Solera Dental Health Insurance in NEVADA – Health Plan Options

Solera Dental — Distinct Advantage HMO Option 1

A comparison of the Distinct Advantage HMO Option 1 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.
Copay	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.	Primary Care Provider- $10 per visit. Specialist- $20 per visit with referral.
Deductible	N/A	N/A

Solera Dental — Distinct Advantage HMO Option 2

A comparison of the Distinct Advantage HMO Option 2 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral
Copay	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral	Primary Care Provider- $25 per visit Specialist- $50 per visit with referral
Deductible	N/A	N/A

Solera Dental — Distinct Advantage POS Option 3

A comparison of the Distinct Advantage POS Option 3 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Tier I HMO Network- N/A Tier II Plan Provider- After satisfying your CYD, coinsurance for most Tier II Plan Provider Covered Services is 20% of EME.	Tier III NonPlan Provider- After satisfying your CYD, coinsurance for most Tier III Non Plan Provider Covered Services is 40% of EME.
Office Visit	Tier I HMO Network: Primary Care Physican- $15 per visit Specialist- $30 per visit - Referral Required Tier II Plan Provider: Primary Care Physican- $30 per visit Specialist- $45 per visit - Prior Authorization is not required for Tier II & Tier III benefits	Tier III NonPlan Provider- After CYD, Member pays 40% of Eligible Medical Expenses (EME).
Copay	Tier I HMO Network: Primary Care Physican- $15 per visit Specialist- $30 per visit - Referral Required Tier II Plan Provider: Primary Care Physican- $30 per visit Specialist- $45 per visit - Prior Authorization is not required for Tier II & Tier III benefits	Tier III NonPlan Provider- After CYD, Member pays 40% of Eligible Medical Expenses (EME).
Deductible	Tier I HMO Network- N/A Tier II Plan Provider- $500 per Member/$1,500 per family. Calendar year deductible is combined total of EME for Tier II Plan Provider and Tier III Non-Plan Provider Covered Services.	Tier III NonPlan Provider- $500 per Member/$1,500 per family. Calendar year deductible is combined total of EME for Tier II Plan Provider and Tier III Non-Plan Provider Covered Services.

Solera Dental — Distinct Advantage HMO Option 4

A comparison of the Distinct Advantage HMO Option 4 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	N/A	N/A
Office Visit	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral
Copay	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral	Primary Care Physician- $25 per visit Specialist- $50 per visit with referral
Deductible	N/A	N/A

Solera Dental — Distinct Advantage PPO Plan 1

A comparison of the Distinct Advantage PPO Plan 1 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Plan Providers is 20% of Eligible Medical Expenses (EME).	NonPlan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Non-Plan Providers is 50% of Eligible Medical Expenses (EME).
Office Visit	Plan Provider: Office Visit/Consulations- $35 per visit Inpatient Visit/Consulations- After CYD, SHL pays 80% of EME.	NonPlan Provider: After CYD, SHL pays 50% of EME.
Copay	Plan Provider- Insured pays $35 per visit.	NonPlan Provider- After CYD, SHL pays 50% of EME.
Deductible	$1,000 per Insured/$2,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.	$1,000 per Insured/$2,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.

Solera Dental — Distinct Advantage PPO Plan 2

A comparison of the Distinct Advantage PPO Plan 2 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Plan Providers is 20% of Eligible Medical Expenses (EME).	NonPlan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Non-Plan Providers is 40% of Eligible Medical Expenses (EME).
Office Visit	Plan Provider- Office Visit/Consulations- $35 per visit Inpatient Visit/Consulations- After CYD, SHL pays 80% of EME.	NonPlan Provider- After CYD, SHL pays 60% of EME.
Copay	Plan Provider- Insured pays $35 per visit.	NonPlan Provider- After CYD, SHL pays 50% of EME.
Deductible	$1,500 per Insured/$3,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.	$1,500 per Insured/$3,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.

Solera Dental — Distinct Advantage PPO Plan 3

A comparison of the Distinct Advantage PPO Plan 3 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Plan Providers is 10% of Eligible Medical Expenses (EME).	NonPlan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Non-Plan Providers is 30% of Eligible Medical Expenses (EME).
Office Visit	Plan Provider- Office Visit/Consulations- $40 per visit Inpatient Visit/Consulations- After CYD, SHL pays 90% of EME.	NonPlan Provider- After CYD, SHL pays 70% of EME.
Copay	Plan Provider- Insured pays $40 per visit.	NonPlan Provider- After CYD, SHL pays 70% of EME.
Deductible	$2,500 per Insured/$5,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.	$2,500 per Insured/$5,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.

Solera Dental — Distinct Advantage PPO Plan 4

A comparison of the Distinct Advantage PPO Plan 4 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Plan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Plan Providers is 20% of Eligible Medical Expenses (EME).	NonPlan Provider- After satisfying your Calendar Year Deductible (CYD), Coinsurance for most Non-Plan Providers is 40% of Eligible Medical Expenses (EME).
Office Visit	Plan Provider- Office Visit/Consulations- $50 per visit Inpatient Visit/Consulations- After CYD, SHL pays 80% of EME.	NonPlan Provider- After CYD, SHL pays 60% of EME.
Copay	Plan Provider- Insured pays $50 per visit.	NonPlan Provider- After CYD, SHL pays 60% of EME.
Deductible	$5,000 per Insured/$10,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.	$5,000 per Insured/$10,000 per family. Calendar year deductible is combined total of Plan and Non-Plan EME.

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 80

A comparison of the Plan 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Doctor Office Visit - Illness and Injury: 80%	Doctor Office Visit - Illness and Injury: 80%
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Plan 100

A comparison of the Plan 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,000 (maximum 2 per family, per calendar year)	$1,000 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,000 (maximum 2 per family, per calendar year)	$1,000 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$1,500 (maximum 2 per family, per calendar year)	$1,500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$3,500 (maximum 2 per family, per calendar year)	$3,500 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

Solera Dental — Saver 80

A comparison of the Saver 80 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Not covered	Not covered
Copay	N/A	N/A
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

Solera Dental — Copay Saver

A comparison of the Copay Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits	Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits
Copay	see brochure	see brochure
Deductible	$2,500 (maximum 2 per family, per calendar year)	$2,500 (maximum 2 per family, per calendar year)

Solera Dental — Copay Saver

A comparison of the Copay Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits	Office Visit - History and Exam: $35 copay - no deductible, 2 visits per person per calendar year, including wellness office visits
Copay	see brochure	see brochure
Deductible	$5,000 (maximum 2 per family, per calendar year)	$5,000 (maximum 2 per family, per calendar year)

Solera Dental — Copay Select

A comparison of the Copay Select offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)
Copay	see brochure	see brochure
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

Solera Dental — Copay Select

A comparison of the Copay Select offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)
Copay	see brochure	see brochure
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

Solera Dental — Copay Select

A comparison of the Copay Select offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)
Copay	see brochure	see brochure
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

Solera Dental — Copay Select

A comparison of the Copay Select offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)
Copay	see brochure	see brochure
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

Solera Dental — Copay Select

A comparison of the Copay Select offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)	Office Visit - History and Exam: $35 copay - no deductible ($25 Copay plan enhancement available)
Copay	see brochure	see brochure
Deductible	$500 (maximum 2 per family, per calendar year)	$500 (maximum 2 per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$1,150 (one per family, per calendar year)	$1,150 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$1,150 (one per family, per calendar year)	$1,150 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$1,900 (one per family, per calendar year)	$1,900 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$1,900 (one per family, per calendar year)	$1,900 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$2,900 (one per family, per calendar year)	$2,900 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$2,900 (one per family, per calendar year)	$2,900 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$3,500 (one per family, per calendar year)	$3,500 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$3,500 (one per family, per calendar year)	$3,500 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA 100

A comparison of the Single HSA 100 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	100%
Office Visit	Office Visit - History and Exam: No charge after deductible	Office Visit - History and Exam: No charge after deductible
Copay	see brochure	see brochure
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Single HSA Saver

A comparison of the Single HSA Saver offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Doctor Office Visit: Not covered	Doctor Office Visit: Not covered
Copay	N/A	N/A
Deductible	$5,000 (one per family, per calendar year)	$5,000 (one per family, per calendar year)

Solera Dental — Personal SDHP 70-50/3000

A comparison of the Personal SDHP 70-50/3000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% Covered	50% Covered
Office Visit	100% to SDA maximum then 70% after Deductible	100% to SDA maximum then 50% of Limited Fee Schedule after Deductible
Copay	N/A	N/A
Deductible	$3,000 per person/$6,000 family	$3,000 per person/$6,000 family

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — Short Term Medical

A comparison of the Short Term Medical offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illness and injury, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$1,000	$1,000

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — HealthSaver Limited-Benefit

A comparison of the HealthSaver Limited-Benefit offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.	Covered for unexpected illnesses and accidents, subject to deductible and coinsurance. 24/7 Teladoc services are included as well. See brochure for more details.
Copay	N/A	N/A
Deductible	$2,500	$2,500

Solera Dental — Spectrum 1000

A comparison of the Spectrum 1000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 20%	You pay 40%
Office Visit	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Copay	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Deductible	Individual: $1,000, Family: $2,000 (per contract year)	Individual: $2,000, Family: $4,000 (per contract year)

Solera Dental — Spectrum 2000

A comparison of the Spectrum 2000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 20%	You pay 40%
Office Visit	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Copay	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Deductible	Individual: $2,000, Family: $4,000 (per contract year)	Individual: $4,000, Family: $8,000 (per contract year)

Solera Dental — Spectrum 3000

A comparison of the Spectrum 3000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 20%	You pay 40%
Office Visit	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Copay	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Deductible	Individual: $3,000, Family: $6,000 (per contract year)	Individual: $6,000, Family: $12,000 (per contract year)

Solera Dental — Spectrum 4000

A comparison of the Spectrum 4000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 20%	You pay 40%
Office Visit	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Copay	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Deductible	Individual: $4,000, Family: $8,000 (per contract year)	Individual: $8,000, Family: $16,000 (per contract year)

Solera Dental — Spectrum 5000

A comparison of the Spectrum 5000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 20%	You pay 40%
Office Visit	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Copay	PCP Office Visit: $30 copay Specialist Office Visit: $50 copay	PCP Office Visit: You pay 40% after deductible Specialist Office Visit: You pay 40% after deductible
Deductible	Individual: $5,000, Family: $10,000 (per contract year)	Individual: $10,000, Family: $20,000 (per contract year)

Solera Dental — Torch 2000

A comparison of the Torch 2000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 30%	You pay 50%
Office Visit	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $2,000, Family: $4,000 (per contract year)	Individual: $4,000, Family: $8,000 (per contract year)

Solera Dental — Torch 3000

A comparison of the Torch 3000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 30%	You pay 50%
Office Visit	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $3,000, Family: $6,000 (per contract year)	Individual: $6,000, Family: $12,000 (per contract year)

Solera Dental — Torch 4000

A comparison of the Torch 4000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 30%	You pay 50%
Office Visit	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $4,000, Family: $8,000 (per contract year)	Individual: $8,000, Family: $16,000 (per contract year)

Solera Dental — Torch 5000

A comparison of the Torch 5000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 30%	You pay 50%
Office Visit	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $5,000, Family: $10,000 (per contract year)	Individual: $10,000, Family: $20,000 (per contract year)

Solera Dental — Torch 6000

A comparison of the Torch 6000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 30%	You pay 50%
Office Visit	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $40 copay Specialist Office Visit: $60 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $6,000, Family: $12,000 (per contract year)	Individual: $12,000, Family: $24,000 (per contract year)

Solera Dental — TorchLight 2000

A comparison of the TorchLight 2000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 50%	You pay 50%
Office Visit	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $2,000, Family: $4,000 (per contract year)	Individual: $4,000, Family: $8,000 (per contract year)

Solera Dental — TorchLight 4000

A comparison of the TorchLight 4000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 50%	You pay 50%
Office Visit	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $4,000, Family: $8,000 (per contract year)	Individual: $8,000, Family: $16,000 (per contract year)

Solera Dental — TorchLight 6000

A comparison of the TorchLight 6000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 50%	You pay 50%
Office Visit	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $6,000, Family: $12,000 (per contract year)	Individual: $12,000, Family: $24,000 (per contract year)

Solera Dental — TorchLight 8000

A comparison of the TorchLight 8000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 50%	You pay 50%
Office Visit	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $8,000, Family: $16,000 (per contract year)	Individual: $16,000, Family: $32,000 (per contract year)

Solera Dental — TorchLight 10000

A comparison of the TorchLight 10000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 50%	You pay 50%
Office Visit	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Copay	PCP Office Visit: $50 copay Specialist Office Visit: $70 copay	PCP Office Visit: You pay 50% after deductible Specialist Office Visit: You pay 50% after deductible
Deductible	Individual: $10,000, Family: $20,000 (per contract year)	Individual: $20,000, Family: $40,000 (per contract year)

Solera Dental — Prism 1500

A comparison of the Prism 1500 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 0%	You pay 20%
Office Visit	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Copay	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Deductible	Individual: $1,500, Family: $3,000 (per contract year)	Individual: $3,000, Family: $6,000 (per contract year)

Solera Dental — Prism 2000

A comparison of the Prism 2000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 0%	You pay 20%
Office Visit	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Copay	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Deductible	Individual: $2,000, Family: $4,000 (per contract year)	Individual: $4,000, Family: $8,000 (per contract year)

Solera Dental — Prism 3000

A comparison of the Prism 3000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 0%	You pay 20%
Office Visit	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Copay	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Deductible	Individual: $3,000, Family: $6,000 (per contract year)	Individual: $6,000, Family: $12,000 (per contract year)

Solera Dental — Prism 4000

A comparison of the Prism 4000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 0%	You pay 20%
Office Visit	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Copay	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Deductible	Individual: $4,000, Family: $8,000 (per contract year)	Individual: $8,000, Family: $16,000 (per contract year)

Solera Dental — Prism 5000

A comparison of the Prism 5000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	You pay 0%	You pay 20%
Office Visit	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Copay	PCP Office Visit: You pay 0% after deductible Specialist Office Visit: You pay 0% after deductible	PCP Office Visit: You pay 20% after deductible Specialist Office Visit: You pay 20% after deductible
Deductible	Individual: $5,000, Family: $10,000 (per contract year)	Individual: $10,000, Family: $20,000 (per contract year)

Solera Dental — First Dollar Managed Choice Open Access 30

A comparison of the First Dollar Managed Choice Open Access 30 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay (Unlimited visits); Specialist Visit: $40 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay (Unlimited visits); Specialist Visit: $40 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $0, Family: $0	Individual: $5,000, Family: $10,000

Solera Dental — First Dollar Managed Choice Open Access 40

A comparison of the First Dollar Managed Choice Open Access 40 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	60% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $0, Family: $0	Individual: $7,000, Family: $14,000

Solera Dental — Managed Choice Open Access 1500

A comparison of the Managed Choice Open Access 1500 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $25 copay, deductible waived (Unlimited visits); Specialist Visit: $35 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Solera Dental — Managed Choice Open Access 2500

A comparison of the Managed Choice Open Access 2500 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay, deductible waived (Unlimited visits); Specialist Visit: $40 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Solera Dental — Managed Choice Open Access 5000

A comparison of the Managed Choice Open Access 5000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: $40 copay deductible waived (Unlimited visits), Specialist Visit: $50 copay deductible waived (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited visits), Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit: $40 copay deductible waived (Unlimited visits), Specialist Visit: $50 copay deductible waived (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited visits), Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Solera Dental — Managed Choice Open Access Value 1500

A comparison of the Managed Choice Open Access Value 1500 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Non-specialist Office Visit: 75% after deductible, Specialist Visit: 75% after deductible	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Office Visit	Non-specialist Office Visit: 75% after deductible, Specialist Visit: 75% after deductible	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: 75% after deductible, Specialist Visit: 75% after deductible	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Solera Dental — Managed Choice Open Access Value 2500

A comparison of the Managed Choice Open Access Value 2500 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	60% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: Visits 1-2: $40 copay, ded. Waived; Visits 3+: 70% after ded. Spec. and Non-Spec. share visit max. Specialist Visit: Visits 1-2: $40 copay, ded. Waived; Visits 3+: 70% after ded. Spec. and Non-Spec. share visit max.	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Copay	Non-Specialist Office Visit: Visits 1-2: $40 copay, ded. Waived; Visits 3+: 70% after ded. Spec. and Non-Spec. share visit max. Specialist Visit: Visits 1-2: $40 copay, ded. Waived; Visits 3+: 70% after ded. Spec. and Non-Spec. share visit max.	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Solera Dental — Managed Choice Open Access High Deductible 3000 (HSA Compatible)

A comparison of the Managed Choice Open Access High Deductible 3000 (HSA Compatible) offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible (Unlimited Visits), Specialist Visit: 70% after deductible (Unlimited Visits)
Copay	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible (Unlimited Visits), Specialist Visit: 70% after deductible (Unlimited Visits)
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family: $12,000

Solera Dental — Managed Choice Open Access High Deductible 5000 (HSA Compatible)

A comparison of the Managed Choice Open Access High Deductible 5000 (HSA Compatible) offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 50% after deductible (Unlimited visits); Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Solera Dental — Preventive and Hospital Care 1250

A comparison of the Preventive and Hospital Care 1250 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Not covered	Not covered
Copay	Not covered	Not covered
Deductible	Individual: $1,250, Family: $2,500	Individual: $2,500, Family: $5,000

Solera Dental — First Dollar Managed Choice Open Access 30 with Dental

A comparison of the First Dollar Managed Choice Open Access 30 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay (Unlimited visits); Specialist Visit: $40 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $30 copay (Unlimited visits); Specialist Visit: $40 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $0, Family: $0	Individual: $5,000, Family: $10,000

Solera Dental — First Dollar Managed Choice Open Access 40 with Dental

A comparison of the First Dollar Managed Choice Open Access 40 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	60% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay (Unlimited visits); Specialist Visit: $50 copay (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner Pediatrician or Internist): 50% after deductible (Unlimited visits);Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $0, Family: $0	Individual: $7,000, Family: $14,000

Solera Dental — Managed Choice Open Access 1500 with Dental

A comparison of the Managed Choice Open Access 1500 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible	50% after deductible
Office Visit	Non-specialist Office Visit: $30 Copay not subject to deductible (Unlimited visits), Specialist: $40 Copay not subject to deductible (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited visits), Specialist Visit: 50% after deductible (Unlimited visits)
Copay	Non-specialist Office Visit: $30 Copay not subject to deductible (Unlimited visits), Specialist: $40 Copay not subject to deductible (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited visits), Specialist Visit: 50% after deductible (Unlimited visits)
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Solera Dental — Managed Choice Open Access 2500 with Dental

A comparison of the Managed Choice Open Access 2500 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: $30 copay deductible waived (Unlimited Visits), Specialist Visit: $40 copay deductible waived (Unlimited Visits)	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible.
Copay	Non-Specialist Office Visit: $30 copay deductible waived (Unlimited Visits), Specialist Visit: $40 copay deductible waived (Unlimited Visits)	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible.mited visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Solera Dental — Managed Choice Open Access 5000 with Dental

A comparison of the Managed Choice Open Access 5000 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): $40 copay, deductible waived (Unlimited visits); Specialist Visit: $50 copay, deductible waived (Unlimited visits)Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Solera Dental — Managed Choice Open Access Value 1500 with Dental

A comparison of the Managed Choice Open Access Value 1500 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	Non-specialist Office Visit: 75% after deductible, Specialist Visit: 75% after deductible	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Office Visit	Non-specialist Office Visit: 75% after deductible, Specialist Visit: 75% after deductible	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Copay	Non-specialist Office Visit: 75% after deductible, Specialist Visit: 75% after deductible	Non-specialist Office Visit: 50% after deductible, Specialist Visit: 50% after deductible
Deductible	Individual: $1,500, Family: $3,000	Individual: $3,000, Family: $6,000

Solera Dental — Managed Choice Open Access Value 2500 with Dental

A comparison of the Managed Choice Open Access Value 2500 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: Visits 1-2: $30 copay, deductible Waived; Visits 3+: 70% after deductible Spec. and Non-Spec. share visit max. (Unlimited visits), Specialist Visit: Visits 1-2: $30 copay, deductible Waived; Visits 3+: 70% after deductible Spec. and Non-Spec. share visit max. (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Copay	Non-Specialist Office Visit: Visits 1-2: $30 copay, deductible Waived; Visits 3+: 70% after deductible Spec. and Non-Spec. share visit max. (Unlimited visits), Specialist Visit: Visits 1-2: $30 copay, deductible Waived; Visits 3+: 70% after deductible Spec. and Non-Spec. share visit max. (Unlimited visits)	Non-Specialist Office Visit: 50% after deductible (Unlimited Visits), Specialist Visit: 50% after deductible (Unlimited Visits)
Deductible	Individual: $2,500, Family: $5,000	Individual: $5,000, Family: $10,000

Solera Dental — Managed Choice Open Access High Deductible 3000 (HSA Compatible) with Dental

A comparison of the Managed Choice Open Access High Deductible 3000 (HSA Compatible) with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	70% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible (Unlimited Visits), Specialist Visit: 70% after deductible (Unlimited Visits)
Copay	Non-Specialist Office Visit: 100% after deductible (Unlimited Visits), Specialist Visit: 100% after deductible (Unlimited Visits)	Non-specialist Office Visit: 70% after deductible (Unlimited Visits), Specialist Visit: 70% after deductible (Unlimited Visits)
Deductible	Individual: $3,000, Family: $6,000	Individual: $6,000, Family: $12,000

Solera Dental — Managed Choice Open Access High Deductible 5000 (HSA Compatible) with Dental

A comparison of the Managed Choice Open Access High Deductible 5000 (HSA Compatible) with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible up to out-of-pocket max. ($0 once out-of-pocket max. is satisfied)	50% after deductible up to out-of-pocket max. ($0 once out-of-pocket max is satisfied)
Office Visit	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialis
Copay	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 100% after deductible (Unlimited visits); Specialist Visit: 100% after deductible (Unlimited visits)	Non-Specialist Office Visit (General Physician, Family Practitioner, Pediatrician or Internist): 70% after deductible (Unlimited visits); Specialist Visit: 70% after deductible (Unlimited visits)
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Solera Dental — Preventive and Hospital Care 1250 with Dental

A comparison of the Preventive and Hospital Care 1250 with Dental offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.	50% after deductible up to out of pocket max. $0 once out of pocket max. is satisfied.
Office Visit	Not covered	Not covered
Copay	Not covered	Not covered
Deductible	Individual: $1,250, Family: $2,500	Individual: $2,500, Family: $5,000

Solera Dental — Blue HSA 2600

A comparison of the Blue HSA 2600 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	80%
Office Visit	80% after deductible	80% after deductible
Copay	N/A	N/A
Deductible	Individual- $2,600 Family- $5,200	Individual- $2,600 Family- $5,200

Solera Dental — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	50%
Office Visit	You pay $35	You pay 50%
Copay	$35	$35
Deductible	Single: $1,000, Family: $3,000	Single: $2,000, Family: $6,000

Solera Dental — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	50%
Office Visit	You pay $35	You pay 50%
Copay	$35	$35
Deductible	Single: $1,000, Family: $3,000	Single: $2,000, Family: $6,000

Solera Dental — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	50%
Office Visit	You pay $35	You pay 50%
Copay	$35	$35
Deductible	Single: $1,000, Family: $3,000	Single: $2,000, Family: $6,000

Solera Dental — Blue Saver 2000

A comparison of the Blue Saver 2000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70%	50%
Office Visit	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment) 3+ office visits: Member pays 100% of billed charges	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment) 3+ office visits: Member pays 100% of billed charges
Copay	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment)	2 office visits per member per year, in-network and out-of-network providers combined: Deductible is waived (member pays $30 copayment)
Deductible	$2,000 (2-member maximum)	$2,000 (2-member maximum)

Solera Dental — Nevada BluePreferred for Individuals

A comparison of the Nevada BluePreferred for Individuals offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	50%
Office Visit	You pay $35	You pay 50%
Copay	$35	$35
Deductible	Single: $1,000, Family: $3,000	Single: $2,000, Family: $6,000

Solera Dental — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$4,000 Individual. $8,000 Family.	$4,000 Individual. $8,000 Family.

Solera Dental — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$4,000 Individual. $8,000 Family.	$4,000 Individual. $8,000 Family.

Solera Dental — Nevada BluePreferred HSA for Individuals

A comparison of the Nevada BluePreferred HSA for Individuals offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	see brochure	see brochure
Office Visit	see brochure	see brochure
Copay	N/A	N/A
Deductible	$4,000 Individual. $8,000 Family.	$4,000 Individual. $8,000 Family.

Solera Dental — Blue 5000

A comparison of the Blue 5000 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70%	70%
Office Visit	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment) 5+ office visits per member per year: Anthem pays 70%; office visits are subject to deductible	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment) 5+ office visits per member per year: Anthem pays 70%; office visits are subject to deductible
Copay	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment)	First 4 office visits per member per year: Deductible is waived (member pays a $30 copayment)
Deductible	$5,000 (2-member maximum)	$5,000 (2-member maximum)

Solera Dental — Calculated Risk Taker

A comparison of the Calculated Risk Taker offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	60%
Office Visit	$40 per visit, unlimited vists per year	Covered at 60% (not subject to deductible)
Copay	$40	N/A
Deductible	$1,500	$1,500

Solera Dental — Part-Time Daredevil

A comparison of the Part-Time Daredevil offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	60%
Office Visit	$30 copayment for the first four office visits then 100%	Covered at 60% (not subject to deductible)
Copay	$30	N/A
Deductible	$3,000	$3,000

Solera Dental — Thrill Seeker

A comparison of the Thrill Seeker offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	60%
Office Visit	$20 copayment for the first four office visits then 100%	Covered at 60% (not subject to deductible)
Copay	$20	N/A
Deductible	$5,000	$5,000

Solera Dental — RightPlan PPO 40

A comparison of the RightPlan PPO 40 offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	60% coinsurance	50% coinsurance
Office Visit	$40 copayment Only some services are covered as part of an office visit. All other covered services are subject to applicable coinsurance or other cost-sharing amounts.	50% coinsurance
Copay	$40 copayment Only some services are covered as part of an office visit. All other covered services are subject to applicable coinsurance or other cost-sharing amounts.	N/A
Deductible	None	None

Solera Dental — Lumenos HSA

A comparison of the Lumenos HSA offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$1,500	$3,000

Solera Dental — Lumenos HSA

A comparison of the Lumenos HSA offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	70%	50%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$1,500	$3,000

Solera Dental — Lumenos HSA

A comparison of the Lumenos HSA offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500	$5,000

Solera Dental — Lumenos HSA

A comparison of the Lumenos HSA offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$2,500	$5,000

Solera Dental — Lumenos HSA

A comparison of the Lumenos HSA offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000	$6,000

Solera Dental — Lumenos HSA

A comparison of the Lumenos HSA offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$3,000	$6,000

Solera Dental — Lumenos HSA

A comparison of the Lumenos HSA offered by Solera Dental is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	Subject to deductible and coinsurance.	Subject to deductible and coinsurance.
Copay	N/A	N/A
Deductible	$5,000	$10,000