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

PPO 8 Plan

In-Network

Out-of-Network

Embedded Deductible

Individual Coverage

Individual under Family Coverage

Family

 

$2,000

$2,000

$4,000

 

$4,000

$4,000

$8,000

Embedded Out-of-Pocket Maximum

Individual Coverage

Individual under Family Coverage

Family

 

$6,000

$6,000

$12,000

 

$12,000

$12,000

$24,000

Preventive Care Services

No Charge

50%

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

Urgent Care Services

 

$20 Copay

$50 Copay

20%*

$40 Copay

 

50%*

50%*

50%*

50%*

Complex Imaging: MRI/CT/PET Scans

20%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Emergency Room Services

Emergency Medical Transportation**

$300 Copay*

No Charge

$300 Copay*

No Charge

Mental Health/Chemical Dependency - Inpatient

Mental Health/Chemical Dependency - Office Visit

20%*

$50 Copay

50%*

50%*

Recuro Benefits

General Consultations

 

No Charge

 

No Charge

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50%

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50%

Not Available

* After deductible

 

 

** Covered as in-network in true-emergency

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

 

 

 

 

PPO 9 Plan

In-Network

Out-of-Network

Embedded Deductible

Individual Coverage

Individual under Family Coverage

Family

 

$3,000

$3,000

$6,000

 

$5,000

$5,000

$10,000

Embedded Out-of-Pocket Maximum

Individual Coverage

Individual under Family Coverage

Family

 

$6,750

$6,750

$13,500

 

$15,000

$15,000

$30,000

Preventive Care Services

No Charge

50%

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

Urgent Care Services

 

$20 Copay

$50 Copay

20%*

$40 Copay

 

50%*

50%*

50%*

50%*

Complex Imaging: MRI/CT/PET Scans

20%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

50%*

50%*

Emergency Room Services

Emergency Medical Transportation**

$300 Copay*

No Charge

$300 Copay*

No Charge

Mental Health/Chemical Dependency - Inpatient

Mental Health/Chemical Dependency - Office Visit

20%*

$20 Copay

50%*

50%*

Recuro Benefits

General Consultations

 

No Charge

 

No Charge

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50%

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50%

Not Available

* After deductible

 

 

** Covered as in-network in true-emergency

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

 

 

 

 

PPO 11 Plan

In-Network

Out-of-Network

Embedded Deductible

Individual Coverage

Individual under Family Coverage

Family

 

$6,000

$6,000

$12,000

 

$10,000

$10,000

$20,000

Embedded Out-of-Pocket Maximum

Individual Coverage

Individual under Family Coverage

Family

 

$8,000

$8,000

$16,000

 

$20,000

$20,000

$40,000

Preventive Care Services

No Charge

50%

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

Urgent Care Services

 

$20 Copay

$50 Copay

30%*

$40 Copay

 

50%*

50%*

50%*

50%*

Complex Imaging: MRI/CT/PET Scans

30%*

50%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

30%*

30%*

 

50%*

50%*

Outpatient Procedures

Facility Fee

Physician Fee

 

30%*

30%*

 

50%*

50%*

Emergency Room Services

Emergency Medical Transportation**

30%*

No Charge

30%*

No Charge

Mental Health/Chemical Dependency - Inpatient

Mental Health/Chemical Dependency - Office Visit

30%*

$20 Copay

50%*

50%*

Recuro Benefits

General Consultations

 

No Charge

 

No Charge

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50%

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50%

Not Available

* After deductible

 

 

** Covered as in-network in true-emergency

Note: 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