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

Calendar Year Deductible

Employee Only

Family

 

$1,500

$4,500

 

$3,000

$9,000

Coinsurance

20%

45%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,500

$11,000

 

$8,000

$16,000

Preventive Care

100% covered

No coverage

Physician Services

$30 copay

45%*

Hospital Services- Inpatient & Outpatient Care

20%*

45%*

Emergency Services

$250 Copay (1st two visits) then 20%*

$250 Copay (1st two visits) then 20%*

Urgent Care Services

$100 Copay (1st four visits) then 20%*

45%*

Chiropractic Services

$30 copay

45%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$30 copay

 

45%*

45%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Deductible

Individual

 

$250

 

$250

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$45 Copay

$80 Copay

$160 Copay

 

$30 Copay

$90 Copay

$160 Copay

Not Available

* After Deductible

 

 

Dental Plan Coverage

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$50

$150

 

$50

$150

Annual Maximum

$1,200 Per Person

$1,200 Per Person

Preventative & Diagnostic Services

100% covered

100% covered

Basic Restorative Services

20%*

20%*

Hospital Services- Inpatient & Outpatient Care

10%

No coverage

Major Restorative Services

50%*

50%*

Orthodontics

Annual Maximum Benefit

Diagnose or correct misalignment of the teeth or bite

 

$1,000 Per Person

50%

 

$1,000 Per Person

50%

* After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 1-844-801-1915