Dental

Benefit Options offers two dental plan options. 

UHC SOLSTICE S800B DHMO 

• A Dental Health Maintenance Organization Plan (DHMO) without deductibles or dollar limits.
• You must use an in-Network provider; out-of-network services are covered only in emergencies.
• Find a provider on smilestateofaz.com. Residents of these states and territories cannot enroll in the DHMO: AK, AL, AR, DE, HI, IA, ID, LA, ME, MS, MT, ND, NE, NH, OK, RI, SD, VT, WV, WY, GU, USVI, and PR.
• UHC Solstice S800B Enrollment Booklet with Schedule of Benefits
• UHC Solstice S800B DHMO | Summary Plan Description (SPD) 

DELTA DENTAL PPO PLUS PREMIER

• A Dental Preferred Provider Organization Plan.
• Services can be obtained in-Network or out-of-Network but will have higher costs for out-of-Network services.
• Additionally, there are in-Network and out-of-Network deductibles that must be met.
• Delta Dental PPO | Summary Plan Description (SPD)

• See pg. 13 of the Active Enrollment Guide.

• When you enroll in this benefit, you will receive an ID card within a few weeks.
• You can access your ID card via the insurance company’s website or app. 
• Contact your carrier if you need assistance retrieving your card. The contact information is below. 

• UHC Solstice | 844-208-0223 | smilestateofaz.com | Group: S800B
• Delta Dental of Arizona | 602-588-3620 | 866-978-2839 | deltadentalaz.com | Group: 77777-0000