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.

Questions about your benefits?

service@healthez.com

Register your myHealthEZ account

>>Click here


Summary of Medical Benefits

Copay Plan

In-Network

Out-of-Network

Embedded Deductible

Individual

Individual under Family

Family

 

$1,500

$1,500

$4,500

 

$5,000

$5,000

$15,000

Embedded Out-of-Pocket Maximum

Individual

Individual under Family

Family

 

$6,600

$6,600

$13,200

 

$14,600

$14,600

$29,200

Preventative Services

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$30 Copay

$45 Copay

$45 Copay

 

40%*

40%*

40%*

Urgent Care Services

$75 Copay

40%*

Complex Imaging: MRI/CT/PET Scans

10%*

40%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

10%*

10%*

 

40%*

40%*

Outpatient Procedures

Facility Fee

Physician Fee

 

10%*

10%*

 

40%*

40%*

Emergency Room Services

Emergency Medical Transportation

$250 Copay

10%*

$250 Copay

10%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

10%*

$30 Copay

 

40%*

40%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty Drugs

Retail 30 Day Supply

$10 Copay

$30 Copay

$60 Copay

$150 Copay

Mail Order 90 Day Supply

$20 Copay

$60 Copay

$120 Copay

Not Available

* After deductible

Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.

 

 

 

 

HSA Plan

In-Network

Out-of-Network

Embedded Deductible

Individual

Individual under Family

Family

 

$3,300

$3,300

$6,400

 

$7,500

$7,500

$22,500

Embedded Out-of-Pocket Maximum

Individual

Individual under Family

Family

 

$7,500

$7,500

$15,000

 

$15,000

$15,000

$45,000

Preventative Services

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$30 Copay*

$45 Copay*

$45 Copay*

 

50%*

50%*

50%*

Urgent Care Services

$75 Copay*

50%*

Complex Imaging: MRI/CT/PET Scans

10%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

10%*

10%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

10%*

10%*

 

50%*

50%*

Emergency Room Services

Emergency Medical Transportation

$250 Copay, then 10%*

10%*

$250 Copay, then 10%*

10%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

10%*

$30 Copay*

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay*

$30 Copay*

$60 Copay*

$150 Copay*

Mail Order 90 Day Supply

$10 Copay*

$30 Copay*

$60 Copay*

Not Available

* After deductible

Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.

 

 

 

 

If you prefer talking with a HealthEZ representative, call 844-839-6742