Plan Nou Yo

Swen sante pa dwe limite sèlman a sa ki obligatwa, men pito, li dwe adapte ak sa ki benefik pou sante ak byennèt ou an jeneral. Se poutèt sa Solis Health Plans enkli kouvèti medikaman sou preskripsyon ak benefis adisyonèl pou ofri w plis pase sa ki ofri pa Medicare Orijinal. Nan Solis, nou ofri twa kalite plan pou asire tout bezwen ou yo kouvri konplètman.

VIV DIFERANS SOLIS LA
Yon nouvo nivo kalite, efikasite, & kolaborasyon

ESPACIO PARA COMPONENTE

Aprann plis sou plan nou yo

H0982 | 022

Solis Healthy Living Plan (HMO)

Plan sa a enkli Medicare Pati A & B ak Kouvèti Medikaman Sou Preskripsyon.

Aprann Detay

H0982 | 002

Solis Guardian Plan
(HMO D-SNP)

Designé pou moun ki gen Medicare ak Medicaid avèk benefis adisyonèl pou kouvri swen sante ou.

Aprann Detay

H0982 | 016

Solis Wellness Plan
(HMO C-SNP)

Designé pou moun ki gen maladi kadyovaskilè, ensifizans kadyak (CHF), ak/oswa dyabèt.

Aprann Detay

Solis Healthy Living Plan (HMO)

H0982 - 022

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$100 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$25 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 007

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$100 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$75 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 008

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$100 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$90 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 009

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$75 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$75 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 020

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$80 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$50 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 022

$0 a year

Prim Mwa

$2,500 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$50 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$110 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$50 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 007

$0 a year

Prim Mwa

$2,900 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$50 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$110 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$75 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 008

$0 a year

Prim Mwa

$2,900 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$50 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$112 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$90 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 009

$0 a year

Prim Mwa

$2,500 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$50 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$109 a month

Dental Allowance

$3,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$100 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 020

$0 a year

Prim Mwa

$2,500 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$50 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$135 a month

Dental Allowance

$3,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$100 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Healthy Living Plan (HMO)

H0982 - 024

$0 a year

Prim Mwa

$2,900 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$50 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$88 a month

Dental Allowance

$3,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$100 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 002

$0 - $37.70 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Card

$160 a month for rent, utilities, groceries, and more!

Flex Card

$1,250 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$125 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 012

$0 - $37.70 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Card

$160 a month for rent, utilities, groceries, and more!

Flex Card

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$125 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 013

$0 - $37.70 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Card

$160 a month for rent, utilities, groceries, and more!

Flex Card

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$125 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 010

$0 - $37.70 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Card

$140 a month for rent, utilities, groceries, and more!

Flex Card

$1,250 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$75 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 002

$0 - $20.30 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$200 a month to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$125 a month

Dental Allowance

$5,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 012

$0 - $20.30 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$200 a month to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$125 a month

Dental Allowance

$5,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 013

$0 - $20.30 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$180 a month to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$125 a month

Dental Allowance

$5,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 010

$0 - $20.30 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$175 a month to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$315 a quarter ($1,260 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$125 a month

Dental Allowance

$4,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 023

$0 - $20.30 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$175 a month to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$315 a quarter ($1,260 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$125 a month

Dental Allowance

$4,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Guardian Plan (HMO D-SNP)

H0982 - 025

$0 - $20.30 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$150 a month to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$125 a month

Dental Allowance

$4,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 016

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$100 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$25 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 017

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$100 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$25 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 018

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$95 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$25 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 019

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$75 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$75 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 021

$0 a year

Prim Mwa

$3,400 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Flex Card Allowance

$1,000 a year to pay for out-of-pocket costs for dental, vision, and hearing services.

Over-the-Counter (OTC)

$75 a month

Unlimited transportation

to confirmed medical appointments

$0 copays

for dental, vision, and hearing.

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$50 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 016

$0 a year

Prim Mwa

$2,500 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$100 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$200 a quarter ($800 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$111 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$25 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 017

$0 a year

Prim Mwa

$2,900 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$75 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation.

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$111 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$25 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 018

$0 a year

Prim Mwa

$2,900 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$75 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$114 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$25 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 019

$0 a year

Prim Mwa

$2,500 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$100 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$110 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$75 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 021

$0 a year

Prim Mwa

$2500 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$100 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$135 a month

Dental Allowance

$4,000 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$75 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Annual Notice of Change

Telechaje

Solis Wellness Plan (HMO C-SNP)

H0982 - 026

$0 a year

Prim Mwa

$2,900 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$75 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$114 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$75 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje

Solis Balanced Plan (HMO C-SNP)

H0982 - 027

$0 a year

Prim Mwa

$2,500 a year

Maksimòm Depans Pòch (MOOP)

Plan sa a ofri:

Healthy Living Allowance

$150 a month for members who qualify as part of SSBCI. This allowance can be used to pay for healthy groceries, pet supplies, rent, utility bills, pest control and transportation

Flex Allowance

$250 a quarter ($1,000 a year) to pay for out-of-pocket costs for additional covered services for dental, vision, and hearing

Over-the-Counter (OTC)

$140 a month

Dental Allowance

$3,500 a year for exams, cleanings, fillings, extractions, root canals, bridges, crowns, implants, dentures, and more!

Doktè Sèvis Prensipal (PCP)

$0 copay

Espesyalis

$0 copay

Swen Ijans

$0 copay

Swen Ijans

$0 copay

Summary of Benefits

Telechaje

Evidence of Coverage

Telechaje