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

PPO 6 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$5,000

$10,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,000

$14,000

 

$15,000

$30,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$20 copay

$70 copay

20%*

 

50%*

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

Deductible, then $300 copayment

20%*

 

50%*

50%*

Urgent Care Services

$50 copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$20 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Out-of-Pocket Maximum

Individual

Family

 

$6000

$12,000

 

$6000

$12,000

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 copay

$25 copay

50%*

$200 Copay

 

$20 Copay

$50 Copay

50%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HDHP4 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,650

$13,300

 

$15,000

$30,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20%*

20%*

20%*

 

50%*

50%*

50%*

Hospital Services

20%*

 

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$300 Copay After Deductible

20%*

 

50%*

50%*

Urgent Care Services

20%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

50%*

50%*

Prescription Out-of Pocket Maximum

Individual

Family

 

$3,000

$6,000

 

$3,000

$6,000

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

20%*

20%*

50%*

20%*

 

20%*

20%*

50%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 855-255-7060