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.

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Summary of Medical Benefits

HSA Plan 1

In-Network

Out-of-Network

Embedded Deductible

Employee Only

Family

 

$3,000

$6,000

 

$9,000

$18,000

Embedded Out-of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$19,050

$38,100

WellVia (a Recuro Health company) Telemedicine Services

No Charge

No Charge

Preventive Care

No Charge

$30% Coinsurance after Deductible

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

0% Coinsurance after Deductible

0% Coinsurance after Deductible

0% Coinsurance after Deductible

 

$30% Coinsurance after Deductible

$30% Coinsurance after Deductible

$30% Coinsurance after Deductible

Urgent Care Services

0% Coinsurance after Deductible

$30% Coinsurance after Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

0% Coinsurance after Deductible

0% Coinsurance after Deductible

 

$30% Coinsurance after Deductible

$30% Coinsurance after Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

0% Coinsurance after Deductible

0% Coinsurance after Deductible

 

$30% Coinsurance after Deductible

$30% Coinsurance after Deductible

Diagnostic Testing & Imaging

Labs

X-Rays

CT/PET/MRI

 

0% Coinsurance after Deductible

0% Coinsurance after Deductible

0% Coinsurance after Deductible

 

$30% Coinsurance after Deductible

$30% Coinsurance after Deductible

$30% Coinsurance after Deductible

Mental Health/ Chemical Dependency

Inpatient

Outpatient

 

0% Coinsurance after Deductible

0% Coinsurance after Deductible

 

$30% Coinsurance after Deductible

$30% Coinsurance after Deductible

Prescription Drug Coverage

Generic

Preferred Brand

Non- preferred brand

Specialty

Retail 30 Day Supply

$10 Copay after Deductible

$30 Copay after Deductible

$50 Copay after Deductible

25% Coinsurance after Deductible

Mail Order 90 Day Supple

$25 Copay after Deductible

$75 Copay after Deductible

$125 Copay after Deductible

Not Available

Copay Plan 1

In-Network

Out-of-Network

Embedded Deductible

Employee Only

Family

 

$2,500

$3,000

 

$5,000

$9,000

Embedded Out-of-Pocket Maximum

Employee Only

Family

 

$6,500

$10,000

 

$13,000

$30,000

WellVia (a Recuro Health company) Telemedicine Services

No Charge

No Charge

Preventive Care

No Charge

$50% Coinsurance after Deductible

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$40 Copay

$25 Copay

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Urgent Care Services

$75 Copay

50% Coinsurance after Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

$500 Copay

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

20% Coinsurance after Deductible

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Diagnostic Testing & Imaging

Labs

X-Rays

CT/PET/MRI

 

20% Coinsurance after Deductible

20% Coinsurance after Deductible

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Mental Health/ Chemical Dependency

Inpatient

Outpatient

 

20% Coinsurance after Deductible

$25 Copay

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Prescription Drug Coverage

Generic

Preferred Brand

Non- preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$30 Copay

$50 Copay

25% Coinsurance after Deductible

Mail Order 90 Day Supple

$20 Copay

$60 Copay

$100 Copay

Not Available

Copay Plan 2

In-Network

Out-of-Network

Embedded Deductible

Employee Only

Family

 

$5,000

$10,000

 

$15,000

$30,000

Embedded Out-of-Pocket Maximum

Employee Only

Family

 

$8,000

$13,000

 

$16,000

$39,000

WellVia (a Recuro Health company) Telemedicine Services

No Charge

No Charge

Preventive Care

No Charge

$50% Coinsurance after Deductible

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20% Coinsurance after Deductible

20% Coinsurance after Deductible

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Urgent Care Services

20% Coinsurance after Deductible

50% Coinsurance after Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

20% Coinsurance after Deductible

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery

 

20% Coinsurance after Deductible

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Diagnostic Testing & Imaging

Labs

X-Rays

CT/PET/MRI

 

20% Coinsurance after Deductible

20% Coinsurance after Deductible

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Mental Health/ Chemical Dependency

Inpatient

Outpatient

 

20% Coinsurance after Deductible

20% Coinsurance after Deductible

 

50% Coinsurance after Deductible

50% Coinsurance after Deductible

Prescription Drug Coverage

Generic

Preferred Brand

Non- preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$30 Copay

$50 Copay

25% Coinsurance after Deductible

Mail Order 90 Day Supple

$20 Copay

$60 Copay

$100 Copay

Not Available

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