It is with great pleasure we welcome you to Solis Health Plans, Inc. We are happy you chose to join the Solis family. Below, you’ll find important plan documents that’ll help you manage your plan benefits.

South Florida

Miami Dade

2023	2024
SPF 001 (HMO) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Healthy Living Plan (HMO) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change
SPF 002 (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Guardian Plan (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change	ENG - Annual Notice of Change SPA - Annual Notice of Change
SPF 003 (HMO) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Wellness Plan (C-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
SPF 004 (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage
SPF 011 (C-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change

Broward

2023	2024
SPF 007 (HMO) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Healthy Living Plan (HMO) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change	ENG - Annual Notice of Change SPA - Annual Notice of Change
SPF 012 (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Guardian Plan (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change	ENG - Annual Notice of Change SPA - Annual Notice of Change
	Solis Wellness Plan (C-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
	ENG - Evidence of Coverage SPA - Evidence of Coverage

Palm Beach

2023	2024
SPF 008 (HMO) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Healthy Living Plan (HMO) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change	ENG - Annual Notice of Change SPA - Annual Notice of Change
SPF 013 (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Guardian Plan (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change	ENG - Annual Notice of Change SPA - Annual Notice of Change
	Solis Wellness Plan (C-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
	ENG - Evidence of Coverage SPA - Evidence of Coverage

Central Florida

Hillsborough

2023	2024
SPF 009 (HMO) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Healthy Living Plan (HMO) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change	ENG - Annual Notice of Change SPA - Annual Notice of Change
SPF 010 (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits	Solis Guardian Plan (D-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage	ENG - Evidence of Coverage SPA - Evidence of Coverage
ENG - Annual Notice of Change SPA - Annual Notice of Change	ENG - Annual Notice of Change SPA - Annual Notice of Change
	Solis Wellness Plan (C-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
	ENG - Evidence of Coverage SPA - Evidence of Coverage

Pinellas

2024
Solis Healthy Living Plan (HMO) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage
Solis Wellness Plan (C-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage

Polk

2024
Solis Healthy Living Plan (HMO) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage
Solis Wellness Plan (C-SNP) ENG - Summary of Benefits SPA - Summary of Benefits
ENG - Evidence of Coverage SPA - Evidence of Coverage

Documents are updated as of 10/15/2023

Member Rights & Responsibilities (ENG)
Member Rights & Responsibilities (SPA)

Notice of Privacy Policy (ENG)
Notice of Privacy Policy (SPA)

Best Available Evidence (BAE)

Centers for Medicare and Medicaid Services (CMS), created a policy to ensure Plan Sponsors like SOLIS accept certain forms of evidence indicating a member is eligible for low-income subsidy (LIS) even if our system does not indicate that information. To learn more about CMS Best Available Evidence (BAE) policy, click here.

Grievance & Appeals Case Management Utilization Management Appoint a Representative Make Plan Changes

Member Resources