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.

Summary Of Medical Benefits

Pink Jeep Basic Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$6,350

$12,700

 

$12,700

$25,400

Coinsurance

0%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$25,400

$50,800

Preventive Care

100% Covered

50%*

Physician Services

$35 Copay**

50%

Hospital Services- Inpatient & Outpatient Care

0%*

50%*

Emergency Services

0%*

0%*

Urgent Care Services

0%*

50%*

Chiropractic Services

0%*

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%*

$35 Copay**

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$15 Copay

$45 Copay

$90 Copay

20% up to $200 Max

 

$45 Copay

$135 Copay

$270 Copay

Not Available

*After Deductible

 

 

**Limit of 3 combined office visits per year at Copay; additional visits apply to deductible

 

 

Top Docs-Silver Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$0

$0

 

$4,000

$8,000

Coinsurance

10%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$2,000

$4,000

 

$14,000

$28,000

Preventive Care

100% Covered

50%*

Physician Services

$35 Copay

50%*

Hospital Services- Inpatient & Outpatient Care

10%*

50%*

Emergency Services

$250 Copay

$250 Copay

Urgent Care Services

$50 Copay

50%*

Chiropractic Services

$35 Copay

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

10%*

$35 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$35 Copay

$60 Copay

$80 Copay

Mail Order 90 Day Supply

$30 Copay

$105 Copay

$180 Copay

Not Available

*After Deductible

 

 

Silver Plan

In-Network

Out-Of-Network

Calendar Year Deductible

Employee Only

Family

 

$2,000

$4,000

 

$4,000

$8,000

Coinsurance

20%

50%

Out-Of-Pocket Maximum

Employee Only

Family

 

$6,350

$12,700

 

$14,000

$28,000

Preventive Care

100% Covered

50%*

Physician Services

$35 Copay

50%*

Hospital Services- Inpatient & Outpatient Care

20%*

50%*

Emergency Services

$250 Copay

$250 Copay

Urgent Care Services

$50 Copay

50%*

Chiropractic Services

$35 Copay

50%*

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%*

$35 Copay

 

50%*

50%*

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$35 Copay

$60 Copay

$80 Copay

Mail Order 90 Day Supply

$30 Copay

$105 Copay

$180 Copay

Not Available

*After Deductible

 

 

Contact your HR rep to choose your plan.

If you prefer talking with a HealthEZ representative, call 855-290-1414