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

HDHP Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$4,000

$8,000

 

$4,750

$9,500

Coinsurance

0%

20%

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$6,900

$13,800

Preventive Care

100% Covered

0%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

0%*

0%*

0%*

 

20%*

20%*

20%*

Hospital Services

0%*

20%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

20%*

20%*

Urgent Care Services

0%*

20%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

20%*

20%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty***

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

*** Covered Persons using Specialty Drugs included on the Select Drugs and Product List must enroll in the Payer Matrix Specialty Cost Containment Solution. Contact Payer Matrix for additional information at 877-305-6202.

 

 

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$750

$1,500

 

$1,750

$3,500

Coinsurance

20%

20%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$7,000

$14,000

Preventive Care

100% Covered

30%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$40 Copay

$60 Copay

$60 Copay

 

30%*

30%*

30%*

Hospital Services

20%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$600 Copay

20%*

 

30%*

30%*

Urgent Care Services

$75 Copay

30%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$60 Copay

 

30%*

30%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty***

 

$10 Copay

$35 Copay

$75 Copay

$150 Copay

 

$20 Copay

$70 Copay

$150 Copay

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

*** Covered Persons using Specialty Drugs included on the Select Drugs and Product List must enroll in the Payer Matrix Specialty Cost Containment Solution. Contact Payer Matrix for additional information at 877-305-6202.

 

 


If you prefer talking with a HealthEZ representative, call 844-801-1914