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

HSA Plan 1

In-Network

Out-of-Network

Embedded Deductible

Individual

Individual under Family

Family

 

$3,200

$3,200

$6,400

 

$6,400

$6,400

$12,000

Coinsurance

0%

40%

Embedded Out-of-Pocket Maximum

Individual

Individual under Family

Family

 

$6,750

$6,750

$13,500

 

$11,000

$11,000

$22,000

WellVia (a Recuro Health company) Telemedicine Services

No Charge

No Charge

Preventive Care

No Charge

40%* After Deductible

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

0%* After Deductible

0%* After Deductible

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

40%* After Deductible

Urgent Care Services

0%* After Deductible

40%* After Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0%* After Deductible

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

0%* After Deductible

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

0%* After Deductible

0%* After Deductible

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

40%* After Deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* After Deductible

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay After Deductible

$25 Copay After Deductible

$75 Copay After Deductible

$200 Copay After Deductible

Mail Order 90 Day Supply

$30 Copay After Deductible

$75 Copay After Deductible

$225 Copay After Deductible

Not Available

* Coinsurance

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

 

 

 

 

Copay Plan 1

In-Network

Out-of-Network

Embedded Deductible

Individual

Individual under Family

Family

 

$3,500

$3,500

$7,000

 

$10,500

$10,500

$31,500

Coinsurance

0%

40%

Embedded Out-of-Pocket Maximum

Individual

Individual under Family

Family

 

$6,750

$6,750

$13,500

 

Unlimited

Unlimited

Unlimited

WellVia (a Recuro Health company) Telemedicine Services

No Charge

No Charge

Preventive Care

No Charge

40%* After Deductible

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$20 Copay

$75 Copay

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

40%* After Deductible

Urgent Care Services

$50 Copay

40%* After Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$350 Copay

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

0%* After Deductible

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

0%* After Deductible

0%* After Deductible

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

40%* After Deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* After Deductible

$60 Copay

 

40%* After Deductible

40%* After Deductible

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

$75 Copay

$200 Copay

Mail Order 90 Day Supply

$30 Copay

$75 Copay

$225 Copay

Not Available

* Coinsurance

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