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

Copay Plan 1

In-Network

Out-of-Network

Calendar Year Deductible

Individual

Family

 

$2,000

$4,000

 

$4,000

$8,000

Out-of-Pocket Maximum

Individual

Family

 

$7,500

$15,000

 

$14,000

$28,000

Recuro Telemedicine Services

No Charge

No Charge

Preventive Care

No Charge

50%* After Deductible

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$30 Copay

$85 Copay

$30 Copay

 

50%*

50%*

50%*

Urgent Care Services

$50 Copay

50%* After Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

30%*

30%*

 

50%*

50%*

Hospital Services

Inpatient

Outpatient

 

30%*

30%*

 

50%*

50%*

Complex Imaging: MRI/CT/PET Scans

30%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

30%*

$30 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$45 Copay

$90 Copay

$10 / $150 / $500 Copay

Mail Order 90 Day Supply

$30 Copay

$90 Copay

$180 Copay

Not Available

* Coinsurance After Deductible

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

 

 

 

 

Copay Plan 2

In-Network

Out-of-Network

Calendar Year Deductible

Individual

Family

 

$500

$1,000

 

$1,000

$2,000

Out-of-Pocket Maximum

Individual

Family

 

$4,000

$8,000

 

$8,000

$16,000

Recuro Telemedicine Services

No Charge

No Charge

Preventive Care

No Charge

50%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$25 Copay

$75 Copay

$25 Copay

 

50%*

50%*

50%* After Deductible

Urgent Care Services

$50 Copay

50%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$500 Copay

20%*

 

50%*

50%*

Hospital Services

Inpatient

Outpatient

 

20%*

20%*

 

50%*

50%*

Complex Imaging: MRI/CT/PET Scans

20%*

50%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

20%*

$25 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$35 Copay

$70 Copay

$10 / $150 / $500 Copay

Mail Order 90 Day Supply

$20 Copay

$70 Copay

$140 Copay

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