Compare Plans

Compare Plans

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

Copay Plan (Tier 1)

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$9,000

$18,000

Coinsurance

10%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,500

$11,000

 

$14,500

$29,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$20 Copay

$40 Copay

 

50%*

50%*

Hospital Services

10%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$150 Copay

10%*

 

$300 Copay

20%*

Urgent Care Services

$50 Copay

50%*

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

$55 Copay

$55 Copay

$55 Copay

$55 Copay

$55 Copay

 

$55 Copay

$55 Copay

$55 Copay

$55 Copay

$55 Copay

Chiropractic Services

$40 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

10%*

$20 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$35 Copay

$70 Copay

$150 Copay

 

$10 Copay

$35 Copay

$70 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Copay Plan (Tier 2)

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$4,500

$9,000

 

$9,000

$18,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,000

$14,000

 

$14,500

$29,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$40 Copay

$60 Copay

 

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$300 Copay

20%*

 

$300 Copay

20%*

Urgent Care Services

$100 Copay

50%*

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapists

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

$55 Copay

$55 Copay

$55 Copay

$55 Copay

$55 Copay

 

$55 Copay

$55 Copay

$55 Copay

$55 Copay

$55 Copay

Chiropractic Services

$60 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$40 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$10 Copay

$35 Copay

$70 Copay

$150 Copay

 

$10 Copay

$35 Copay

$70 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 844-449-5537