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

HSA Plan 1

In-Network

Out-of-Network

Embedded Deductible

Individual

Individual under Family

Family

 

$3,000

$3,000

$6,0000

 

$6,0000

$6,0000

$12,000

Coinsurance

0%

40%

Embedded Out-of-Pocket Maximum

Individual

Individual under Family

Family

 

$6,700

$6,700

$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

Walk In Clinics

Chiropractic Services

 

0%* After Deductible

0%* After Deductible

0%* After Deductible

0%* After Deductible

 

40%* 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

$15 Copay After Deductible

$45 Copay After Deductible

$75 Copay After Deductible

$275 Copay After Deductible

Mail Order 90 Day Supply

$45 Copay After Deductible

$135 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

Walk In Clinics

Chiropractic Services

 

$30 Copay

$60 Copay

$75 Copay

0%* After Deductible

 

40%* After Deductible

40%* After Deductible

40%* After Deductible

40%* After Deductible

Urgent Care Services

$75 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

$15 Copay

$45 Copay

$75 Copay

$275 Copay

Mail Order 90 Day Supply

$45 Copay

$135 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