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

HealthEZ Aetna Signature Admin. PPO5 (Copay 1) Plan

In-Network

Out-of-Network

Embedded Deductible

Employee only

Family

 

$3,000

$6,000

 

$5,000

$10,000

Coinsurance

0%

50%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$6,750

$13,500

 

$15,000

$30,000

WellVia (a Recuro Health company)

Telemedicine Services

 

No Charge

 

No Charge

Preventive Care

No Charge

50% Coinsurance

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$50 Copay

25%* after Deductible

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Urgent Care Services

$50 Copay

50%* after Deductible

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$350 Copay

0%* after Deductible

 

$350 Copay

0%* after Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery Facility

 

0%* after Deductible

$750 Copay

 

50%* after Deductible

50%* after Deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

No Charge

No Charge

$300 Copay

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* after Deductible

$50 Copay

 

50%* after Deductible

50%* after Deductible

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50% Coinsurance

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50% Coinsurance

Not Available

*Coinsurance

 

 

**Covered as in-network in true emergency

 

 

HealthEZ Aetna Signature Admin.PPO6 (Copay 2) Plan

In-Network

Out-of-Network

Embedded Deductible

Employee only

Family

 

$5,000

$10,000

 

$5,000

$10,000

Coinsurance

0%

50%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$7,000

$14,000

 

$15,000

$30,000

WellVia (a Recuro Health company)

Telemedicine Services

 

No Charge

 

No Charge

Preventive Care

No Charge

50% Coinsurance

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

$25 Copay

$50 Copay

25%* after Deductible

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Urgent Care Services

$50 Copay

50%* after Deductible

Emergency Services**

Emergency Room

Emergency Medical Transportation

 

$500 Copay

0%* after Deductible

 

$500 Copay

0%* after Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery Facility

 

0%* after Deductible

$750 Copay

 

50%* after Deductible

50%* after Deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

No Charge

No Charge

$300 Copay

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

0%* after Deductible

$50 Copay

 

50%* after Deductible

50%* after Deductible

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

Retail 30 Day Supply

$10 Copay

$25 Copay

50% Coinsurance

$200 Copay

Mail Order 90 Day Supply

$20 Copay

$50 Copay

50% Coinsurance

Not Available

*Coinsurance

 

 

**Covered as in-network in true emergency

 

 

HealthEZ Aetna Signature HSA (HDHP 4) Plan

In-Network

Out-of-Network

Embedded Deductible

Employee only

Family

 

$5,000

$10,000

 

$10,000

$20,000

Coinsurance

20%

50%

Embedded Out-of-Pocket Maximum

Employee only

Family

 

$6,750

$13,500

 

$15,000

$30,000

WellVia (a Recuro Health company)

Telemedicine Services

 

No Charge

 

No Charge

Preventive Care

No Charge

50% Coinsurance

Office Visits

Primary Services

Specialist Services

Chiropractic Services

 

20%* after Deductible

20%* after Deductible

20%* after Deductible

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Urgent Care Services

20%* after Deductible

50%* after Deductible

Emergency Services

Emergency Room

Emergency Medical Transportation

 

20%* after Deductible

20%* after Deductible

 

20%* after Deductible

20%* after Deductible

Hospital Services

Inpatient Hospital Facility

Outpatient Surgery Facility

 

20%* after Deductible

20%* after Deductible

 

50%* after Deductible

50%* after Deductible

Diagnostic Testing & Imaging

Labs

X-rays

CT/PET/MRI

 

20%* after Deductible

20%* after Deductible

20%* after Deductible

 

50%* after Deductible

50%* after Deductible

50%* after Deductible

Mental Health/Chemical Dependency

Inpatient

Outpatient

 

20%* after Deductible

20%* after Deductible

 

20%* after Deductible

20%* after Deductible

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

20%* after Deductible

20%* after Deductible

50%* after Deductible

20%* after Deductible

 

20%* after Deductible

20%* after Deductible

50%* after Deductible

Not Available

*Coinsurance

 

 

**Covered as in-network in true emergency

 

 

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