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 8 Plan

In-Network

Out-of-Network

Calendar Year Accumulation

Non-Embedded Deductible

Individual only

Individual under Family

Family

 

 

$3,200

$3,200

$6,400

 

 

$5,000

$5,000

$10,000

Coinsurance

20%

50%

Non-Embedded Out-of-Pocket Maximum

Individual only

Individual under Family

Family

 

$6,750

$6,750

$13,500

 

$10,000

$10,000

$20,000

Recuro Telemedicine Services

100% Covered

100% Covered

Preventive Care

100% Covered

50% Coinsurance

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20%*

20%*

20%*

 

50%*

50%*

50%*

Urgent Care Services

20%*

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

20%*

20%*

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

20%*

20%*

 

50%*

50%*

Complex Imaging: MRI/CT/PET Scans

20%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay After Deductible

$35 Copay After Deductible

50%*

$200 Copay After Deductible

Mail Order 90 Day Supply

$20 Copay After Deductible

$50 Copay After Deductible

50%*

Not Available

* Coinsurance after Deductible

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

 

 

 

 

PPO 9 Plan

In-Network

Out-of-Network

Calendar Year Accumulation

Embedded Deductible

Individual only

Individual under Family

Family

 

 

$3,000

$3,000

$6,000

 

 

$5,000

$5,000

$10,000

Coinsurance

20%

50%

Non-Embedded Out-of-Pocket Maximum

Individual only

Individual under Family

Family

 

$6,750

$6,750

$13,500

 

$15,000

$15,000

$30,000

Recuro Telemedicine Services

100% Covered

100% Covered

Preventive Care

100% Covered

50% Coinsurance

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$20 Copay

$50 Copay

20%*

 

50%*

50%*

50%*

Urgent Care Services

$40 Copay

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$300 Copay After Deductible

20%*

 

50%*

50%*

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

20%*

20%*

 

50%*

50%*

Complex Imaging: MRI/CT/PET Scans

20%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$20 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay After Deductible

$25 Copay After Deductible

50% Coinsurance

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50% Coinsurance

Not Available

* Coinsurance after Deductible

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