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

Copay Plan

In-Network

Out-Of-Network

Plan Year Deductible

Employee Only

Family

 

$1,000

$2,000

 

$2,000

$4,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,250

$10,500

 

$10,000

$20,000

Preventive Care

100% Covered

No Coverage

Office Visits

Primary Care

Specialist

 

$30 Copay

$30 Copay

 

40%*

40%*

Hospital Services- Inpatient & Outpatient Care

20%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$150 Copay

20%*

 

40%*

40%*

Urgent Care Services

$50 Copay

40%*

Chiropractic Services

$30 Copay

Not Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$30 Copay

 

40%*

40%*

Eye Exams (One every 12 months per member)

100% Covered

100% Covered

Dental Cleanings (Two per 12 months per member)

100% Covered up to $500

100% Covered up to $500

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$35 Copay

$50 Copay

$50 Copay

 

$37.50 Copay

$87.50 Copay

$125 Copay

Not Available

*After Deductible

 

 

**Covered as In-Network during true emergency

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-800-203-1514