Introducing Comfort by Gravie
Vision Source has partnered with Gravie to bring you health benefits you can actually use, no matter where you’re located. Comfort is the first-of-its-kind health plan that offers 100% coverage on most common healthcare services when accessed in a clinic or doctor’s office.
Have questions about your benefits?
Call Gravie Care at: (866) 863-6232
Send a secure message member.gravie.com/contact
How does Comfort work?
With Comfort, there’s no confusion — you know exactly what’s covered, making it easy to use your health benefits without concern of surprise bills and hidden costs.
Get care when you need it.
$0
Emma hurts her ankle on a run. She goes to the doctor’s office for a checkup and an x-ray.
Traditional Plan Cost:
~$450
$0
Roger is feeling under the weather. He goes to the doctor’s office for a checkup, and his doctor orders blood work.
Traditional Plan Cost:
~$30 copay & ~$220 blood work
$0
Sue takes a generic prescription daily.
Traditional Plan Cost:
~$120 annually
“Having such good insurance that covers so much and so easily is huge for me.”
Comfort Member
No cost services with your Comfort medical plan include:
- Preventive care
- Primary care in a doctor’s office
- Specialist visit at a doctor’s office
- Urgent care visit
- Physical therapy in a doctor’s office
- Generic prescriptions
- Specialty prescriptions with PrudentRx
- Virtual services
- Mental health care in a doctor’s office
- And more
Other services covered by Comfort include:
Costs vary by plan type:
- Emergency Room
- Brand name prescriptions
- Non-preferred brand name prescriptions
- Hospital surgery/procedure
Choosing a Network for your Comfort medical plan
Vision Source has partnered with Gravie to offer you a choice between the Aetna Signature Administrators network and Cigna Healthcare network to provide broad access to quality coverage. We offer two networks to allow you to choose the network that works best in your area and with your healthcare providers. On both networks, you’ll have access to:
- Over 1.2 million participating doctors
- 8,700 hospitals
- Competitive discounts
Aetna Signature Administrators gives you access to a network of physicians, clinics, hospitals, and other health care providers who have agreed to deliver quality, cost-effective health care services.
Cigna gives you access to a network of physicians, clinics, hospitals, and other health care providers who have agreed to deliver quality, cost-effective health care services. With a growing nationwide network of more than 1 million health care professionals and more than 6,300 facilities, Cigna offers you a range of quality choices to help you stay healthy.
Regardless of which network you choose, keep these things in mind to make the most of your Comfort medical plan:
Staying in-network is important for avoiding any unexpected charges.
Before receiving care, you can easily search for doctors, specialists, clinics, and more. All you need to do is log in to your account at member.gravie.com and click the “Doctors” link from your health plan.
Traveling? We’ve got you covered.
Wherever you go in the US, you’ll have access to a broad network. For details on your travel coverage, contact Gravie Care.
Your generic drugs are 100% covered.
For preferred brand, non-preferred brand, and specialty drugs you’ll want to look up and verify how your prescriptions are classified to confirm how you’ll be billed. Log in to your gravie account at member.gravie.com and click the “Drug List” link on your health plan to search for your prescription drugs.
Comfort medical plans offered by Vision Source
| Comfort $3,000 PPO Plan Aetna or Cigna |
||
|---|---|---|
| In-Network | Out-of-Network* | |
| Annual Deductible | You pay up to $3,000 per individual $6,000 per family |
You pay up to $10,000 per individual $20,000 per family |
| Out-of-pocket Maximum (OOPM) | No more than $3,000 per individual $3,000 per member / $6,000 per family |
There is no Out-of-pocket Maximum on Out-of-Network services |
| Preventive Care | You pay $0 according to government guidelines | You pay 50% Coinsurance AD |
| Office Visits Primary Care Provider Specialist Care Provider Children’s Eye Exam |
You pay No Charge No Charge No Charge |
You pay 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD |
| Diagnostic Testing & Imaging Office/Clinic Hospital |
You pay No Charge No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Emergency Services Urgent Care Emergency Room Emergency Medical Transport |
You pay No Charge $250 Copay No Charge after OOPM |
You pay 50% Coinsurance AD Covered as In-Network Covered as In-Network |
| Maternity Office Visit Delivery Services |
You pay No Charge No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Mental Health Outpatient – Office/Clinic Outpatient – Hospital Inpatient |
You pay No Charge No Charge after OOPM No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD |
| Inpatient & Outpatient Hospital Facility Fee Physician/Surgeon Fee |
You pay No Charge after OOPM No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Other Services Home Health Care Rehab – Office/Clinic Rehab – Hospital Habilitation – Office/Clinic Habilitation – Hospital Skilled Nursing Care Durable Medical Equipment Hospice |
You pay No Charge after OOPM No Charge No Charge after OOPM No Charge No Charge after OOPM No Charge after OOPM No Charge after OOPM No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD |
| Prescription Medication – Retail Generic Preferred Brand Non-preferred Brand Specialty |
You pay No Charge 30-day Supply: $75 | 90-day Supply: $150 No Charge after OOPM No Cost with PrudentRx or SmartRx |
Not Covered Not Covered Not Covered Not Covered |
| Prescription Medication – Mail Order Generic Preferred Brand Non-preferred Brand Specialty |
You pay No Charge $150 No Charge after OOPM No Cost with PrudentRx or SmartRx |
Not Covered Not Covered Not Covered Not Covered |
AD: After Deductible
| Comfort $6,500 PPO Plan Aetna or Cigna |
||
|---|---|---|
| In-Network | Out-of-Network* | |
| Annual Deductible | You pay up to $6,500 per individual $13,000 per family |
You pay up to $10,000 per individual $20,000 per family |
| Out-of-pocket Maximum (OOPM) | No more than $6,500 per individual $6,500 per member / $13,000 per family |
There is no Out-of-pocket Maximum on Out-of-Network services |
| Preventive Care | You pay $0 according to government guidelines | You pay 50% Coinsurance AD |
| Office Visits Primary Care Provider Specialist Care Provider Children’s Eye Exam |
You pay No Charge No Charge No Charge |
You pay 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD |
| Diagnostic Testing & Imaging Office/Clinic Hospital |
You pay No Charge No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Emergency Services Urgent Care Emergency Room Emergency Medical Transport |
You pay No Charge $250 Copay No Charge after OOPM |
You pay 50% Coinsurance AD Covered as In-Network Covered as In-Network |
| Maternity Office Visit Delivery Services |
You pay No Charge No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Mental Health Outpatient – Office/Clinic Outpatient – Hospital Inpatient |
You pay No Charge No Charge after OOPM No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD |
| Inpatient & Outpatient Hospital Facility Fee Physician/Surgeon Fee |
You pay No Charge after OOPM No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Other Services Home Health Care Rehab – Office/Clinic Rehab – Hospital Habilitation – Office/Clinic Habilitation – Hospital Skilled Nursing Care Durable Medical Equipment Hospice |
You pay No Charge after OOPM No Charge No Charge after OOPM No Charge No Charge after OOPM No Charge after OOPM No Charge after OOPM No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD |
| Prescription Medication – Retail Generic Preferred Brand Non-preferred Brand Specialty |
You pay No Charge 30-day Supply: $75 | 90-day Supply: $150 No Charge after OOPM No Cost with PrudentRx or SmartRx |
Not Covered Not Covered Not Covered Not Covered |
| Prescription Medication – Mail Order Generic Preferred Brand Non-preferred Brand Specialty |
You pay No Charge $150 No Charge after OOPM No Cost with PrudentRx or SmartRx |
Not Covered Not Covered Not Covered Not Covered |
AD: After Deductible
| Comfort $5,000 HSA Plan Aetna or Cigna |
||
|---|---|---|
| In-Network | Out-of-Network* | |
| Annual Deductible | You pay up to $5,000 per individual $5,000 per member / $10,000 per family |
You pay up to $10,000 per individual $10,000 per member / $20,000 per family |
| Out-of-pocket Maximum (OOPM) | No more than $5,000 per individual $5,000 per member / $10,000 per family |
There is no Out-of-pocket Maximum on Out-of-Network services |
| Preventive Care | You pay $0 according to government guidelines | You pay 50% Coinsurance AD |
| Office Visits Primary Care Provider Specialist Care Provider Children’s Eye Exam |
You pay No Charge AD No Charge AD No Charge |
You pay 50% AD 50% AD 50% AD |
| Diagnostic Testing & Imaging | You pay No Charge AD | You pay 50% Coinsurance AD |
| Emergency Services Urgent Care Emergency Room Emergency Medical Transport |
You pay No Charge AD No Charge AD No Charge AD |
You pay 50% Coinsurance AD Covered as In-Network Covered as In-Network |
| Maternity Office Visit Delivery Services |
You pay No Charge No Charge AD |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Mental Health Outpatient Inpatient |
You pay No Charge AD No Charge AD |
You pay 50% Coinsurance AD 50% AD |
| Inpatient & Outpatient Hospital Facility Fee Physician/Surgeon Fee |
You pay No Charge after OOPM No Charge after OOPM |
You pay 50% Coinsurance AD 50% Coinsurance AD |
| Other Services Home Health Care Rehab Habilitation Skilled Nursing Care Durable Medical Equipment Hospice |
You pay No Charge AD No Charge AD No Charge AD No Charge AD No Charge AD No Charge AD |
You pay 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD 50% Coinsurance AD |
| Prescription Medication – Retail Generic Preferred Brand Non-preferred Brand Specialty |
You pay No Charge AD No Charge AD No Charge AD No Charge AD |
Not Covered Not Covered Not Covered Not Covered |
| Prescription Medication – Mail Order Generic Preferred Brand Non-preferred Brand Specialty |
You pay No Charge AD No Charge AD No Charge AD No Charge AD |
Not Covered Not Covered Not Covered Not Covered |
AD: After Deductible
This information is designed to help you choose a benefit plan. Please refer to the Plan Documents provided by the carrier for information regarding coverage, limitations and exclusions. If there is a difference between this guide and the Plan Documents, the Plan Documents prevail.
