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

Option A Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Individual +1

Family

 

$800

$1,000

$1,500

 

$1,600

$2,000

$3,000

Coinsurance

20%

30%

Out-Of-Pocket Maximum

Individual

Individual +1

Family

 

$1,250

$2,000

$3,000

 

$2,500

$4,000

$6,000

Preventive Care

100% Covered

30%*

Office Visits

Primary Services

Specialist Services

 

20%*

20%*

 

30%*

30%*

Hospital Services

20%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

30%*

30%*

Urgent Care Services

20%*

30%*

Chiropractic Services

20%*

30%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

30%*

30%*

2023 Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$20 Copay

$40 Copay

20% up to $200

Mail Order 90 day Supply

$20 Copay

$40 Copay

$80 Copay

Not Available

2024 Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Select Pharmacy/Non-select Pharmacy (per 30 day supply)

$5 Copay/$20 Copay

$20 Copay/$20 Copay

$40 Copay/$40 Copay

Covered through Veracity Program Only

Select Pharmacy (per 90-day supply)

$10 Copay

$40 Copay

$80 Copay

Covered through Veracity Program Only

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Option B Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Individual +1

Family

 

$1,000

$1,250

$2,000

 

$2,000

$2,500

$4,000

Coinsurance

20%

30%

Out-Of-Pocket Maximum

Individual

Individual +1

Family

 

$1,450

$2,250

$3,250

 

$2,900

$4,500

$6,500

Preventive Care

100% Covered

30%*

Office Visits

Primary Services

Specialist Services

 

20%*

20%*

 

30%*

30%*

Hospital Services

20%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

20%*

20%*

 

30%*

30%*

Urgent Care Services

20%*

30%*

Chiropractic Services

20%*

30%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

20%*

 

30%*

30%*

2023 Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Retail 30 Day Supply

$10 Copay

$20 Copay

$40 Copay

20% coinsurance up to $200

Mail Order 90 Day Supply

$20 Copay

$40 Copay

$80 Copay

Not Available

2024 Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Select Pharmacy/Non-select Pharmacy (per 30 day supply)

$5 Copay/$20 Copay

$20 Copay/$20 Copay

$40 Copay/$40 Copay

Covered through Veracity Program Only

Select Pharmacy (per 90-day supply)

$10 Copay

$40 Copay

$80 Copay

Covered through Veracity Program Only

* After deductible

 

 

** True emergencies covered at in-network level

 

 

Option C Plan- Effective 1/1/2024

In-Network

Out-Of-Network

Non-Embedded Deductible

Individual

Individual +1

Family

 

$1,600

$3,200

$3,200

 

$3,100

$6,200

$6,200

Coinsurance

10%

30%

Non-Embedded Out-Of-Pocket Maximum

Individual

Individual +1

Family

 

$1,900

$3,800

$3,800

 

$3,800

$7,600

$7,600

Preventive Care

100% Covered

30%*

Office Visits

Primary Services

Specialist Services

 

10%*

10%*

 

30%*

30%*

Hospital Services

10%*

30%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

10%*

10%*

 

30%*

30%*

Urgent Care Services

10%*

30%*

Chiropractic Services

10%*

30%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

10%*

0%*

 

30%*

30%*

Retail 30 Day Supply

Mail Order 90 day Supply

Prescription Drug Coverage

Generic

Formulary

Non-Formulary

Specialty

Select and Non-Select Pharmacy (per 30 day supply)

10%*

10%*

10%*

Covered through Veracity Program Only

Select Pharmacy (per 90 day supply)

10%*

10%*

10%*

Covered through Veracity Program Only

* After deductible

 

 

** True emergencies covered at in-network level

 

 


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