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

HDHP 3

In-Network

Out-of-Network

Calendar Year Accumulation

Embedded Deductible

Employee only

Family

 

 

$3,000

$6,000

 

 

$5,000

$10,000

Coinsurance

10%

50%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$6,750

$13,500

 

$10,000

$20,000

Recuro Telemedicne Services

100% Covered

100% Covered

Preventive Care

100% Covered

Deductible, then 50%*

Office Visits

Primary Services

Specialist Services

Walk In Clinics

Chiropractic Services

 

Deductible, then 10%*

Deductible, then 10%*

Deductible, then 10%*

Deductible, then 10%*

 

Deductible, then 50%*

Deductible, then 50%*

Deductible, then 50%*

Deductible, then 50%*

Urgent Care Services

Deductible, then 10%*

Deductible, then 50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

Deductible, then 10%*

Deductible, then 10%*

 

Deductible, then 10%*

Deductible, then 10%*

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

Deductible, then 10%*

Deductible, then 10%*

 

Deductible, then 50%*

Deductible, then 50%*

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

Deductible, then 10%*

Deductible, then 10%*

Deductible, then 10%*

 

Deductible, then 50%*

Deductible, then 50%*

Deductible, then 50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

Deductible, then 10%*

Deductible, then 10%*

 

Deductible, then 50%*

Deductible, then 50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

Deductible, $10 Copay

Deductible, $25 Copay

Deductible, then 50%*

Deductible, $200 Copay

Mail Order 90 Day Supply

Deductible, $20 Copay

Deductible, $50 Copay

Deductible, then 50%*

Not Available

* Coinsurance

 

 

HDHP 4

In-Network

Out-of-Network

Calendar Year Accumulation

Embedded Deductible

Employee only

Family

 

 

$5,000

$10,000

 

 

$10,000

$20,000

Coinsurance

20%

50%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$6,750

$13,500

 

$15,000

$30,000

Recuro Telemedicne Services

100% Covered

100% Covered

Preventive Care

100% Covered

Deductible, then 50%*

Office Visits

Primary Services

Specialist Services

Walk In Clinics

Chiropractic Services

 

Deductible, then 20%*

Deductible, then 20%*

Deductible, then 20%*

Deductible, then 20%*

 

Deductible, then 50%*

Deductible, then 50%*

Deductible, then 50%*

Deductible, then 50%*

Urgent Care Services

Deductible, then 20%*

Deductible, then 50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

Deductible, then 20%*

Deductible, then 20%*

 

Deductible, then 20%*

Deductible, then 20%*

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

Deductible, then 20%*

Deductible, then 20%*

 

Deductible, then 50%*

Deductible, then 50%*

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

Deductible, then 20%*

Deductible, then 20%*

Deductible, then 20%*

 

Deductible, then 50%*

Deductible, then 50%*

Deductible, then 50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

Deductible, then 20%*

Deductible, then 20%*

 

Deductible, then 50%*

Deductible, then 50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

Deductible, then 20%*

Deductible, then 20%*

Deductible, then 50%*

Deductible, then 20%*

Mail Order 90 Day Supply

Deductible, then 20%*

Deductible, then 20%*

Deductible, then 50%*

Not Available

* Coinsurance

 

 

If you prefer talking with a HealthEZ representative, call 855-255-7060