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

HDHP Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$4,000

$8,000

 

$8,000

$16,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,500

$8,000

 

$12,000

$24,000

Preventive Care

20%*

50%*

Office Visits

Primary Services

Specialist Services

 

20%*

20%*

 

50%*

50%*

Chiropractic Services

20%*

50%*

Urgent Care Services

20%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

50%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay*

$25 Copay*

25%*

50%*

 

$30 Copay*

$50 Copay*

25%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Benchmark Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,000

$2,500

 

$3,000

$9,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,350

$14,700

 

$20,000

$40,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$25 Copay

$40 Copay

 

50%*

50%*

Chiropractic Services

20%*

50%*

Urgent Care Services

20%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

50%*

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

$25 Copay

25%*

50%*

 

$30 Copay

$50 Copay

25%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

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