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

Gold Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$750

$2,250

 

$3,000

$9,000

Embedded Out-Of-Pocket Maximum

Individual

Family

 

$3,000

$6,000

 

$15,000

$30,000

Preventive Care

No Charge

50%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$25 Copay

$40 Copay

$40 Copay

 

50%*

50%*

50%*

Urgent Care Services

$50 Copay

50%*

Complex Imaging: MRI/CT/PET Scans

0%*

50%*

Inpatient & Outpatient Hospital Services

0%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$50 Copay

0%*

 

50%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

0%*

$25 Copay

 

50%*

50%*

* Coinsurance after deductible

** Covered as in-network in true-emergency

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

 

 

 

 

 

 

Silver Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Individual

Family

 

$1,750

$3,500

 

$7,500

$22,500

Embedded Out-Of-Pocket Maximum

Individual

Family

 

$4,000

$8,000

 

$15,000

$30,000

Preventive Care

No Charge

50%*

Office Visits

Primary Office Visit

Specialist Office Visit

Chiropractic Visit

 

$25 Copay

$40 Copay

$40 Copay

 

50%*

50%*

50%*

Urgent Care Services

$50 Copay

50%*

Complex Imaging: MRI/CT/PET Scans

20%*

50%*

Inpatient & Outpatient Hospital Services

20%*

50%*

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$50 Copay

20%*

 

50%*

50%*

Mental Health / Chemical Dependency

Inpatient

Outpatient

 

20%*

$25 Copay

 

50%*

50%*

* Coinsurance after deductible

** Covered as in-network in true-emergency

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

 

 

 

 

 

 


If you prefer talking with a HealthEZ representative, call 844-670-6739