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.

Questions about your benefits?

service@healthez.com

Register your myHealthEZ account

>>Click here

Summary Of Medical Benefits

$8,200 PPO Plan

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$8,200

$16,400

 

N/A

N/A

Out-Of-Pocket Maximum

Employee Only

Family

 

$8,200

$16,400

 

N/A

N/A

Preventive Care Services

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Services

 

$30 Copay

$60 Copay

$60 Copay

 

Not Covered

Not Covered

Not Covered

Urgent Care Services

$25 Copay*

Not Covered

Complex Imaging: MRI/CT/PET Scans

$350 Copay

Not Covered

Inpatient Hospital Care

Facility Fee

Physician Fee

 

0%*

0%*

 

Not Covered

Not Covered

Outpatient Procedure

Facility Fee

Physician Fee

 

$1,500 Copay

$1,500 Copay

 

Not Covered

Not Covered

Emergency Room

Emergency Medical Transportation

$650 Copay

0%*

Not Covered

Not Covered

Mental health/Chemical Dependency

Inpatient

Outpatient

 

0%*

$60 Copay

 

Not Covered

Not Covered

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

$15 Copay

$45 Copay

$85 Copay

$250 Copay

Mail Order 90 day Supply

$30 Copay

$90 Copay

$170 Copay

Not Available

Teladoc 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

NOTE: *Coinsurance after deductible

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

 

 

 

 

Medical PPO Plan

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$0

$0

 

$500

$1,000

Out-Of-Pocket Maximum

Employee Only

Family

 

$3,500

$7,000

 

$5,500

$11,000

Preventive Care Services

No Charge

30%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Services

 

$30 Copay

$50 Copay

$50 Copay

 

30%*

30%*

30%*

Urgent Care Services

$25 Copay*

30%*

Complex Imaging: MRI/CT/PET Scans

$350 Copay

30%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

$500 Copay per day, up to 3 days, then No Charge

$500 Copay per day, up to 3 days, then No Charge

 

30%*

30%*

Outpatient Procedure

Facility Fee

Physician Fee

 

0%*

0%*

 

30%*

30%*

Emergency Room

Emergency Medical Transportation

$650 Copay

0%*

30%*

30%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

0%*

$50 Copay

 

30%*

30%*

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

$15 Copay

$45 Copay

$85 Copay

$250 Copay

Mail Order 90 day Supply

$30 Copay

$90 Copay

$170 Copay

Not Available

Teladoc 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

NOTE: *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 1-844-288-5704