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

HDHP Plan 1

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,600

$5,200

 

$5,200

$10,400

Coinsurance

0%

0%

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,600

$5,200

 

$5,200

$10,400

Preventive Care

100% Covered

0%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

0%*

0%*

Hospital Services

0%*

0%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Urgent Care Services

0%*

0%*

Chiropractic Services

0%*

No Coverage

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

0%*

0%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

HDHP Plan 2

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$1,500

$3,000

 

$5,200

$10,400

Coinsurance

0%

0%

Out-Of-Pocket Maximum

Employee Only

Family

 

$1,500

$3,000

 

$5,200

$10,400

Preventive Care

100% Covered

0%*

Office Visits

Primary Services

Specialist Services

 

0%*

0%*

 

0%*

0%*

Hospital Services

0%*

0%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

0%*

0%*

 

0%*

0%*

Urgent Care Services

 

 

Chiropractic Services

0%*

No Coverage

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

0%*

 

0%*

0%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

 

0%*

0%*

0%*

0%*

 

0%*

0%*

0%*

Not Available

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Dental Plan

In-Network

Out-Of-Network

Calendar Year Deductble

Employee only

Family

 

$50

$150

 

$50

$150

Annual Maximum

$1,500 per member

$1,500 per member

Orthodontic Lifetime Maximum

$2,000

$2,000

Preventive Care

100% Covered

20%*

Basic Services

50%*

50%*

Major Services

50%*

50%*

Orthodontic Services

0%*

0%*

Vision Plan

In-Network

Out-Of-Network

Calendar Year Accumulation

Exam

 

100% Covered

 

 

Frames

Lenses - Single (per pair)

Lenses - Bifocal (per pair)

Lenses - Trifocal (per pair)

Lenses - Polycarbonate (per pair)

 

100% covered up to $150

100% covered up to $150

100% covered up to $150

100% covered up to $150

 

 

 

 

 

Contact Lenses

100% covered up to $150

 

Lasik Surgery

Not Covered

 

* Benefit per plan year includes $150 for lens and an additional $150 for contacts if you need both services.

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 1-844-449-5545