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

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

 

 


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