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.

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Summary Of Medical Benefits

PPO Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,500

$7,000

 

$7,000

$14,000

Coinsurance

30%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,250

$12,500

 

$21,000

$42,000

Preventive Care

100% Covered

50%*

Office Visit

Primary Services

Specialist Services

 

$30 Copay

$60 Copay

 

50%*

50%*

Hospital Services

30%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$250 Copay

30%

 

50%*

50%

Urgent Care Services

$75 Copay

50%*

Chiropractic Services

$30 Copay

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

30%*

$60 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$50 Copay

$100 Copay

$250 Copay

 

$30 Copay

$100 Copay

$200 Copay

Not Available

*After Deductible

 

 

**True emergencies covered at in-network level

 

 

Minimum Value Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

None

None

 

$500

$1,000

Coinsurance

20%

40%

Out-Of-Pocket Maximum

Employee Only

Family

 

$1,850

$12,700

 

Unlimited

Unlimited

Preventive Care

100% Covered

40%*

Office Visit

Primary Services

Specialist Services

 

$15 Copay

$25 Copay

 

40%*

40%*

Hospital Services

Not Covered

Not Covered

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$400 Copay

Not Covered

 

40%*

Not Covered

Urgent Care Services

$50 Copay

40%*

Chiropractic Services

20%*

40%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

Not Covered

$25 Copay

 

Not Covered

40%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$25 Copay

$60 Copay

$125 Copay

Not Covered

 

$50 Copay

$120 Copay

$250 Copay

Not Covered

*After Deductible

 

 

**True emergencies covered at in-network level

 

 

RBP Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$6,500

$13,000

 

$13,000

$26,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$8,150

$15,800

 

$21,000

$42,000

Preventive Care

100% Covered

50%*

Office Visit

Primary Services

Specialist Services

 

$50 Copay

$100 Copay

 

50%*

50%*

Hospital Services

0%*

0%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Urgent Care Services

$100 Copay

50%*

Chiropractic Services

0%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

$100 Copay

 

0%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$50 Copay

$100 Copay

$250 Copay

 

$30 Copay

$100 Copay

$200 Copay

Not Available

*After Deductible

 

 

**True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-844-855-0617