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

Deductible

Employee Only

Family

 

$4,000

$8,000

 

$8,000

$16,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,500

$8,000

 

$12,000

$24,000

Preventive Care

No Charge

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20%*

20%*

20%*

 

50%*

50%*

50%*

Urgent Care Services

20%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Emergency Room

Emergency Medical Transportation

20%*

20%*

50%*

50%*

Mental Health / Chemical Dependency

Inpatient

Office Visit

 

20%*

20%*

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$15 Copay*

$25 Copay*

25%*

50%*

Mail Order 90 day Supply

$30 Copay*

$50 Copay*

25%*

Not Available

NOTE: *Coinsurance after deductible

Please refer to your summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 

Benchmark Plan

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$1,000

$2,500

 

$3,000

$9,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,350

$14,700

 

$20,000

$40,000

Preventive Care

No Charge

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$40 Copay

20%*

 

50%*

50%*

50%*

Urgent Care Services

20%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Emergency Room

Emergency Medical Transportation

20%*

20%*

50%*

50%*

Mental Health / Chemical Dependency

Inpatient

Office Visit

 

20%*

$40 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$15 Copay

$25 Copay

25%*

50%*

Mail Order 90 day Supply

$30 Copay

$50 Copay

25%*

Not Available

NOTE: *Coinsurance after deductible

Please refer to your summary Plan Description for actual coverage, limitation, and exclusion provisions

 

 

 

 

Minimum Essential Coverage Plan

In-Network

Out-Of-Network

Deductible and Out of Pocket Maximum

Employee Only

Family

 

N/a

N/a

 

N/a

N/a

Preventive Care Services

100% Covered

No Coverage

Office Visits

Primary Services

Specialist Services

Urgent Care

 

No Coverage

No Coverage

No Coverage

 

No Coverage

No Coverage

No Coverage

Hospital Services

No Coverage

No Coverage

Emergency Services

No Coverage

No Coverage

Retail 30 Day Supply

Mail Order 90 Day Supply

Preventive Prescription

100% Covered

No Coverage

Non-Preventive Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

No Coverage

No Coverage

No Coverage

No Coverage

 

No Coverage

No Coverage

No Coverage

No Coverage


If you prefer talking with a HealthEZ representative, call 888-592-6339