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.

Questions about your benefits?

service@healthez.com

Register your myHealthEZ account

>>Click here

Summary Of Medical Benefits

Silver Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Employee +1

Family

 

$600

$1,200

$1,800

 

$1,200

$2,400

$3,600

Out-Of-Pocket Maximum

Employee Only

Employee +1

Family

 

$2,000

$4,000

$6,000

 

$6,000

$8,000

$12,000

Preventive Care

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

20%*

20%*

20%*

 

40%*

40%*

40%*

Urgent Care Services

20%*

40%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

40%*

40%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

40%*

40%*

Emergency Room

Emergency Medical Transportation

20%*

20%*

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

$10 Copay

$40 Copay

$80 Copay

$150 Copay

Mail Order 90 day Supply

$20 Copay

$80 Copay

$160 Copay

Not Available

Teladoc Benefits

General Consultations

Dermatology

Mental Health – Therapist

Mental Health – Psychiatrist, initial evaluation

Mental Health – Psychiatrist, ongoing session

 

No Charge

No Charge

No Charge

No Charge

No Charge

 

No Charge

No Charge

No Charge

No Charge

No Charge

NOTE: *Coinsurance after deductible

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

 

 

 

 

Bronze Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Employee +1

Family

 

$2,000

$4,000

$8,000

 

$4,000

$8,000

$16,000

Out-Of-Pocket Maximum

Employee Only

Employee +1

Family

 

$4,000

$6,000

$8,000

 

$8,000

$12,000

$16,000

Preventive Care

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

20%*

20%*

20%*

 

40%*

40%*

40%*

Urgent Care Services

20%*

40%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

40%*

40%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

40%*

40%*

Emergency Room

Emergency Medical Transportation

20%*

20%*

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

$10 Copay

$40 Copay

$80 Copay

$150 Copay

Mail Order 90 day Supply

$20 Copay

$80 Copay

$160 Copay

Not Available

Teladoc Benefits

General Consultations

Dermatology

Mental Health – Therapist

Mental Health – Psychiatrist, initial evaluation

Mental Health – Psychiatrist, ongoing session

 

No Charge

No Charge

No Charge

No Charge

No Charge

 

No Charge

No Charge

No Charge

No Charge

No Charge

NOTE: *Coinsurance after deductible

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

 

 

 

 

Economy Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Employee +1

Family

 

$5,000

$7,500

$10,000

 

$10,000

$15,000

$20,000

Out-Of-Pocket Maximum

Employee Only

Employee +1

Family

 

$6,350

$9,525

$12,700

 

$12,700

$19,050

$25,400

Preventive Care

No Charge

Not Covered

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$35 Copay for first 3 combined visits, then 20%*

$35 Copay for first 3 combined visits, then 20%*

20%*

 

40%*

40%*

40%*

Urgent Care Services

$35 Copay for first 3 combined visits, then 20%*

40%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

20%*

20%*

 

40%*

40%*

Outpatient Procedures

Facility Fee

Physician Fee

 

20%*

20%*

 

40%*

40%*

Emergency Room

Emergency Medical Transportation

20%*

20%*

40%*

40%*

Mental health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$35 Copay for first 3 combined visits, then 20%*

 

40%*

40%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$40 Copay

$80 Copay

$150 Copay

Mail Order 90 day Supply

$20 Copay

$80 Copay

$160 Copay

Not Available

Teladoc Benefits

General Consultations

Dermatology

Mental Health – Therapist

Mental Health – Psychiatrist, initial evaluation

Mental Health – Psychiatrist, ongoing session

 

No Charge

No Charge

No Charge

No Charge

No Charge

 

No Charge

No Charge

No Charge

No Charge

No Charge

NOTE: *Coinsurance after deductible

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

 

 

 

 

Dental Plan

In-Network

Out-Of-Network

Deductible

Employee Only

Family

 

$50

$150

 

N/A

N/A

Annual Maximum

$1,000

N/A

Preventive & Diagnostic Care

No Charge

N/A

Basic Restorative Care

20%*

N/A

Major Restorative Care

50%*

N/A

Orthodontic Care (Waiting period 12 months) For Dependent Children 19 & younger

50%*

N/A

*After Deductible

Please feel free to see any dentist in your area, as you do not have a specific dental network. Payment of dental claims will be based on usual and customary charges

 

 

 

 


If you prefer talking with a HealthEZ representative, call 1-888-889-9076