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Our Dental and Vision plans offer more savings and improved benefits. By the end of your first doctor visit, you will have saved enough to cover your benefits for the year!
From orthodontia, to dental implants - our plans offer more than just basic care.
Select a Product Dental Vision
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Select a Specialty
No matter the question, no matter the time, we're here to help.
Future Members
How to enroll for a Solstice Plan?
What is the cost of the plans?
Our plans are among the most competitive in the market, offering the highest quality benefits and priced to meet various budgets. We have also negotiated costs with our providers on your behalf to obtain the greatest savings.
How can I locate a Dental or Vision Provider in my area?
Under the "Locate a Solstice Provider" section, enter your ZIP code, plan type and provider type. Once you have entered the search information and click "Search," you will be directed to a page with providers in the area you selected.
Do I need to be assigned to a Dental Office?
Since our plans are open access, you do not need to select a provider. You are free to see any participating provider within our network that accepts your plan. Simply call the selected provider for an appointment.
If I have a family policy, do we all have to see the same dentist?
No. Each member of your family can see any participating provider accepting your plan.
What is my effective date?
Your effective date will be noted on your ID card. You may verify this information with one of our Member Services Representatives.
How soon after enrolling does coverage become effective?
How often is your website updated with new/terminated providers?
We strive to maintain the most accurate, up-to-date information on our website. Provider listings are updated on a weekly basis, allowing members faster access to providers.
How do I obtain a copy of the Schedule of Benefits for my plans?
You will receive and review your Schedule of Benefits during the enrollment process. You may also contact our Member Services Department at 1.877.760.2247 for an electronic copy of your Schedule of Benefits.
How do I report a concern?
Simply call our Member Services Department at 1.877.760.2247. Our Representatives are available to address any concerns during our regular business hours, which are Monday-Friday, 8am-6pm.
If you have any questions that have not been answered here, please contact our Member Services Department at 1.877.760.2247.
Members
Am I able to view your plans, including exclusions and limitations?
Once you have logged into the benefits portal, www.MySolstice.net, you can view the plan in which you are currently enrolled, review the plan's exclusions and limitations, and print temporary ID cards, among other easy tools.
How do I obtain a new ID Card?
We have made several options for you to obtain your ID card should you lose your previous one. You may request your ID card by: Logging into your benefits portal, www.MySolstice.net, and requesting or printing your new ID card, or contacting our Member Services Department at 1.877.760.2247.
What is my group number?
Your group number is the first five numbers of your ALT ID#. This can be located on your ID card. If you have not received your ID card, you may contact our Member Services Department at 1.877.760.2247 to get this information.
How do I submit a change of address?
In order to make any changes or updates to your account information, we need to verify your current information. Therefore, you should contact our Member Services Department (1.877.760.2247) or send your request in writing via fax to our Administration Department (1.954.370.1701). You can also log onto your benefits portal, www.MySolstice.net, and update your address information.
How can I locate a provider in my area?
Under the “Locate a Solstice Provider" section, enter your ZIP code, and plan and provider type. Once you have entered this information and clicked "Search," you will be directed to a page with providers in the area you have selected.
Do I need to be assigned to a dental office?
What is my effective Date?
Your effective date is noted on your ID card. If you have not received your ID card, you may contact our Member Services Department at 1.877.760.2247 to get this information.
How long does it take for the plan to become effective?
The effective date is the first day of the following month after payment is received.
How can a member enroll with Solstice?
Click on the "Enroll Now" button. You will be directed to the "Individual Membership" section. This section includes plan, benefits and pricing information.
How do I obtain a copy of the schedule of benefits for my plans?
You will receive a copy of your Schedule of Benefits with your ID card. If you would like to receive another copy by mail, you can contact our Member Services Department at 1.877.760.2247, Monday-Friday, 8am-6pm.If you would like to receive your Schedule of Benefits immediately, you may download it by accessing the benefits portal,www.MySolstice.net.
About Your Plan
How do co-pays or member fees work?
Co-pays are fees due to the provider at the time of service for procedures performed. Your Schedule of Benefits has a complete listing of co-pay or member fee amounts.
What are lab fees?
Lab fees are additional costs to you based on the type of work being performed (crowns, dentures, partials) and the types of materials being used (porcelain, noble metal, etc.).To find a complete listing of lab fees, please refer to your Schedule of Benefits. Solstice has listed maximums for lab fee, so you will never see "surprise" lab fees.
What are frequency limitations? Are there limits for cleanings and exams?
Frequency limitations are limitations on covered services. Cleaning frequencies on our plans allow members to have two cleanings once every six months at no charge and others at a minimal co-pay. Exams are at no charge once every six months. For example, routine cleanings (D1110) are covered under some plans every six months. If you go to the dentist for a cleaning before six months have elapsed from the last cleaning you received, due to the frequency limitation, you would be responsible to pay the dentist a co-pay for the additional cleaning. You can find additional cleaning co-pay amounts on your Schedule of Benefits.
What is capitation? Is my plan capitated?
Your plan is not a capitated plan. Capitated plans request that you select a primary dentist to which you are assigned and you can only change dentists a certain number of times. Moreover, the dentist of your choice will receive payment for your assignment whether or not you visit the dental office for treatment. Solstice Benefits plans are designed as open access. You can visit the in-network dentist of your choice without having to be assigned to the office and the dentist only receives payment when you receive services. In addition, you do not have to wait if you choose to make an appointment with another dentist.
If I need a specialist (oral surgeon, endodontist, periodontist, pediatric, prosthodontist, pediatric dentist or orthodontist) how do I find one? How will the specialist charge me? Do I need a referral?
If you have any Pre-paid plan and need the services of a specialist (oral surgeon, endodontist, orthodontist, periodontist, prosthodontist, pediatric or pediatric dentist), you can go directly to a participating specialist with no preauthorization and receive a 25% discount off the participating provider's Usual and Customary fee. If you have the S200, S500, S700, or COM1000, you can receive specialty care as mentioned above. You also may obtain prior written authorization from Solstice Benefits and receive specialty treatment by an approved participating specialist at the listed co-payments. To locate a specialist, visit our provider search page and select your plan and type of specialist, and provide your location. If you have any questions on how to obtain written authorization to visit a participating specialist, please call our Member Services Department at 1.877.760.2247.
What is the difference between procedures that are "covered" vs. "not covered?" If a procedure is covered, does that mean I have no co-pay? If it's not covered, do I have to pay my dentist his/her full fee?
The Schedule of Benefits lists all the procedures that are covered under your plan. Covered procedures may or may not have co-pays attached to them. If a procedure is not listed in your Schedule of Benefits, then it is considered “not covered.” However, these procedures are available to you at the participating general dental office at a 25% discount off the dentist's full fee.
If I need a root canal, will my tooth be fully restored?
Root canal treatment (RCT) is the removal of infected tissue by surgical intervention known as endodontic therapy. Completion of the RCT does not, however, signify complete restoration of the damaged tooth. Additional treatment, such as a filling or crown, may be necessary for completion of the restoration.
If I need a crown, what other procedures are involved?
Crowns are restorations of teeth using materials that are fabricated in a laboratory and then cemented into place. In order to prepare your tooth for a crown, a dentist may need to perform other procedures such as a root canal treatment, core buildup, or placing a post. Please refer to your Schedule of Benefits for co-pay or member fee amounts for these procedures.
I want to get my "free" routine cleaning, but my dentist says I need a "deep cleaning." What is the difference?
Generally, a routine cleaning or prophylaxis every six months is sufficient to maintain dental health. However, certain people may need deeper cleaning procedures called “scaling and root planning” or “gross debridement.” The purpose of these types of cleanings is to remove plaque, calculus, microorganisms and stains from the crowns and root surfaces of teeth. These more involved types of cleanings can help improve your overall health as well as prevent future health complications attributed to periodontal (gum) disease.
Why do I need to get X-rays taken when I first visit a dental office?
Dental X-rays provide dentists with a “look” into your teeth, bones and surrounding soft tissue. Dentists use X-rays to identify and diagnose problems not visible to the naked eye. X-rays can show cavities and bone loss, and help the dentist determine the right course of treatment for your overall dental health.
I'm not comfortable with the diagnosis or treatment plan I was given. Should I get a second opinion? If I want a second opinion, what steps should I take?
Our Member Services Representatives are available at 1.877.760.2247, Monday-Friday, 8am-6pm, to assist you and answer any questions you may have regarding your dental treatment. If you need to consult a different dentist for a second opinion, you can always contact us and request authorization to visit another participating provider for a second opinion.
Groups
How can we locate providers for our employees?
You can email (contact@solsticebenefits.com) or fax (1.954.370.1701) your request on your company letterhead. You may also have your agent submit the request on your behalf. You can also log into our benefits portal, www.MySolstice.net, and update your address information.
How long does it take to have updates processed?
Updates are processed within 48 hours from the time they are received in our office.
How do we report a concern?
You may contact our Member Services Department at 1.877.760.2247, or any of the representatives on your contact sheet under your “Employer Documents” once you sign in to your account.
How do we schedule enrollment meetings for our employees?
You may schedule enrollment meetings by calling or emailing your request to the Account Representative on your contact sheet under your employer documents.
How do we request replacement ID cards for our employees?
Replacement ID cards may be requested by signing in to your account. Find the member's name under the “Member List” tab and double click on it. Click on the “Summary” tab, then the appropriate action at the bottom of the screen. Or you may contact your Group Administration Representative on the contact sheet found under your "Employer Documents."
Are our employees required to be assigned to a dental office?
Our plans are open access. Therefore, members do not need to be assigned to a dental office. They may select any participating provider within our network who accepts their plan. Simply call the selected provider for an appointment.
What is our policy effective date?
Your policy's effective date is pre-determined when completing your group application form, or on any written request issued thereafter.
How can we request Enrollment Kits for our company?
You may request enrollment kits by calling or emailing your Account Representative on the contact sheet found under your "Employer Documents." You may also contact our Member Services Department at 1.877.760.2247 to obtain kits.
How may we request a Certificate of Coverage for our plan(s)?
You may obtain a Certificate of Coverage or Schedule of Benefits by accessing the benefits portal, MySolstice.Net. You may also contact our Member Services Department at 1.877.760.2247.
How do we submit enrollment changes/terminations?
Enrollment changes/terminations can be submitted online by signing in to your benefits portal, MySolstice.Net. They can also be emailed (GroupAdmin@solsticebenefits.com) or faxed (1.954.370.1701) to your Group Administration contact.
How can we request the Schedule of Benefits for our plan(s)?
You will receive a copy of your Schedule of Benefits with your ID card. If you would like to receive another copy by mail, you can contact our Member Services Department at 1.877.760.2247, Monday-Friday, 8am-6pm. If you would like to receive your Schedule of Benefits immediately, you may download it by accessing the benefits portal, MySolstice.Net.
How do we obtain our invoices?
Your monthly invoices can be retrieved online through MySolstice.net.
How do we notify Solstice about COBRA elections?
Once a former employee elects COBRA coverage, Solstice Benefits must be notified in writing by email (GroupAdmin@solsticebenefits.com) or fax (1.954.370.1701).