2021 Solis Benefit Plan Information
Solis offers affordable Medicare Advantage Plans with a personalized approach to safeguarding your health. As part of our goal to simplify the process, we refer to these plans as SPF – Solis Protection Factor – followed by a number to identify the plan. That’s it. No slick names. Nothing fancy. Just SPF 001, and so on.
“Solis Health Plans is purpose-driven; placing responsibility to members and providers before corporate interest.”
Solis SPF HMO plans are comprehensive Medicare Advantage plans. They include Medicare Part A & B benefits plus additional services not otherwise covered by Medicare – and Prescription drugs too!
Solis SPF HMO-SNP plans are comprehensive Medicare Advantage plans for those with Medicare & Medicaid. If the State of Florida pays your Part B premium, these plans offer coordinated benefits to help manage your medical conditions with little to no copays.
All Solis Protection Factor Plans include the following benefits:
SPF 001
(HMO)
Benefit Highlights
$0 copay for Primary & Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1, 2 and 3
$7,000 initial Coverage Limit for prescription drugs
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $400 a year towards eyewear
Hearing benefits - $3000 ($1500 per ear per year)
Over-the-Counter Benefit - $0 copay - $75 allowance per month ($900 year)
Monthly Premium
SPF 002
(HMO-SNP)
Benefit Highlights
$0 copay for Primary & Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $400 a year towards eyewear
Hearing benefits - $3000 ($1500 per ear per year)
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Over-the-Counter Benefit - $0 copay - $100 allowance per month ($1200 year)
Monthly Premium
SPF 011
(HMO C-SNP)
Benefit Highlights
$0 copay for Primary & Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $400 a year towards eyewear
Hearing benefits - $3000 ($1500 per ear per year)
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Over-the-Counter Benefit - $0 copay - $100 allowance per month ($1200 year)
Monthly Premium
SPF 007
(HMO)
Benefit Highlights
$0 copay for Primary & Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $300 a year towards eyewear
Hearing benefits - $2000 ($1000 per ear per year)
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Over-the-Counter Benefit - $0 copay - $75 allowance per month ($900 year)
Monthly Premium
SPF 012
(HMO-SNP)
Benefit Highlights
$0 copay for Primary & Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $300 a year towards eyewear
Hearing benefits - $2000 ($1000 per ear per year)
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Over-the-Counter Benefit - $0 copay - $100 allowance per month ($1200 year)
Monthly Premium
SPF 008
(HMO)
Benefit Highlights
$0 copay for Primary Care Visits
$0 copay for Prescription Drugs, Tier 1 and 2
$5 copay for Specialist Visits
$50 copay (days 1-10) for hospital visits
Vision, Dental & Hearing Benefits
Transportation - Unlimited trips to plan approved locations
Over-the-Counter Benefit - $0 copay - $50 allowance per month ($600 year)
Monthly Premium
SPF 013
(HMO-SNP)
Benefit Highlights
$0 copay for Primary & Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $300 a year towards eyewear
Hearing benefits - $2000 ($1000 per ear per year)
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Over-the-Counter Benefit - $0 copay - $100 allowance per month ($1200 year)
Monthly Premium
SPF 005
(HMO)
Benefit Highlights
$0 copay for Primary Care Visits
$0 copay for Specialist Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Lab Services - $0 Copay In-Network (Non-Hospital Facility)
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Vision benefits - $300 a year towards eyewear
Over-the-Counter Benefit - $0 copay - $75 allowance per month ($900 year)
Monthly Premium
SPF 006
(HMO-SNP)
Benefit Highlights
$0 copay for Primary & Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $300 a year towards eyewear
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Hearing benefits - $2000 ($1000 per ear per year)
Over-the-Counter Benefit - $0 copay - $100 allowance per month ($1200 year)
Monthly Premium
SPF 009
(HMO)
Benefit Highlights
$0 copay for Primary Care Visits
$0 copay for Prescription Drugs, Tier 1 and 2
$5 copay for Specialist Visits
$80 copay (days 1-7) for hospital visits
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Vision benefits - $300 a year towards eyewear
Over-the-Counter Benefit - $0 copay - $180 allowance every 3 months ($720 year)
Monthly Premium
SPF 010
(HMO-SNP)
Benefit Highlights
$0 copay for Primary Care Visits
$0 copay for Specialist Visits
$0 copay for Hospital Visits
$0 copay for Prescription Drugs, Tier 1 and 2
Enhanced Dental Plan - Including Dentures & Partials
Transportation - Unlimited trips to plan approved locations
Vision benefits - $300 a year towards eyewear
Hearing benefits - $2000 ($1000 per ear per year)
Erectile Disfunction Drugs - $0 Copay - 6 per month (Cialis or Viagra Generics)
Over-the-Counter Benefit - $0 copay - $225 allowance every 3 months ($900 year)
Montly Premium
1Document updated on 04/29/2021
2Document updated on 02/12/2021