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

 

$2,000

$4,000

 

N/a

N/a

Coinsurance

20%

N/a

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,000

$12,000

 

N/a

N/a

Preventive Care

100% Covered

Not Covered

Physician Services

$35 copay

Not Covered

Hospital Services Inpatients & Outpatient Care

20%*

Not Covered

Labs, X-Rays, MRI/CT/PET Scans

20%*

Not Covered

Emergency Services

$500 copay*

Not Covered

Urgent Care Services

$50 copay

Not Covered

Chiropractic Services

$50 copay

Not Covered

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$35 copay

 

Not Covered

Not Covered

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

25% Coinsurance

50% Coinsurance

Not Covered

 

$10 Copay

25% Coinsurance

50% Coinsurance

Not Covered

*After Deductible

 

 

Bronze Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$6,500

$13,000

 

N/a

N/a

Coinsurance

0%

N/a

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,500

$13,000

 

N/a

N/a

Preventive Care

100% Covered

Not Covered

Physician Services

$40 copay

Not Covered

Hospital Services Inpatients & Outpatient Care

0%*

Not Covered

Labs, X-Rays, MRI/CT/PET Scans

0%*

Not Covered

Emergency Services

$500 copay

Not Covered

Urgent Care Services

$110 copay

Not Covered

Chiropractic Services

$50 copay

Not Covered

Mental health/Chemical Dependency

Inpatient

Outpatient

 

0%*

$50 copay

 

Not Covered

Not Covered

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$10 copay

25% Coinsurance

50% Coinsurance

Not Covered

 

$10 copay

25% Coinsurance

50% Coinsurance

Not Covered

*After Deductible

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-844-801-1908