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

PPO 6

In-Network

Out-of-Network

Embedded Deductible

Employee only

Family

 

$5,000

$10,000

 

$5,000

$10,000

Coinsurance

0%

50%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$7,000

$14,000

 

$15,000

$30,000

WellVia (a Recuro Health company) Telemedicne Services

No charge

No charge

Preventative Care

No charge

50% Coinsurance

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$20 copay

$75 Copay

25%* after deductible

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Urgent Care Services

$50 Copay

50% * after Deductible

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$300 Copay after Deductible

0%* after Deductible

 

$300 Copay after Deductible

0%* after Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

0%* after Deductible

$750 Copay after Deductible

 

50%* after Deductible

50%* after Deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

$50 Copay after Deductible

$75 Copay after Deductible

$300 Copay after Deductible

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* after Deductible

$75 Copay

 

50%* after Deductible

50%* after Deductible

Prescription Drug Coverage

Generic

Preferred brand

Non-Preferred Brand & Generics

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50%*

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50%*

Not Available

*Coinsurance

**Covered as In-Network in true emergency

 

 

 

 

HSA 1

In-Network

Out-of-Network

Embedded Deductible

Employee only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$6,750

$13,500

 

$15,000

$30,000

WellVia (a Recuro Health company) Telemedicne Services

No Charge

No Charge

Preventive Care

No Charge

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

Urgent Care Services

20%* after deductible

50%* after deductible

Emergency Services

Emergency Room**

Emergency Medical Transportation

 

20%* after deductible

20%* after deductible

 

20%* after deductible

20%* after deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

20%* after deductible

20%* after deductible

 

50%* after deductible

50%* after deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

20%* after deductible

20%* after deductible

20%* after deductible

 

50%* after deductible

50%* after deductible

50%* after deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%* after deductible

20%* after deductible

 

50%* after deductible

50%* after deductible

Prescription Drug Coverage

Expanded Preventive*

Generic

Preferred brand

Non-Preferred Brand & Generics

Specialty

 

No Charge

20%* after deductible

20%* after deductible

50%* after deductible

20%* after deductible

 

No Charge

20%* after deductible

20%* after deductible

50%* after deductible

Not Available

*Coinsurance

**Covered as In-Network in true emergency

 

 

 

 


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