Compare Plans

Compare Plans

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.

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Summary Of Medical Benefits

Copay Plan

In-Network

Out-Of-Network

Embedded Deductible

Individual Coverage

Family

 

$1,000

$3,000

 

$2,000

$6,000

Embedded Out-Of-Pocket Maximum

Individual Coverage

Family Coverage

 

$3,000

$9,000

 

$9,000

$18,000

Preventive Care

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$35 Copay

$70 Copay

$70 Copay

 

50%*

50%*

50%*

Urgent Care Services

$100 Copay

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

30%*

30%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

30%*

30%*

 

50%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$300 Copay

30%*

 

50%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

30%*

$70 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$15 Copay

$40 Copay

$70 Copay

20% Coinsurance

Mail Order 90 day Supply

$37.50 Copay

$100 Copay

$175 Copay

Not Available

Teladoc Benefits

General Consultations

Dermatology

 

No Charge

$75 Copay

 

No Charge

$75 Copay

NOTE: * Coinsurance After Deductible

**Covered as in-network in true emergency

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

 

 

 

 

 

 

HSA Plan

In-Network

Out-Of-Network

Embedded Deductible

Individual Coverage

Family

 

$3,000

$6,000

 

$4,000

$8,000

Embedded Out-Of-Pocket Maximum

Individual Coverage

Family Coverage

 

$6,500

$13,000

 

$12,000

$24,000

Preventive Care

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

20%*

20%*

20%*

 

50%*

50%*

50%*

Urgent Care Services

20%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

50%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

20%*

20%*

 

50%*

50%*

Prescription Drug Coverage

Expanded Preventive Generic

Expanded Preventive Preferred brand

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

No Charge

No Charge

20%*

20%*

20%*

20%*

Mail Order 90 day Supply

No Charge

No Charge

20%*

20%*

20%*

Not Available

Teladoc Benefits

General Consultations

Dermatology

 

No Charge

$75

 

No Charge

$75

NOTE: * Coinsurance After Deductible

**Covered as in-network in true emergency

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

 

 

 

 

 

 


If you prefer talking with a HealthEZ representative, call 888-592-6231