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

Copay Plan 1

In-Network

Out-of-Network

Calendar Year Accumulation

Embedded Deductible

Employee only

Family

 

 

$2,000

$4,000

 

 

$4,000

$8,000

Coinsurance

10%

30%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$4,000

$8,000

 

$8,000

$16,000

Recuro Telemedicine Services

100% Covered

100% Covered

Preventive Care

100% Covered

30%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$25 Copay

$25 Copay

 

30%*

30%*

30%*

Urgent Care Services

$75 Copay

30%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

 

30%*

30%*

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

10%*

10%*

 

30%*

30%*

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

10%*

10%*

10%*

 

30%*

30%*

30%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

10%*

$25 Copay

 

30%*

30%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$30 Copay

$50 Copay

$100 Copay

Mail Order 90 Day Supply

$20 Copay

$60 Copay

$100 Copay

Not Available

* After Deductible

 

 

HSA Plan 1

In-Network

Out-of-Network

Calendar Year Accumulation

Embedded Deductible

Employee only

Family

 

 

$3,000

$6,000

 

 

$6,000

$12,000

Coinsurance

20%

40%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Recuro Telemedicine Services

100% Covered

100% Covered

Preventive Care

100% Covered

40%*

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20%*

20%*

20%*

 

40%*

40%*

40%*

Urgent Care Services

20%*

40%*

Emergency Services

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

40%*

40%*

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

20%*

20%*

 

40%*

40%*

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

20%*

20%*

20%*

 

40%*

40%*

40%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

40%*

40%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

20%*

20%*

20%*

20%*

Mail Order 90 Day Supply

20%*

20%*

20%*

Not Available

*After Deductible

 

 


If you prefer talking with a HealthEZ representative, call 855-255-7060