Solstice HMO 500B Open Access Network

As a National Association for Medical and Dental (NAFMD) member, you and your family members can enjoy the benefits of fully comprehensive dental coverage offered by Solstice Dental Plans. We will work with you to find the perfect plan and Dentist for your family.

Solstice HMO

Solstice is an open access network plan that features set copayments, no annual deductibles and no maximums for covered benefits. Enrollees do not need to select a primary care dentist, as in a traditional dental HMO.

What is an open access network?

Open Access Network varies from the traditional HMO plans. Typically with any HMO plan you have to pick from a limited network and be assigned to that dentist to see a dentist. You can only see that dentist and you have to call to change your dentist and you can only do that typically every 30 days. With an open access network it works like a PPO. You still have a network you must stay in to recieve benefits, but you never have to be assigned to a dentist and have the freedom and flexibility to see any dentist in the network without calling to change or be reassigned to a dentist.

Advantages of the Solstice HMO Plan:

  • No – waiting periods
  • No – limitations on pre-existing conditions
  • No – age limits (all seniors are eligible)
  • No – cost on most diagnostic procedures & exams
  • No – cost on most preventive services
  • No – dollar cap limits on coverage for the year



The Solstice HMO plan offers set copayments for covered procedures. Here is a list of common procedures and copayments:

  • Detailed oral exam: No Cost
  • X-rays: No Cost
  • Office visit: No Cost
  • Teeth cleaning (routine cleaning): No Cost
  • Fillings: No Cost - $105
  • Crowns: $195 - $240
  • Root canals: $100 - $225
  • Dentures: $260 - $280.00 (per plate)
  • Comprehensive ortho treatment:
    –$1,000.00 (children)
    – $2,150 (adult)
  • Even Implant Coverage at set co-pay prices*
  • Specialist: Covered at 25% discount

*as long as the procedures are done by your general dentist and not a specialist. If performed by a specialist it will be a 25% discount on all services.


Do You Need Dental Coverage? Give us a call if you have any questions! Taking good care of your mouth does more than help ensure you have a bright, white smile. Having a healthy mouth and healthy body go hand-in-hand! Let us help you understand the meaning of "healthy mouth, healthy you"!

 

   1-800-396-7683


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