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

Three for Free Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,500

$4,500

 

$4,500

$13,500

Coinsurance

25%

50%

Out-of-Pocket Maximum

Employee Only

Family

 

$4,500

$9,000

 

$27,000

$54,000

Preventive Care

100% Covered

50%*

Three for Free Services

Primary & Specialists

Convenience Clinics & Urgent Care

Outpatient Mental Health

 

First 3: 100% Covered

Additional Visits: 25%*

 

 

50%*

50%*

 

Hospital Services

25%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

25%*

25%*

 

50%*

50%*

Chiropractic Services

25%*

50%*

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Preventive Wellness

Generic

Preferred Brand

Non-Preferred Brand

Specialty

 

100% Covered

$15 Copay

$50 Copay

$100 Copay

25%* up to $500

 

Not Available

$30 Copay

$100 Copay

$200 Copay

Not Available

* After Deductible

 

 

** True emergencies covered at in-network level

 

 

HSA Plan 1

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$9,000

$18,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,000

$6,000

 

$27,000

$54,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

50%*

50%*

Hospital Services

0%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

50%*

50%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient - Initial Visit

Outpatient - Ongoing visits

 

0%*

100% Covered

0%*

 

50%*

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Preventive Wellness

Generic

Preferred brand

Non-preferred brand

Specialty

 

100% Covered

0%*

0%*

0%*

0%*

 

Not Available

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HSA Plan 2

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$6,350

$12,700

 

$19,500

$38,100

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$38,100

$76,200

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

50%*

50%*

Hospital Services

0%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

50%*

50%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient - Initial Visit

Outpatient - Ongoing Visits

 

0%*

100% Covered

0%*

 

50%*

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Preventive Wellness

Generic

Formulary

Non-Formulary

Specialty

 

100% Covered

0%*

0%*

0%*

0%*

 

Not Available

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-844-449-5546