Our Plans

Healthcare should not be limited to what is mandatory, but rather, it should be catered to what is beneficial to your overall health and well-being. That is why Solis Health Plans includes prescription drug coverage and additional benefits to provide you with more than what Original Medicare offers. At Solis, we offer three types of plans to ensure all of your needs are covered comprehensively.

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Learn more about our plans

H0982 | 022

Solis Healthy Living Plan (HMO)

This plan includes Medicare Parts A & B with Prescription Drug Coverage.

Learn Details

H0982 | 002

Solis Guardian Plan
(HMO D-SNP)

Designed for those with both Medicare and Medicaid with extra benefits to cover your healthcare.

Learn Details

H0982 | 016

Solis Wellness Plan
(HMO C-SNP)

Designed for those who have cardiovascular diseases, congestive heart failure (CHF), and/or diabetes.

Learn Details

Solis Healthy Living Plan (HMO)

H0982 - 022

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$25 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 007

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$75 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 008

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$90 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 009

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$75 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 020

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$50 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Healthy Living Plan (HMO)

H0982 - 022

$0 a year

Monthly Premium

$2,500 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$50 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 007

$0 a year

Monthly Premium

$2,900 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$75 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 008

$0 a year

Monthly Premium

$2,900 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$90 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 009

$0 a year

Monthly Premium

$2,500 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$100 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 020

$0 a year

Monthly Premium

$2,500 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$100 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Healthy Living Plan (HMO)

H0982 - 024

$0 a year

Monthly Premium

$2,900 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$100 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 002

$0 - $37.70 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 012

$0 - $37.70 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 013

$0 - $37.70 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 010

$0 - $37.70 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 002

$0 - $20.30 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 012

$0 - $20.30 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 013

$0 - $20.30 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 010

$0 - $20.30 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 023

$0 - $20.30 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Guardian Plan (HMO D-SNP)

H0982 - 025

$0 - $20.30 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 016

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$25 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 017

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$25 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 018

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$25 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 019

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$75 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 021

$0 a year

Monthly Premium

$3,400 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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.

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$50 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 016

$0 a year

Monthly Premium

$2,500 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$25 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 017

$0 a year

Monthly Premium

$2,900 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$25 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 018

$0 a year

Monthly Premium

$2,900 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$25 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 019

$0 a year

Monthly Premium

$2,500 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$75 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 021

$0 a year

Monthly Premium

$2500 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$75 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Annual Notice of Change

Download

Solis Wellness Plan (HMO C-SNP)

H0982 - 026

$0 a year

Monthly Premium

$2,900 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$75 copay

Urgent Care

$0 copay

Summary of Benefits

Download

Evidence of Coverage

Download

Solis Balanced Plan (HMO C-SNP)

H0982 - 027

$0 a year

Monthly Premium

$2,500 a year

Maximum-Out-of-Pocket (MOOP)

This plan offers:

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!

Primary Care Physician (PCP)

$0 copay

Specialist

$0 copay

Emergency Care

$0 copay

Urgent Care

$0 copay

Summary of Benefits

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Evidence of Coverage

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