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

Preferred Basic PPO Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

No Coverage

No Coverage

Coinsurance

20%

No Coverage

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

No Coverage

No Coverage

Preventive Care

100% Covered

No Coverage

Physician Services

Primary

Specialist

 

$20 Copay

$40 Copay

 

No Coverage

No Coverage

Hospital Services Inpatients & Outpatient Care

20%*

No Coverage

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$250 Copay

20%*

 

No Coverage

No Coverage

Convenience Clinic

$35 Copay

No Coverage

Urgent Care Services

$75 Copay

No Coverage

Chiropractic Services

$40 Copay

No Coverage

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$40 Copay

 

No Coverage

No Coverage

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$40 Copay

$60 Copay

$120 Copay

 

$20 Copay

$80 Copay

$120 Copay

Not Available

*After Deductible

 

 

**True emergencies covered at in-network level

 

 

$500 PPO Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$500

$1,000

 

$1,000

$2,000

Coinsurance

10%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Preventive Care

100% Covered

50%*

Physician Services

Primary

Specialist

 

$15 Copay

$30 Copay

 

50%*

50%*

Hospital Services Inpatients & Outpatient Care

10%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$150 Copay

10%*

 

50%*

50%*

Convenience Clinic

$25 Copay

50%*

Urgent Care Services

$60 Copay

50%*

Chiropractic Services

$30 Copay

50%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

10%*

$30 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

$5 Copay

$20 Copay

$40 Copay

$150 Copay

Mail Order 90 day Supply

$5 Copay

$20 Copay

$40 Copay

Not Available

*After Deductible

 

 

**True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-888-204-7871