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 750

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$750

$1,500

 

$5,000

$10,000

Coinsurance

20%*

50%*

Out-Of-Pocket Maximum

Employee Only

Family

 

$4,000

$8,000

 

$10,000

$20,000

Preventive Care

100% covered

50%*

Physician Services

$40 copay

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services

$300 copay

$300 copay

Urgent Care Services

$75 copay

50%*

Chiropractic Services

$40 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

Preferred brand

Non-preferred brand

Specialty

 

$15 copay

$35 copay

$65 copay

$100 copay

 

$37.50 copay

$87.50 copay

$162.50 copay

30 day supply only

* After Deductible

 

 

Copay Plan 1500

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,500

$3,000

 

$3,000

$6,000

Coinsurance

20%*

50%*

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,000

$10,000

 

$9,000

$18,000

Preventive Care

100% covered

No coverage

Physician Services

$40 copay

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services

$300 copay

$300 copay

Urgent Care Services

$75 copay

$75 copay

Chiropractic Services

$40 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

 

$15 copay

$35 copay

$65 copay

$100 copay

 

$37.50 copay

$87.50 copay

$162.50 copay

30 day supply only

Copay Plan 3000

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$6,000

$12,000

Coinsurance

20%*

50%*

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,250

$12,500

 

$18,000

$36,000

Preventative Care

100% covered

50%*

Physician Services

$40 copay

50%*

Hospital Services Inpatient & Outpatient Care

20%*

50%*

Emergency Services

$300 copay

$300 copay

Urgent Care Services

$75 copay

50%*

Chiropractic Services

$40 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

Preferred Brand

Non-Preferred Brand

Specialty

 

$15 copay

$35 copay

$65 copay

$100 copay

 

$37.50 copay

$87.50 copay

$162.50

30 day supply only

* After Deductible

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-844-449-5550