The Multiple Option Dental Program is a dental insurance program administered by Solstice Benefits, Inc. The program provides coverage for dental services, including network and out-of-network benefits. The program is governed by the laws of the state of Florida and is subject to the terms and conditions of the policy. The policy includes definitions of key terms, general provisions, and procedures for obtaining dental services. The program also includes a schedule of benefits, which lists the covered dental services and the corresponding reimbursement amounts.
* Key aspects of the program include:
* Network benefits: Dental services provided by a network dentist are covered at a lower cost to the member.
* Out-of-network benefits: Dental services provided by an out-of-network dentist are covered, but at a higher cost to the member.
* Coverage: The program covers necessary dental services, which are determined by the administrator based on accepted dental practices.
* Exclusions: The program excludes certain services, such as experimental or investigational services.
* Complaint procedures: The program includes procedures for filing complaints and resolving disputes.
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