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

Copay Plan 1

In-Network

Out-of-Network

Calendar Year Accumulation

Embedded Deductible

Employee only

Individual Under Family

Family

 

 

$5,000

$5,000

$10,000

 

 

N/A

N/A

N/A

Coinsurance

0%

N/A

Embedded Out-of-Pocket Maximum

Employee only

Individual Under Family

Family

 

$6,500

$6,500

$13,000

 

N/A

N/A

N/A

Recuro Telemedicine Services

100% Covered

100% Covered

Preventive Care

100% Covered

N/A

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$40 Copay

$65 Copay

$65 Copay

 

N/A

N/A

N/A

Urgent Care Services

$100 Copay

N/A

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$350 Copay

0%* After Deductible

 

$350 Copay

0%* After Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

0%* After Deductible

0%* After Deductible

 

N/A

N/A

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

0%* After Deductible

0%* After Deductible

$300 Copay

 

N/A

N/A

N/A

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* After Deductible

$65 Copay

 

N/A

N/A

*Coinsurance

Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.

 

 

 

 

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$45 Copay

$90 Copay

25% Coinsurance

Mail Order 90 Day Supply

$20 Copay

$90 Copay

$180 Copay

Not Available

Copay Plan 2

In-Network

Out-of-Network

Calendar Year Accumulation

Embedded Deductible

Employee only

Individual Under Family

Family

 

 

$2,500

$2,500

$5,000

 

 

$7,500

$7,500

$15,000

Coinsurance

0%

30%

Embedded Out-of-Pocket Maximum

Employee only

Individual Under Family

Family

 

$5,000

$5,000

$10,000

 

$15,000

$15,000

$30,000

Recuro Telemedicine Services

100% Covered

100% Covered

Preventive Care

100% Covered

30%* After Deductible

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$30 Copay

$55 Copay

$55 Copay

 

30%* After Deductible

30%* After Deductible

30%* After Deductible

Urgent Care Services

$100 Copay

30%* After Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$350 Copay

0%* After Deductible

 

30%* After Deductible

30%* After Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

0%* After Deductible

0%* After Deductible

 

30%* After Deductible

30%* After Deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

0%* After Deductible

0%* After Deductible

$300 Copay

 

30%* After Deductible

30%* After Deductible

30%* After Deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* After Deductible

$55 Copay

 

30%* After Deductible

30%* After Deductible

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$40 Copay

$70 Copay

25% Coinsurance

Mail Order 90 Day Supply

$20 Copay

$80 Copay

$140 Copay

Not Available

*Coinsurance

Please refer to your Summary Plan Description for actual coverage, limitation, and exclusion provisions.

 

 

 

 


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