Pacifica Health Services, LLC.

Below are the Summary of Benefits and Coverage (SBC) for each of Pacifica Health Services’ sponsored health plans for the plan year from September 1, 2021 – August 31, 2022, as well as additional documents for your review.

SBCs

Gravie Comfort $3000 OOPM
Gravie Copay $2000 Ded/$4000 OOPM

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