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.

Questions about your benefits?

service@healthez.com

Register your myHealthEZ account

>>Click here

Summary Of Medical Benefits

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$2,500

$5,000

 

$7,500

$15,000

Coinsurance

0%

40%

Out-Of-Pocket Maximum

Individual

Family

 

$5,000

$10,000

 

$15,000

$30,000

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$50 Copay

$50 Copay

 

40%*

40%*

40%*

Hospital Services

0%*

40%*

Emergency Services***

Emergency Room

Emergency Medical Transportation

 

$350 Copay

0%*

 

40%*

40%*

Urgent Care Services

$75 Copay

40%*

HealthiestYou Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$85 Copay

100% Covered

100% Covered

100% Covered

 

100% Covered

$85 Copay

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

$50 Copay

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$40 Copay

$80 Copay

25% Coinsurance up to $300

 

$20 Copay

$80 Copay

$160 Copay

Not Available

* After medical deductible

 

 

*** True emergencies covered at in-network level

 

 

Please go to Form Library tab for details on Ancillary Benefits

 

 

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual Only

Individual Under Family

Family

 

$2,500

$3,200

$5,000

 

$7,500

$7,500

$15,000

Coinsurance

0%

40%

Out-Of-Pocket Maximum

Individual Only

Individual Under Family

Family

 

$4,000

$4,000

$8,000

 

$12,000

$12,000

$24,000

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

0%*

0%*

0%*

 

40%*

40%*

40%*

Hospital Services

0%*

40%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$350 Copay*

0%*

 

40%*

40%*

Urgent Care Services

0%*

40%*

HealthiestYou Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$85 Copay applies until OOP is met

100% Covered

100% Covered

100% Covered

 

100% Covered

$85 Copay applies until OOP is met

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

40%*

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

$10 Copay*

$40 Copay*

$80 Copay*

25% up to $300*

 

$20 Copay*

$80 Copay*

$160 Copay*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Please go to Form Library tab for details on Ancillary Benefits

 

 


If you prefer talking with a HealthEZ representative, call 1-855-290-1413