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

HSA Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,000

$4,000

 

$10,000

$20,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,000

$4,000

 

$30,000

$60,000

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%*

 

0%*

0%*

Urgent Care Services

0%*

0%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

50%*

50%*

Teledoc Benefits

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, Initial Evaluation

Mental Health - Psychiatrist, Ongoing Session

 

$40 Copay

$85 Copay

$90 Copay

$220 Copay

$100 Copay

 

$40 Copay

$85 Copay

$90 Copay

$220 Copay

$100 Copay

Prescription Drug Coverage

Retail 30 Day Supply

Mail Order 90 day Supply

Generic

Preferred brand

Non-preferred brand

Specialty

0%*

0%*

Not Covered

0%*

0%*

0%*

Not Covered

Not Available

* Coinsurance After deductible

 

 

** True emergencies covered at in-network level

 

 

Copay Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$500

$1,500

 

$10,000

$20,000

Coinsurance

25%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$5,200

$10,400

 

$30,000

$60,000

Preventive Care

100% Covered

50%*

Office Visits

Primary Services

Specialist Services

 

$40 Copay

$40 Copay

 

50%*

50%*

Hospital Services

25%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

25%*

25%*

 

25%*

25%*

Urgent Care Services

$40 Copay

$40 Copay

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

25%*

$40 Copay

 

50%*

50%*

Teledoc Benefits

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, Initial Evaluation

Mental Health - Psychiatrist, Ongoing Session

 

No Charge

No Charge

No Charge

No Charge

No Charge

 

No Charge

No Charge

No Charge

No Charge

No Charge

Prescription Drug Coverage

Retail 30 Day Supply

Mail Order 90 day Supply

Generic

Preferred brand

Non-preferred brand

Specialty

$25 Copay

$60 Copay

$150 Copay

20%*

$50 Copay

$120 Copay

$300 Copay

Not Available

* Coinsurance After deductible

 

 

** True emergencies covered at in-network level

 

 


If you prefer talking with a HealthEZ representative, call 1-844-668-0699