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

ESG Care Copper (MEC+)

In-Network

Out-Of-Network

Calendar Year Deductible

Employee only

Family

 

None

None

 

None

None

Out-of-Pocket Maximum

Employee Only

Family

 

None

None

 

None

None

Preventive Care

100% Covered

No Coverage

Office Visits

Primary Services

Specialist Services

CVS Minute Clinic

Urgent Care

Chiropractic Services - 10 visit limit

 

$20 Copay

$50 Copay

$10 Copay

$50 Copay

$75 Copay

 

No Coverage

No Coverage

No Coverage

No Coverage

No Coverage

Labs & Scans

Diagnostic Lab & X-Ray - In Office

CT/MRI or Outpatient Testing

 

$60 Copay

$200 Copay

 

No Coverage

No Coverage

Durable Medical Equipment

$50 Copay

No Coverage

HealthiestYou Services

General Consultations

Dermatology

Mental Health - Therapist

Mental Health - Psychiatrist, initial evaluation

Mental Health - Psychiatrist, ongoing session

 

100% Covered

$75 Copay

$85 Copay

$200 Copay

$95 Copay

 

100% Covered

$75 Copay

$85 Copay

$200 Copay

$95 Copay

Emergency Services

Emergency Room

Emergency Medical Transportation

 

No Coverage

No Coverage

 

No Coverage

No Coverage

Hospital Services

No Coverage

No Coverage

Mental Health

Inpatient

Outpatient - 10 visit limit

 

No Coverage

$75 Copay

 

No Coverage

No Coverage

Retail 30 Day Supply

Mail Order 90 Day Supply

Prescription Drug Coverage

Generic

Preferred brand

Non-preferred brand

Specialty

 

$10 Copay

100% Copay

Not available

Not available

 

Not available

Not available

Not available

Not available


If you prefer talking with a HealthEZ representative, call 1-888-701-2975