fbpx

Solstice PPO Plus

As a National Association For Medical & Dental (NAFMD) member, you and your family members will enjoy the benefits of fully comprehensive dental coverage offered by Solstice Dental Plans. We will work with you to find the plan, and dentist that not only fits your budget, but your family as well. Solstice PPO plan offers the flexibility to use any dentist, and has both in & out-of-network benefits. The PPO offers no waiting periods on services, and everyone is accepted. The plan has a large nationwide network so you will have coverage anywhere you go with this plan.

How does a PPO work?

With your Solstice PPO dentists are contracted to offer benefits specifically for your plan. Using an in-network dentist will save you money, and help to utilize your annual dollar cap to the maximum, allowing the most benefits for your pocket. No worries if you need an out-of-network dentist you will still have the same great benefits, but may pay a little higher cost when using plan out-of-network.

Advantages of the Solstice PPO

  • No - Waiting Periods
  • No - Limitations on Pre-Existing Conditions
  • No - Age LImits (All Seniors Are Eligible)
  • No - Cost On Most Diagnostic Services
  • No - Cost On Most Preventative Services
  • Low Annual Deductible

Plan Features In & Out-Of-Network Benefits, so no matter where you go you know that you are going to be covered in the best way possible.

Download full schedule of benefits here:

Solstice PPO Plus

Same great coverage, In & Out of network!

1 %
Preventative
1 %
Basic Services
0 %
Major Services
Preventative & Diagnostic
Network
Out-Of-Network
Periodic Oral Evaluation
100%
100%
Routine Radiographs
100%
100%
Non-Routine – Complete Series Radiographs
100%
100%
Prophylaxis (Cleanings)
100%
100%
Fluoride Treatment
100%
100%
Sealants
100%
100%
Space Maintainers
100%
100%
Palliative Treatment
100%
100%
Basic Services
Network
Out-Of-Network
Restorations (Amalgam or Composite)
50%
50%
Simple Extractions
50%
50%
Anesthetics
50%
50%
Adjunctive Services
50%
50%
Major Services
Network
Out-Of-Network
Oral Surgery (includes surgical extractions)
25%
25%
Periodontics
25%
25%
Endodontics
25%
25%
Inlays/Onlays/Crowns
25%
25%
Dentures and other Removable Prosthetics
25%
25%
Fixed Partial Dentures (Bridges)
25%
25%
Orthodontic Services
Network
Out-Of-Network
Diagnose or correct misalignment of the teeth or bite
Not Covered
Not Covered

*The network percentage of benefits is based on the discounted fees negotiated with the provider.

**Out-of-network benefits are based on the 70th percentile of Usual & Customary Charge

The above Summary of benefits is for informational purposes only, and is not an offer of coverage. Please not that the above table provides only a brief, general description of coverage, and does not constitute a contract. For a complete listing of your coverage, including, exclusions and limitations relating to your coverage, please refer to your Certificate of Coverage or contact your benefits administrator. If differences exist between this Summary of Benefits your Certificate of Coverage/benefits administrator, the Certificate of Coverage/benefits administrator will govern. All terms and conditions of coverage are subject to applicable state and federal laws. State mandates regarding benefit levels and age limitations may supersede plan design features.