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 (PPO Plan)

Reference Based Pricing (RBP)

Calendar Year Deductible

Employee only

Family

 

$1,000

$2,000

Coinsurance

20%

Out-of-Pocket Maximum

Employee only

Family

 

$3,000

$6,000

Preventive Care

100% Covered

Office Visits

Primary Services

Specialist Services

 

$30 Copay

$50 Copay

Hospital Services

20%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$200 Copay, then 20%*

20%*

Urgent Care Services

$50 Copay

Chiropractic Services

$30 Copay

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$30 Copay

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Speciality

Any Perscription over $350

Retail 30 Day Supply

$10 Copay

$35 Copay

$60 Copay

20% up to $300 Maximum

Refer to SHARx

* After Deductible

Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.

 

 

HSA Plan

Reference Based Pricing (RBP)

Calendar Year Deductible

Individual only

Individual Under Family Coverage

Family

 

$2,000

$3,000

$3,000

Coinsurance

10%

Out-of-Pocket Maximum

Individual only

Individual Under Family Coverage

Family

 

$4,400

$7,350

$8,800

Preventive Care

100% Covered

Office Visits

Primary Services

Specialist Services

 

10%*

10%*

Hospital Services

10%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

Urgent Care Services

10%*

Chiropractic Services

10%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

10%*

10%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Any Perscription over $350

Retail 30 Day Supply

$4 Copay After Deductible

20% After Deductible up to $50

20% After Deductible up to $100

20% After Deductible up to $300

Refer to SHARx

* After Deductible

Note: Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.

 

 

If you prefer talking with a HealthEZ representative, call 1-844-204-3758