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 (PPO Plan)

Reference Based Pricing (RBP)

Deductible

Individual Only

Individual Under Family

Family

 

$1,000

$1,000

$2,000

Out-of-Pocket Maximum

Individual Only

Individual Under Family

Family

 

$3,000

$3,000

$6,000

Preventive Care

No Charge

Office Visits

Primary Office Vsit

Specialist Office Visit

Chiropractic Visit

 

$30 Copay

$50 Copay

$30 Copay

Urgent Care Services

$50 Copay

Complex Imaging: MRI/CT/PET Scans

20%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$200 Copay, then 20%*

20%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

20%*

$30 Copay

* Coinsurance After Deductible

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

 

 

HDHP Plan RBP

Reference Based Pricing (RBP)

Deductible

Individual Only

Individual Under Family

Family

 

$2,000

$3,000

$3,000

Out-of-Pocket Maximum

Individual Only

Individual Under Family

Family

 

$4,400

$7,350

$8,800

Preventive Care

No Charge

Office Visits

Primary Office Vsit

Specialist Office Visit

Chiropractic Visit

 

10%*

10%*

10%*

Urgent Care Services

10%*

Complex Imaging: MRI/CT/PET Scans

10%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

10%*

10%*

Outpatient Procedures

Facility Fee

Physician Fee

 

10%*

10%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

10%*

10%*

* Coinsurance 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