Emergency Services

No Charge*

50%*

Urgent Care Services

No Charge*

50%*

Chiropractic Services

No Charge*

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

No Charge*

No Charge*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

No Charge*

No Charge*

No Charge*

No Charge*

 

No Charge*

No Charge*

No Charge*

Not Available

*After Deductible

 

 

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$8,000

$16,000

Preventive Care

100% covered

25%*

Physician Services

$25 copay

25%*

Hospital Services Inpatients & Outpatient Care

20%*

40%*

Emergency Services

$250 copay then 20%*

$250 copay then 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 Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$5 copay

$25 copay

$50 copay

20% up to $250 max pr Rx

 

$15 copay

$75 copay

$150 copay

Not available

*After Deductible

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-844-302-7776