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

$2,500 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,500

$5,000

 

$5,000

$10,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$8,150

$16,300

 

$30,000

$60,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$5 Copay

$50 Copay

$50 Copay

 

50%*

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

50%*

50%*

Urgent Care Services

$75 Copay

50%*

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15

$50

$80

50% up to $250

 

$30

$100

$160

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

$2,500 RBP Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,500

$5,000

 

$5,000

$10,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$8,150

$16,300

 

$30,000

$60,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$5 Copay

$50 Copay

$50 Copay

 

50%*

50%*

50%*

Hospital Services

20%*

20%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

20%*

20%*

Urgent Care Services

$75 Copay

50%*

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

20%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15

$50

$80

50% up to $250

 

$30

$100

$160

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

$5,000 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$8,150

$16,300

 

$30,000

$60,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$5 Copay

$50 Copay

$50 Copay

 

50%*

50%*

50%*

Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

50%*

50%*

Urgent Care Services

$75 Copay

50%*

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

50%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15

$50

$80

50% up to $250

 

$30

$100

$160

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

$5,000 RBP Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$8,150

$16,300

 

$30,000

$60,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$5 Copay

$50 Copay

$50 Copay

 

50%*

50%*

50%*

Hospital Services

20%*

20%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

20%*

20%*

Urgent Care Services

$75 Copay

50%*

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

 

100% Covered

100% Covered

100% Covered

100% Covered

100% Covered

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$50 Copay

 

20%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15

$50

$80

50% up to $250

 

$30

$100

$160

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

$6,500 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

 

$6,500

$13,000

 

$30,000

$60,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

0%*

0%*

0%*

 

50%*

50%*

50%*

Hospital Services

0%*

0%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

50%*

50%*

Urgent Care Services

0%*

50%*

Teladoc Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

$55 , after deductible, then 0%*

$85 fee, after deductible, then 0%*

$90 fee, after deductible, then 0%*

$220 fee, after deductible, then 0%*

$100 fee, after deductible, then 0%*

 

$55 , after deductible, then 0%*

$85 fee, after deductible, then 0%*

$90 fee, after deductible, then 0%*

$220 fee, after deductible, then 0%*

$100 fee, after deductible, then 0%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

0%*

50%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 844-839-6738