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

Copay Plan 1

In-Network

Out-of-Network

Deductible

Individual

Individual under Family

Family

 

$2,500

$2,500

$5,000

 

$2,500

$2,500

$5,000

Out-of-Pocket Maximum

Individual

Individual under Family

Family

 

$2,500

$2,500

$5,000

 

$5,000

$5,000

$10,000

Preventative Services

No Charge

20%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

0%*

0%*

0%*

 

20%*

20%*

20%*

Urgent Care Services

0%*

20%*

Complex Imaging: MRI/CT/PET Scans

0%*

20%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

0%*

0%*

 

20%*

20%*

Outpatient Procedures

Facility Fee

Physician Fee

 

0%*

0%*

 

20%*

20%*

Emergency Room Services

Emergency Medical Transportation

0%*

0%*

20%*

20%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

0%*

0%*

 

20%*

20%*

Teladoc Benefits

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, Initial Evaluation

Mental Health - Psychiatrist, Ongoing Session

 

$20

$20

$20

$20

$20

 

$20

$20

$20

$20

$20

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$15 Copay

$45 Copay

$85 Copay

Not Available

Mail Order 90 Day Supply

$37.50 Copay

$112.50 Copay

$212.50 Copay

Not Available

* Coinsurance after deductible

 

 

** Covered as in-network in true-emergency

 

 

HSA Plan 1

In-Network

Out-of-Network

Deductible

Individual

Family

 

$3,000

$6,000

 

$6,000

$12,000

Out-of-Pocket Maximum

Individual

Family

 

$3,000

$6,000

 

$12,000

$24,000

Preventative Services

No Charge

50%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

0%*

0%*

0%*

 

50%*

50%*

50%*

Urgent Care Services

0%*

50%*

Complex Imaging: MRI/CT/PET Scans

0%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

0%*

0%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

0%*

0%*

 

50%*

50%*

Emergency Room Services

Emergency Medical Transportation

0%*

0%*

50%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

0%*

0%*

 

50%*

50%*

Teladoc Benefits

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, Initial Evaluation

Mental Health - Psychiatrist, Ongoing Session

 

$20

$20

$20

$20

$20

 

$20

$20

$20

$20

$20

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

0%*

0%*

0%*

Not Available

Mail Order 90 Day Supply

0%*

0%*

0%*

Not Available

* Coinsurance after deductible

 

 

** Covered as in-network in true-emergency

 

 

If you prefer talking with a HealthEZ representative, call 844-204-3764