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Solstice Dental Benefits DENTAL Smiles. We cover those. The Solstice dental plan is easy to use and cost effective. It covers a wide range of dental services—all designed to keep your smile healthy. Say yes to no. How does the plan work? You can see any general dentist who is part of our large network. You do not need to choose a primary care dentist. That dentist will provide most of your dental care. If you need to see a specialist, you have two options: •You can get a pre-authorization (approval prior to receiving services) from us and pay a co-pay. Co-pays are listed in your plan document, which you can find online at myuhc.com®. To get a preauthorization, simply contact us at the number on your ID card. No deductibles o annual maximums N when you receive services from a network provider o exclusions for N pre-existing conditions •If you do not want to get a referral, you may go to a specialist in the Solstice network and receive a 25% discount off the specialist’s Usual and Customary charge, which is the average fee dentists in your area charge for a procedure. If you are traveling outside of Florida and need dental services to relieve pain, you’ll need to pay for the service and mail us your receipt and treatment information. We will pay up to $100 per occurrence. Send the information to: UnitedHealthcare Dental Att: Claims Unit PO Box 30567 Salt Lake City, UT 84130-0567 “Highest in Customer Satisfaction with Dental Plans, Two Years in a Row1” [Drafting Note: Plan 150] Benefits that help you save money and stay healthy What’s covered? Preventive services covered at 100% on most plans when you see a dentist in the network. Preventive services include exams, cleanings and bitewing X-rays, as well as sealants for children. Hundreds of other services at a co-pay, including fillings, crowns, and cosmetic procedures—such as teeth whitening, bonding, veneers and orthodontia for adults and children. See your plan documents for details. Manage your health and your plan online and on the go. Extra visits for cleanings and gum treatments during pregnancy and three months following delivery, as prescribed by the general dentist. Pregnant women are more prone to bacteria that causes tooth decay and gum disease during this time.2 Network dentists provide a 25% discount for services not covered by the plan. That discount will come directly from the dental office. There are no claims to submit. A Solstice plan is a smart plan for those who want savings and broad coverage. Sign up today! Start receiving the care you need to enjoy better oral health. It’s all yours with the Solstice dental plan. Find a dentist in the network Use “Find a Dentist” on myuhc.com®. Login so you only see dentists in your network, or call the number on your ID card. 1 nitedHealthcare received the highest numerical score in the proprietary J.D. Power U 2014-2015 Dental Plan Satisfaction ReportsSM. 2015 report measures opinions of consumers with dental plans, includes seven plans, and is based on responses from 2,449 consumers. Proprietary study results are based on experiences and perceptions of consumers surveyed September-October 2015. Your experiences may vary. Visit www.jdpower.com 2 http://www.cda.org/Portals/0/journal/journal_062010.pdf Offered by Solstice Benefits, Inc. a Licensed Prepaid Limited Health Service Organization; Chapter 636 F. S., and administered by Dental Benefit Providers, Inc. MT-991630.1 12/15 © 2015 United HealthCare Services, Inc. 15-0877-I 213-9521 As a member, you can see plan details and learn about oral health on myuhc.com. Review coverage. Find network providers. Check your claims. Estimate costs. iew and print your ID V cards and more.