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 1

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$1,500

$3,000

 

$7,500

$15,000

Coinsurance

10%

60%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$15,000

$30,000

Preventive Care

100% Covered

40%*

Office Visits

Physician Services

Specialist Services

 

$20 copay

$40 Copay

 

40%*

40%*

Hospital Services- Inpatient & Outpatient Care

10%*

40%*

Emergency Services**

Emergency Room (waived if admitted)

Emergency Medical Transportation

 

$300 copay

10%*

 

40%*

40%*

Urgent Care Services

$75 copay

40%*

Chiropractic Services

$40 copay

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

$250 Copay per day

$40 Copay

 

40%*

40%*

Prescription Drug Coverage / No Out of Network Prescription Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 copay

$50 copay

$100 copay

20% Coinsurance up to $250

Mail Order 90 day Supply

$20 Copay

$100 Copay

$200 Copay

Not Available

NOTE: *After Deductible

 

 

** Covered as in-network in true-emergency

 

 

Copay Plan 2

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$3,000

$6,000

 

$10,00

$20,000

Coinsurance

10%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$15,000

$30,000

Preventive Care

100% Covered

40%*

Office Visits

Physician Services

Specialist Services

 

$20 Copay

$40 Copay

 

40%*

40%*

Hospital Services- Inpatient & Outpatient Care

10%*

40%*

Emergency Services**

Emergency Room (waived if admitted)

Emergency Medical Transportation

 

$500 Copay

10%*

 

40%*

40%*

Urgent Care Services

$75 Copay

40%*

Chiropractic Services

$40 Copay

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

$250 Copay per day

$40 Copay

 

40%*

40%*

Prescription Drug Coverage / No Out of Network Prescription Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

$10 Copay

$50 Copay

$100 Copay

20% Coinsurance up to $250

Mail Order 90 day Supply

$20 Copay

$100 Copay

$200 Copay

Not Available

NOTE: *After Deductible

 

 

** Covered as in-network in true-emergency

 

 

HSA Plan

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

50%

40%

Out-of-Pocket Maximum

Employee only

Family

 

$6,350

$12,700

 

$15,000

$30,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

50%*

50%*

 

50%*

50%*

Hospital Services

50%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

50%*

50%*

 

50%*

50%*

Urgent Care Services

50%*

50%*

Chiropractic Services

50%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

50%*

50%*

 

50%*

50%*

 

 

Prescription Drug Coverage / No Out of Network Prescription Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

50%*

50%*

50%*

50%*

Mail Order 90 Day Supply

50%*

50%*

50%*

Not Available

NOTE: * After deductible

 

 

** Covered as in-network in true-emergency

 

 


If you prefer talking with a HealthEZ representative, call 1-888-806-3142