Your network access as a Gravie member
Gravie members in Wisconsin have access to two provider networks: HPS/PayMedix (Primary Network) and First Health (Supplemental Network). While both networks are available to you, we recommend prioritizing the HPS network for your healthcare needs to access additional features that support affordability and convenience.
Primary Network: HPS | PayMedix
We’ve partnered with the HPS/PayMedix Network to help make your healthcare more affordable and easier to manage. With this partnership, you’ll have access to some of the best available rates so you can get the care you need while keeping costs down.
Important:
When searching for providers, make sure to select “HPS Provider Network” from the dropdown menu. Do not select the WPS or Trilogy networks, as these are not applicable to your plan.
Supplemental Network: First Health
Alongside your primary network, you have access to First Health-a supplemental, in-network option offering extensive care nationwide.
Even if a provider isn’t available in your primary network, you may still have access to them through your supplemental network, First Health.
Network FAQs
A: HPS (Health Payment Systems) is a regional provider network in Wisconsin that offers broad access to high-quality regional care. Having access to the HPS/PayMedix network offers you better value, more transparency, and an improved healthcare experience through a simplified billing and payment system powered by PayMedix.
A: Gravie is still your insurance carrier, that’s not changing. What is changing is the network Gravie partners with to give you access to care. Instead of using the Cigna or Aetna networks, your plan will now use the HPS/PayMedix network.
A: Yes. The HPS/PayMedix network is always expanding and currently includes:
- 100+ hospitals
- 29,200 physicians
- 1,200 clinics
- 630 behavioral health providers
A: PayMedix is an innovative healthcare payment platform that simplifies the billing process:
- When visiting PayMedix providers, PayMedix will pay providers directly for your out-of-pocket costs so you can focus on receiving your care.
- Each month, you’ll receive a single, consolidated monthly statement for all in-network and out-of-network medical care (called the SuperEOB®) that shows what your care cost, what your health plan covered, and what you owe and to whom for all in-network and out-of-network care.
- You can manage your bills with interest-free financing, regardless of credit score.
A: With HPS and PayMedix, you can expect:
- Simplified billing with one statement per month.
- No upfront payments at time of care when seeing an HPS|PayMedix provider.
- Access to affordable care, with flexible payment options.
- Broad access to local providers
A: No, if you see an HPS/PayMedix provider, PayMedix pays the provider directly. You won’t have to pay anything at the time of your visit. You’ll get a statement later with your total amount due.
If your provider isn’t currently listed as in-network with HPS|PayMedix, you can nominate them to be added. This can potentially help you gain access to better rates and improved coverage. To nominate a provider, simply visit https://hps.md/nominateprovider and complete the short nomination form. HPS will review the nomination and reach out to the provider to explore joining the network.
A: No problem, PayMedix offers interest-free financing to help you spread out payments over time. Everyone qualifies, regardless of credit score.
A: Just follow the instructions on your SuperEOB, or you can visit http://my.paymedix.com or call 888.477.7968 for details. You can choose the plan that works best for your budget.
Yes, you will still have access to use your Gravie Pay account if you’d like to use that for eligible purchases.
A: With the HPS network, you will enjoy even more great benefits, including:
- More regional providers to choose from.
- Specialized rates to help you save on healthcare costs.
- The PayMedix SuperEOB®: A simplified, one-page summary of your monthly claims, instead of receiving multiple EOBs for each provider visit. This helps keep your healthcare organized and easy to manage.
- Digital SuperEOBs: You will now be able to request your EOBs electronically, in addition to receiving paper copies. Making it easier to manage them online.
A: Yes, once you enroll in a new Gravie plan you will get a new member ID with your new plan information including HPS/Paymedix network details.
A: First Health is your supplemental network. This network gives you access to additional in-network providers nationwide.