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

MEDICAL $3,000 PPO PLAN

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

Not Covered

Not Covered

Coinsurance

20%

Not Covered

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,600

$13,200

 

Not Covered

Not Covered

Preventive Care

100% Covered

Not Covered

Office Visits

Primary Services

Specialist Services

 

$35 Copay

$50 Copay

 

Not Covered

Not Covered

Hospital Services Inpatients & Outpatient Care

20%*

Not Covered

Emergency Services

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

20%*

20%*

Urgent Care Services

$60 Copay

Not Covered

Chiropractic Services

$50 Copay

Not Covered

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

Not Covered

Not Covered

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$20 Copay

$70 Copay

$100 Copay

30% up to $300 Max

Mail Order 90 day Supply

$40 Copay

$140 Copay

$200 Copay

Not Available

*After Deductible

 

 

 

 

MINIMUM ESSENTIAL COVERAGE PLAN

In-Network

Out-Of-Network

Deductibles

Employee Only

Family

 

None

None

 

No Coverage

No Coverage

Out-Of-Pocket Maximum

Employee Only

Family

 

None

None

 

No Coverage

No Coverage

Preventive Care

100% covered

No Coverage

Preventative Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

100% covered

100% covered

100% covered

100% covered

Mail Order 90 day Supply

100% covered

100% covered

100% covered

Not Available

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-844-855-0621