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

HDHP with HSA Plan 1

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Individual under Family Coverage

Family

 

$1,700

$3,400

$3,400

 

$3,400

$6,800

$6,800

Out-Of-Pocket Maximum

Individual

Individual under Family Coverage

Family

 

$2,000

$4,000

$4,000

 

$3,800

$7,600

$7,600

Preventive Care Services

No Charge

30%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

10%*

10%*

10%*

 

30%*

30%*

30%*

Urgent Care Services

10%*

30%*

Complex Imaging: MRI/CT/PET Scans

10%*

30%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

10%*

10%*

 

30%*

30%*

Outpatient Procedures

Facility Fee

Physician Fee

 

10%*

10%*

 

30%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

 

30%*

30%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

10%*

0%*

 

30%*

30%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Select Pharmacy/Non-Select Pharmacy 30 Day Supply

10%*

10%*

10%*

Covered through Veracity Program Only

Select Pharmacy 90 Day Supply

10%*

10%*

10%*

Covered through Veracity Program Only

NOTE: * Coinsurance After Deductible

** True emergencies covered at in-network level

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

 

 

 

 

 

 

HDHP with HSA Plan 2

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Individual under Family Coverage

Family

 

$2,000

$4,000

$4,000

 

$4,000

$8,000

$8,000

Out-Of-Pocket Maximum

Individual

Individual under Family Coverage

Family

 

$2,500

$5,000

$5,000

 

$5,000

$10,000

$10,000

Preventive Care Services

No Charge

30%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

10%*

10%*

10%*

 

30%*

30%*

30%*

Urgent Care Services

10%*

30%*

Complex Imaging: MRI/CT/PET Scans

10%*

30%*

Inpatient Hospital Care

Facility Fee

Physician Fee

 

10%*

10%*

 

30%*

30%*

Outpatient Procedures

Facility Fee

Physician Fee

 

10%*

10%*

 

30%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

 

30%*

30%*

Mental Health/Chemical Dependency

Inpatient

Office Visit

 

10%*

10%*

 

30%*

30%*

Prescription Drug Coverage

Generic

Preferred Brand

Non-Preferred Brand

Specialty

Select Pharmacy/Non-Select Pharmacy 30 Day Supply

10%*

10%*

10%*

Covered through Veracity Program Only

Select Pharmacy 90 Day Supply

10%*

10%*

10%*

Covered through Veracity Program Only

NOTE: * Coinsurance After Deductible

** True emergencies covered at in-network level

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

 

 

 

 

 

 


If you prefer talking with a HealthEZ representative, call 844-804-8124