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

Copay Plan 1

In-Network

Out-of-Network

Deductible

Employee only

Family

 

$1,000

$2,000

 

N/a

N/a

Coinsurance

20%

N/a

Embedded Out- of Pocket Maximum

Employee only

Family

 

$4,000

$8,000

 

N/a

N/a

WellVia (a Recuro Health Company) Telemedicine Services

No Charge

No Charge

Preventative Care

No Charge

Not Covered

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$50 Copay

$50 Copay

 

Not Covered

Not Covered

Not Covered

Urgent Care Services

$50 Copay

Not Covered

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$500 Copay

20%* after Deductible

 

Not Covered

Not Covered

Hospital Services

Inpatient Hospital Facility

Hospital Outpatient Surgery

 

20%* after Deductible

$600 Copay

 

Not Covered

Not Covered

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

No Charge

$40 Copay

$300 Copay

 

Not Covered

Not Covered

Not Covered

Mental Health/

Inpatient

Outpatient

 

20%* after Deductible

$50 Copay

 

Not Covered

Not Covered

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$45 Copay

$80 Copay

30% Coinsurance

Mail Order 90 Day Supply

$20 Copay

$90 Copay

$160 Copay

Not Available

*Coinsurance

 

 

**Covered as in-network in true emergency

 

 

Copay Plan 2

In-Network

Out-of-Network

Deductible

Employee only

Family

 

$5,000

$10,000

 

N/a

N/a

Coinsurance

0%

N/a

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$7,500

$15,000

 

N/a

N/a

WellVia (a Recuro Health company) Telemedicine Services

No Charge

No Charge

Preventative Care

No Charge

Not Covered

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$90 Copay

$90 Copay

 

Not Covered

Not Covered

Not Covered

Urgent Care Services

$50 Copay

Not Covered

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$750 Copay

0%* after Deductible

 

Not Covered

Not Covered

Hospital Services

Inpatient Hospital Facility

Hospital Outpatient Surgery

 

0%* after Deductible

$600 Copay

 

Not Covered

Not Covered

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

No Charge

$60 Copay

$500 Copay

 

Not Covered

Not Covered

Not Covered

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* after Deductible

$90 Copay

 

Not Covered

Not Covered

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$45 Copay

$80 Copay

30% Coinsurance

Mail Order 90 Day Supply

$20 Copay

$90 Copay

$160 Copay

Not Available

*Coinsurance

 

 

**Covered as in-network in true emergency

 

 

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