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

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

 

$3,200

$6,000

 

$9,000

$18,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,200

$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