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

Reference Based Pricing (RBP)

Plan Year Deductible

Individual

Individual Under Family

Family

 

$2,500

$2,500

$5,000

Coinsurance

20%

Out-of-Pocket Maximum

Individual

Individual Under Family

Family

 

$5,000

$5,000

$10,000

Preventative Care

100% Covered

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$35 Copay

$50 Copay

20*

Hospital Services

20%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$250 Copay

20%*

Urgent Care Services

$75 Copay

Teledoc Services

General Consultations

Dermatology

Mental Health- Therapist

Mental Health- Psychiatrist, initial evaluation

Mental Health- Psychiatrist, ongoing session

 

No Charge

$85 Copay

No Charge

No Charge

No Charge

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$35 Copay

Summary of Pharmacy Benefits (Copay Plan 1)

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$45 Copay

$60 Copay

$200 Copay

 

$45 Copay

$135 Copay

$180 Copay

Not Available

Copay Plan 2

Reference Base Pricing (RBP)

Plan Year Deductible

Individual

Individual Under Family

Family

 

$5,000

$5,000

$10,000

Coinsurance

20%

Out-of-Pocket Maximum

Individual

Individual Under Family

Family

 

$8,550

$8,550

$17,100

Preventative Care

100% Covered

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$35 Copay

$50 Copay

20%*

Hospital Services

20%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$250 Copay

20%*

Urgent Care Services

$75 Copay

Teledoc Services

General Consultations

Dermatology

Mental Health- Therapist

Mental Health- Psychiatrist, initial evaluation

Mental Health- Psychiatrist, ongoing session

 

No Charge

$85 Copay

No Charge

No Charge

No Charge

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$35 Copay

Summary of Pharmacy Benefits (Copay 2)

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-Preferred brand

Specialty

 

$15 Copay

$45 Copay

$60 Copay

$200 Copay

 

$45 Copay

$135 Copay

$180 Copay

Not Available


If you prefer talking with a HealthEZ representative, call 844-660-2443