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

2023 PPO 5 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$3,000

$6,000

 

$5,000

$10,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,750

$13,500

 

$15,000

$30,000

Preventive Care

100% Covered

50%

Office Visits

Primary Services

Specialist Services

Walk In Clinics

Chiropractic Services

 

$20 Copay

$75 Copay

$50 Copay

25%* After Deductible

 

50%* After Deductible

50%* After Deductible

50%* After Deductible

50%* After Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

Deductible, then 100% Covered

Deductible, then $750 Copay

 

50%* After Deductible

50%* After Deductible

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

Deductible, then $300 Copay

Deductible, then 100% Covered

 

Deductible, then $300 Copay

Deductible, then 100% Covered

Urgent Care Services

$50 Copay

50%* After Deductible

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

Deductible, then 100% Covered

$75 Copay

 

50%* After Deductible

50%* After Deductible

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$25 Copay

50% Coinsurance

$200 Copay

 

$20 Copay

$50 Copay

50% Coinsurance

Not Available

* Coinsurance

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

 

 

 

 

** True emergencies covered at in-network level

 

 

2023 PPO 6 Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$5,000

$10,000

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$7,000

$14,000

 

$15,000

$30,000

Preventive Care

100% Covered

50% Coinsurance

Office Visits

Primary Services

Specialist Services

Walk In Clinics

Chiropractic Services

 

$20 Copay

$75 Copay

$50 Copay

25%* After Deductible

 

50%* After Deductible

50%* After Deductible

50%* After Deductible

50%* After Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

Deductible, then 100% Covered

Deductible, then $750 Copay

 

50%* After Deductible

50%* After Deductible

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

Deductible, then $300 Copay

Deductible, then 100% Covered

 

50%* After Deductible

50%* After Deductible

Urgent Care Services

$50 Copay

50%* After Deductible

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

Deductible, then 100% Covered

$75 Copay

 

50%* After Deductible

50%* After Deductible

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

$25 Copay

50% Coinsurance

$200 Copay

 

$20 Copay

$50 Copay

50% Coinsurance

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

2023 HDHP Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,750

$13,500

 

$15,000

$30,000

Preventive Care

100% Covered

50%* After Deductible

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20%* After Deductible

20%* After Deductible

20%* After Deductible

 

50%* After Deductible

50%* After Deductible

50%* After Deductible

Hospital Services

20%* After Deductible

50%* After Deductible

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%* After Deductible

20%* After Deductible

 

50%* After Deductible

50%* After Deductible

Urgent Care Services

20%* After Deductible

50%* After Deductible

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%* After Deductible

20%* After Deductible

 

50%* After Deductible

50%* After Deductible

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

20%* After Deductible

20%* After Deductible

50%* After Deductible

20%* After Deductible

 

20%* After Deductible

20%* After Deductible

50%* After Deductible

Not Available

* Coinsurance

*Emergency Services covered at in-network benefit level if deteremine medically necessary

 

 

 

 

** True emergencies covered at in-network level

 

 


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