You are on page 1of 25

Whenthesunstandsatitsnorthernmostorsouthernmostpointfromtheequatoratnoon

SOLSTICEBENEFITSINDOUBT

TheBestorWorst?

15August2017

ByDavidArthurWalters
PRESSINDEPENDENT

MiamiBeach,Florida

Imaginethatyouareexperiencingexcruciatingdentalpainontheweekend.Your
dentist for a dozen years, Dr. Isadoros Mereos, whose office is four blocks from
yourhome,hastoldyoupreviouslythatyouneedarootcanalandcrownforthat
tooth,whichhewillbegladtodofor$2,700.

Now you are an elderly man who is having difficulty getting around because of
paininthechestandfatigue,conditionsforwhichyouhavevisitedyourdoctor.
Yourincomeisbelowthepovertylevel,andyouhavearound$300monthtolive
onafterrentandutilities.

Noproblem,youtellyourselfafteryoutakeseveralpainkillers.Youhavedental
insurance,orsoyouthink.

Whatyouactuallyhaveisaninsurancecardindicatingthatyouaresupposedto
have dental insurance with United Health Cares Preferred Care Partners.
Whetheryoureallyhaveinsuranceremainstobeseen.

Unfortunately,yourdentistdoesnotparticipateinthatMedicareAdvantageplan,
and he would not say why. You need to know who does participate in your
neighborhood.Yourecallthatwhenyousignedupfortheplanwayback,several
dentistswithinwalkingdistanceparticipated,andthatadvertisementwasoneof
themainreasonsyoubecameamember.

On Saturday, May 6, you call the Customer Service number on your insurance
cardforDental(8553516163),andgetahighpitchedbuzzingsound.Apparently
itisafaxnumber,althoughitisnotlistedonthecardassuch.Thenyoucallthe
mainCustomerServicenumber,forPreferredCarePartners(8662317291).

After going through several steps with the automated answer center, including
identifying your issue as dental pain, and being warned that your call may be
recorded,thedronetellsyouthatifyouhaveanemergencytocall911because
youhavecalledoutsidenormalworkinghours,inyourcase,theweekend.Forget
aboutit:theFireDepartmentwillnotsendanambulanceoverfordentalpain.

You are fortunate to have the cell phone that a sympathetic vice president of
Sprint,StevenM.Shoecraft,gaveyouforaccesstotheInternetafterthephone
youhadfortelephonecallsandtextwassuddenlydeclaredobsolete.

You take two more pain killers and use your new fangled Iphone to go to
www.myPreferredCare.comlistedonyourPreferredCareinsurancecard.

Youarerunintoablindalleyatthatsite.Whenyougettothedentalinformation
page,youneedtosignin,buttheinformationonyourcarddoesnotwork,and
apparentlyyouneedapassword.SoonSaturday,May6,yousendoffthisemail
toMemberServices@mypreferredcare.com

Hello, I have a painful dental emergency, and I have been unable to obtain a
scheduleofprovidersandascheduleofbenefitsalthoughPreferredHealthCare
Partners is supposed to provide dental insurance via Solstice and my premiums
arepaidthroughtheSSA.SolsticewebsiterefersmetoPreferredCare,Preferred
CaretoSolstice.TheWebsiteishorrible.Nosearchfacility.Icannotsignin.Also,
the Preferred Care website advises to register prior to logging in, but does not,
like any other website, provide instructions or a facility for registration on that
page.Iamsurprisedwiththeinadequaciesofthewebsite,andIhopethatisnot
indicativeofthecompanyasawhole,whichhasstatedonformssenttomethat
mydoctor,whoislistedinthehardcopycatalogue,isnotaparticipatingprovider,
andafterahalfhour'sconversationwitharepresentative,hasnotcorrectedthat
issue nor another issue, involving the mishandling of an $8 drug bill, which is
beingkickedaroundtotwootherinsurancecompanies,CAREPLUSandHUMANA,
bothofwhichpaidthebillalthoughIamnotamember,andaredunningmefor
it.Ihopethemanagedhealthcaresystemisnotsomismanaged.Norecognition
of member number on cards, My Preferred Care No. is XXXXX154800, and my
SolsticeNo.isXXXXX154800.PreferredChoiceDadePleaserespondimmediately.
DavidArthurWalters305742XXX(numbersredacted)

Notethetelephonenumber,becauseafteryoucomplainthatinsurancecoverage
is denied because you, the victim, are routinely blamed for the insurance
companys mistakes, on 21 July you will be respectfully told by Myrna James,
AppealsandGrievancesCoordinatorforSolsticeBenefits:

Ihavemadeseveralattemptstocontactyouviaphonetothenumberwehave
onfile(3054385000)butitstateslinebusyanddisconnectsthecallwithoutan
optiontoleaveavoicemessage.

That is no wonder, because 3054385000 is not your number. It is the listed


numberofPreferredCarePartnersMiami.Moliereshouldbewritingupacomedy
oferrors!

Finally the weekend is over. You recall from an old listing that a highly
recommended dentist, Dr. Amini Bahman, with offices at luxurious 119
Washington Avenue, participates in your socalled dental insurance plan. It is
Monday,youareinalmostunbearablepain,butyougrityourteethandcallthat
number. His administrative assistant says she is not aware of Dr. Bahmans
participationinthatplan.

NowyoufinallyreceivefromSolsticerepresentativeHernandoJimenezaPDFof
providers.Thereisonlyonelistedinareacode33139,andthatdentistisnotonly
unavailableatthetime,butisoneyoudonottrustbecauseofaveryhighquote
given several years prior in comparison to a quote given by Dr. Mereos for the
samework.

No, Dr. Bahman is not listed, the painkillers are not working, so you call Dr.
Mereos,andhewilltakeyouimmediately,andhewilldiscounttheworkdownto
$2,200pluslab,sothereyougo,andyoushellouthalf,$1,100,fortherootcanal.
Thepainisgone.Youdonothaveanother$1,100forthecrown,andwithouta
crown you are told the tooth is at risk. The reason you did not have it pulled is
becauseitisoneoftwoteeththatyouhaveleftonthelowerjaw,soyouneedit
to anchor the denture. If it is lost, you will need a new lower denture, and you
maybemiserablefortherestofyourlife.

Well, you did what you had to do. And it was not easy walking even that short
distance,toDr.Mereosoffice,inpain,yourheartpounding,andfeelinglikeyou
arewalkinginquicksand.

ToobadDr.Bahmanwasnotonthelistofprovidershesuppliedforarea33139,
since$1,100wouldhavecoveredoutofpocketforboththerootcanalandcrown.
HernandoJimenezexplainsthatdentistscomeandgofromthenetwork.

GuesswhathappenedafteryouweretreatedbyDr.Mereos?Right,Dr.Bahmans
officecallsyoutoinformyouthatheisonthelist.AndHernandoJimenezsends
youanotherlistshowingthatthereareseveraldentistsparticipatinginareacode
33139,includingDr.Bahman,theverydentistyoumentionedtohimasnotbeing
onthefirstlisthesent.

Youarerightfullyangry,andwhipoffamessagetoHernandoJimenezthathehas
costyou$1,100andagreatdealofsuffering.Hedoesnotapologize.Infact,he
blamesthewholethingonyou.

Yousee,hesays,thereisabiglistandalittlelist,andthebiglistdoesnotinclude
the dentistsonthe littlelistthatareinarea33139i.e. MiamiBeach,yourarea,
nottomentionseveralclosetoyourhome,includingDr.Bahman,soyoushould
havegonetoanyoneofthedentistsonthebig,15mileradiuslist.

Of course that standard strategy, of blaming the victim for getting beat up, and
notevenapologizing,givesyoucausetoresolvetopursuetheinsurancecompany
totheendofyourdaysuntiljusticeisdoneornot.

Of course Myrna James in the grievance department is moved by the standard


strategytocolludewithHernandoJimenezinthedenialofresponsibilityandthe
casting of blame on you for the error. After all, this is the corporate world, and
they have a program from which they must not vary, one that may save them
fromfurtherdeficits.Inshort,youmightaswellbetalkingtorobots.

Havefaith,however,foranapparentlyhumaneandreasonablerayisemittedby
Myrna James on 21 July, in the same email she advised of her many efforts to
contact me by calling the wrong number, which did not answer, the number of
UnitedHealthCaresPreferredCarePartners.

Please understand, she wrote, we are in the business of helping all of our
membersasbestwekind(sic).Atthistime,wedonothaveanyclaimonfile.Idid
contact the office of Dr. Mereos and requested they submit a claim for the
servicesyoureceived.TheyoungladyIspoketoJudystatedshewillgetthe
claiminonMonday.Shedidnotexplainthereasonforthedelay.

Noticethekind,whichIinterpretedasasignofgoodintentionswhetherornot
it was a Freudian slip. We are kind to kin and others health care cares for. In
anycase,thehumaneintentionofthemessagewasclear.Yes,aclaimwasbeing
solicited from a dentist whom she knew was not a provider, a fact that had
already led to a blank denial of my claim. So here was a responsible company
willingtocorrectanerror.Infact,suchacorrectionwouldcostitnomorethanif
Dr.Mereoswasintheirnetwork.

Igladlyrespondedon21Julywith:IshallstandbyfortheresponsefromJudy.I
paid$1,100fortherootcanalataspecialdiscountrate.TheproblemisthatifIdo
not have Dr. Mereos do the crown right away and refit the denture, I shall lose
the tooth. I was indeed worried about the effort to hold me responsible for an
error that should have been admitted, and by no response to my request for
records, so I proceeded with research into responsibility records in the Miami
Dade Countybidandfilings inseveralstates.Needlessto say,Iamgladtohear
fromyoutoallaymyconcernsfornow.ThewayIseeit,ifSolsticetakescareof
the crown work, every party will be no worse off than if the matter had gone
throughthenormalnetworkprocedure.David

Indeed, I was become quite suspicious of Solstice, which provides insurance in


several states under that brand name, and had included its president and
beneficialownerMichaelFlax,aprominentdentist,withacopyofmygrievance.

I checked with Judy at Dr. Mereos office to discover that she had in fact
submittedaclaimtoSolsticeasrequestedalongwithXrays.

AndthenMyrnaJamesweighedin,reversingherselfon31Julywiththiscasuistry:

The request for the claim from the office of Dr. Mereos is only so we could
process the claim and provide you with a formal document which explains the
processingofyourclaim.However,Dr.Mereosisnotrequiredtosubmittheclaim
asheisOutofNetwork.Icalledhisofficeonyourbehalfasacourtesy.Ifyoufelt
that by requesting the claim we were considering in approving your claim, I
apologize. That was never my intention. Once the claim is received and
processed,itwilldenyforservicesrenderedbyanOutofNetworkProvider.

All that and more from an insurance company that advertises itself as receiving
rewards as the BEST around. That may very well be true, and is indicative of
what is wrong with not only health insurance but government in this country:
mismanagement. Managed health care was supposed to provide better health
care and save money to boot, but mismanaged managed health care is costing
livesandtreasureandjackinguppricesforeveryitemonthebenefitschedules.

The pain and emotion distress I have suffered as a result of my membership in


Solsticeisnotevenadropinthebucketcomparedtothatsufferedbyhundreds
ofthousandsofpeopleintheUnitedStates.

Theelderlyareespeciallyhelpless.Iaskedyoutoimaginethatyouwereme,and
to consider what you would do if confronted in my situation with my little
problem. You probably would wind up frustrated by the system and wind up
cheated of your premiums and health care if you were my age and had my
income. Wherefore I speak for you, in my little way, despite the fact that the
toothisstartingtogivemepainagainforlackofacrown.

xYx

AVERIGUARSOLESTICE

July31,2017fromDavidArthurWalterstoSolstice

Madame Myrna James: With all due respect, you are not listening, or are
exhibiting the denial and blaming mode, in collusion with the Solstice
representative,whoprovided mewith misinformationaboutnetworkproviders.
That representative initially provided me with a list of providers that did not
include a preferred provider four blocks from my house, and listed only one
providerin33139,whowasnotavailablefortheemergency.Theadminforthat
preferredprovider,whoreceivedacopyofthatlistfromme,didnotknowwhy
the provider was dropped from the list. My regular dentist, Dr. Mereos, who is
not in the network, however, was ready to take me right away. I went for the
immediately relief, and on the same day the admin for the preferred provider
called me to say that she had done some checking, and yes, come over for the
emergency because that group was in the network. Too late I was out $1,100
out of pocket for the root canal. I told your representative that he had cost me
$1,100withthenewlistandhisrhetoricabout howdentistscomeandgofrom
thenetwork,andthatafterhehadthenameofthepreferrednetworkprovider.
Oh, no apology came from him, just here is the right list, and it is all your fault
becauseyouareresponsible.Wrong.Well,soyousaidyoucontactedDr.Mereos
for a claim, leading me to believe that you are therefore going to waive the
networkrequirement,Iwaitedaweek,withwhatnowappearstobeafalsesense
ofsecurity,afteradvisingyouthatImaylosethetooth,crucialtomyholdingmy
denture, if I do not get the crown right away, and now this from you. This
behavior in my opinion is very unprofessional and incompetent, unlike what I
would expect from United Healthcare. David Originally sent by
appeals@solsticebenefits.comonJul31,201712:07PM

July31,2017fromSolsticetoDavidArthurWalters

.TherewereotherproviderslistedontheProviderlistingsenttoyou.Thelistof
Providers sent is within a 15 mile radius which is a reasonable and customary
distance to seek treatment. Again, it was your decision to go to an Out of
Network Provider even after providing you a list of InNetwork Providers. The
second list provided was a narrowed list including only dentists within a 5mile
radius.AsImayrecall,yourrequestdidnotspecifyadistanceorevenazipcode.
We used the zip code we have on file for you and as I explained before, the
defaultdistanceinoursystemforProviderSearchis15mileradiusandthatwas
senttoyou.InyourimmediatereplytotheProviderListingemail,yourfocuswas
moreontheProvidersthathadlefttheNetwork.Withallduerespect,thereason
why a Provider departs from a network is not information we are always
privilegedtoandisnotpublishedtoourmembers.

The request for the claim from the office of Dr. Mereos is only so we could
process the claim and provide you with a formal document which explains the
processingofyourclaim.However,Dr.Mereosisnotrequiredtosubmittheclaim
asheisOutofNetwork.Icalledhisofficeonyourbehalfasacourtesy.Ifyoufelt
that by requesting the claim we were considering in approving your claim, I
apologize. That was never my intention. Once the claim is received and
processed, it will deny for services rendered by an Out of Network Provider.
Again,IamnotsurewhatelseIcanassistyouwithsincewehaveingoodfaith
provided you with the list you requested. There was seven pages of dentists
forwardedtoyoufirstthingMondaymorningafterreceivingyourrequest.

Respectfully,
MyrnaJamesAppealsandGrievancesCoordinatorSolsticeBenefits
Ph:9543704396Fax:9543704397
mjames@solsticebenefit/.com

July31,2017fromDavidArthurWalterstoSolstice

DavidArthurWalters<davidarthurwalters@gmail.com>Mon,Jul31,2017at6:47
AM
To:appeals<appeals@solsticebenefits.com>

MyrnaJames,

The fact remains that Solstice supplied me with the wrong list not including
network providers in my Zip Code, particularly one that I contacted in an
emergency,aswasknownbytheSolsticerepresentative,andthiserrorwasthe
reason I went to my regular dentist, who was ready to accommodate me right
away,andthenonlytodiscoverthemistake,whichtherepresentative,andnow
you, want to cast the blame onto me without apology and with inhumane
insurancebureauspeak.IwouldbesurprisedifUnitedHealthCarewouldtolerate
such conduct towards their beneficiaries. Furthermore, I am informed that Judy
did,contrarytoyourstatements,sendalongtheclaimwithnotesandXrays.Your
requestforhertodosoledmetomakeafurtherdelayinthebeliefthatSolstice,
bywayofapology,hadprovidedawaiverinthisinstance.Itappearsthatnowyou
haveeitherreversedyourself,orevenyoufinditdifficulttodeterminewhoisand
isnotaprovider,ordonotpayattentiontotherecordsinfrontofyou.Ifthisis
widespreadSOPatSolstice,itgivesmecausetowonderwhatthebottomlineof
Solsticemaybe.Iamhopingitisjustamisunderstanding.BeforeItakethisany
higher,IsuggestthatyougiveJudyacallandarrangetorecognizetheclaimand
payitinsuchawaythatwewouldbeinthesamepositionifDr.Mereoswerea
provider.HowironicitisthatIhavebeenintheprocessofsellinghimontheidea
ofbecomingaSolsticeprovider.

July31,2017FromPreciousSmilestoDavidArthurWalters

JudyEspinosa<Judy@precioussmiles.com>Mon,Jul31,2017at5:58AM
To:DavidArthurWalters<davidarthurwalters@gmail.com>

Good Afternoon David, I sent the claim out last week Tuesday with xrays &
invoiceofyourpayment.

Judy
1315AltonRoad
MiamiBeach,FL33139

July31,2017fromDavidArthurWalterstoPreciousSmiles

DavidArthurWalters<davidarthurwalters@gmail.com>Mon,Jul31,2017at5:45
AM
To:JudyEspinosa<judy@precioussmiles.com>

Judy,Hi.HappyRainyDay!Solsticeclaimsthatyouhavenotsubmittedaclaim.I
assumed they would treat Dr. Mereos as if he were in the network for this
purposei.e.withawaiver.Maybenot,asIhaveanotherabsurdcommunication
fromSolstice,sayingagainyouhavenotsubmittedaclaimasifyouAREintheir
network. Please send along an itemized bill for the $1,100 I paid, along with a
copyofthefinalXrayafterthefillingwasdone,andtheXraytakenaftertheroot
canalwasdone.Thanks!David

July21,2017FromDavidArthurWalterstoPreciousSmilesandSolstice

From:DavidArthurWalters<davidarthurwalters@gmail.com>
Date:Fri,Jul21,2017at4:13PM
Subject:Solsticeletter
To:JudyEspinosa<judy@precioussmiles.com>,"Dr.Mereos"
dr.mereos@precioussmiles.com,appeals@solsticebenefits.com(Jul21,2017
3:39PM)

DearMadame,IhavenoideawhereSolsticegotthatnumber.Ishallstandbyfor
theresponsefromJudy.Ipaid$1,100fortherootcanalataspecialdiscountrate.
TheproblemisthatifIdonothaveDr.Mereosdothecrownrightawayandrefit
thedenture,Ishalllosethetooth.Iwasindeedworriedabouttheefforttohold
meresponsibleforanerrorthatshouldhavebeenadmitted,andbynoresponse
tomyrequestforrecords,soIproceededwithresearchintoresponsibilityrecords
in the MDC bid and filings in several states. Needless to say, I am glad to hear
fromyoutoallaymyconcernsfornow.ThewayIseeit,ifSolsticetakescareof
the crown work, every party will be no worse off than if the matter had gone
throughthenormalnetworkprocedure.David

(Originallysentbyappeals@solsticebenefits.comonJul21,20173:39PM)

July21,2017fromSolsticetoDavidArthurWalters

Good afternoon Mr. Walters, I have made several attempts to contact you via
phone to the number we have on file (3054385000) [Ed.3054385000 is the
listed number of Preferred Care Partners Miami] but it states line busy and
disconnects the call without an option to leave a voice message. Please
understand,weareinthebusinessofhelpingallofourmembersasbestwekind.
At this time, we do not have any claim on file. I did contact the office of Dr.
Mereos and requested they submit a claim for the services you received. The
youngladyIspoketoJudystatedshewillgettheclaiminonMonday.Shedid
notexplainthereasonforthedelay.Pleasefindattachedalldocuments(emails)
that have transpired since your original request for your InNetwork Provider
listing.ThespecificemailIwasreferringtointheResolutionLettersenttoyouis
the email titled: Benefit info unavailable to enrollees Original attached above.
Weunderstandthattherewasonlyoneproviderlistedinyourspecificzipcodeas
the list generated is exported in alphabetical order by county. As such, the first
few Providers listed are in Broward County, immediately following those in the
MiamiDade County. I understand the list initially included was generated with
our default parameters of 15 mile radius, the fact is we provided a list of seven
pages of in network providers within 15 miles of your zip code which is a
reasonable distance to seek innetwork services. If you require any additional
documentation;suchasacopyofyourscheduleofbenefits,pleaserefertoyou
Preferred Care Partners Member Handbook or you may contact Preferred Care
Partners directly at 1(877) 4855595. Respectfully, Myrna James, Appeals and
GrievancesCoordinator

21July2017fromDavidArthurWalterstoSolstice

DavidArthurWalters<davidarthurwalters@gmail.com>Fri,Jul21,2017at10:57
AM
To:appeals@solsticebenefits.com,Contact<contact@solsticebenefits.com>,
mariela_merced@uhcsouthflorida.com

PSIfIlosethebottomtooth,ananchortoothforthebottomdenture,Ishallbe
subject to discomfort for the rest of my life unless I can raise $40,000 for a
suitable implant; A dentist that was on an old network provider list was
recommendedtome,buttheSolsticerepresentativesentmewhatwassupposed
tobeanauthoritativecurrentlist,andthatproviderwasnotonit,soIcalledthat
provider,andtheadmindidnotknowabouttheinsurancebutpromisedtocheck
on it, wherefore the pain was such that I contacted Dr. Mereos, my preferred
dentist for many years, and I went in for the emergency root canal, which
immediatelyrelievedthepain,atwhichjuncturetheadmincalledmetosaythat
groupwasindeedonthelist,andIreceivedanotherlistfromyourrepresentative,
and indeed, that recommended provider was not only on that list, but a close
examinationrevealsthat33139iscrawlingwithnetworkdentists,atwhichpointI
toldtherepresentativehehadjustcostme$1,100,andhewentintodenialmode
andshiftedresponsibilityontome.Bytheway,anexaminationoftheemailrefers
toavailabilityofanonlinesearchfacility,butIfiguredthefirstlisthesentmewas
authoritative,and,infact,therewasviaPreferredHealthCarePartnersanonline
dental provider search facility that weekend, but it would not take an inquiry
without a password. Further, note that a 33139 search of the list the
representative sent me does have, as you noticed, a single dentist, who was
unavailableatthetime,andwhomIonanotheroccasionsatforanexamanddid
not care for at all. It did not occur to me to search on "Miami Beach", which
returns other information on groups with addresses in Miami, and members of
those groups may have dentists visiting somewhere on Miami Beach other than
33139orevenin33139.Anyway,theideathatacountywidesearchnotincluding
dentists within walking distance from me and excluding those that were is
confounding.Incidentally,thesecureSolsticefacilitydidnotallowthismessageto
be sent VIA REPLY ALL, that is, to all supposedly secure addressees in Solstice
email. But it did allow a REPLY only to Appeals. Can you imagine how many
seniorshavethepatience,accessto,andfamiliaritytopursuegrievances?Allin
all,IhavealwayshaddifficultyunderstandingwhyweshouldhaveanHMO,and
why not a choice of dentists, which is of course presumably justified by better
management,andIamlookingforwardtothat.David

20July2017fromDavidArthurWalterstoSolstice

MyrnaJames
HernandoJimenez

SECONDREQUESTFORRECORDS

Again,Pleasesendmeacopyoftherecordsreliedupontodismissmygrievance
withouttherebuttaldueprocesswouldwarrant.Ofcoursethoserecordsarefew
and should be readily available to you since you relied upon them. Inasmuch as
you did not acknowledge my original request nor the copy I sent later, and the
erroneous provider director provided by Mr. Jimenez and given the first hand,
painful knowledge of what happened, I have reason to believe that the
representativeandgrievancecoordinatormaybecolludinginmisconduct.Those
recordsareduetomeaccordingtheRevisedStatutesoftheStateofFlorida.IfI
donotreceivethemwithinfivebusinessdays,Ishallproceedaccordingly.

DavidArthurWalters
Cc:MichaelFlax,President
SOLSTICE

July15,2017fromDavidArthurWalterstoSolstice

OnSat,Jul15,2017at4:03PM,DavidArthurWalters
<davidarthurwalters@gmail.com>wrote:

SolsticeRepresentative:Pleasesendmeacopyoftheemailyouarereferringto
asyouhaveapparentlymadeanincorrectassessmentoftheinformation.Thank
you,DavidArthurWalters

July13,2017fromDavidArthurWalterstoSolstice

DavidArthurWalters<davidarthurwalters@gmail.com>Thu,Jul13,2017at2:30
PM
To:SecureEmailReply@securesolsticebenefits.com,HernandoJimenez
hjimenez@solsticebenefits.com

MyrnaJames:Attachedisthefirstlistthattherepresentativesentme,leadingme
toconcludethattheIminiBahmangroupat119Washingtonhadbeendropped
from the lists. The administrative assistant there will confirm that she was not
awareofwhetherthegroupwasinthenetworkafterItoldheritwasnotonthe
listjustsenttome.Itwasanemergencysituation,soIwenttoadentistIknew,at
whichtimetheadministrativeassistancecontactedmetosaytheirgroupwasin
the network, had not been dropped after all. Too late: I got the root canal but
cannot afford the crown out of pocket, and may now lose the tooth and a
denture.TheBahmangroupwouldhavedonealltheworkwiththeamountIpaid
my dentist for the root canal alone, and that at a deep discount. Your
representative presented me with a second list, with several dentists nearby
included that were not on the first list, and excused the error with robotic
corporatespeakthatherepeatedtoday.Ifheadmitstohiserrorandapologizes,
as he should have done in the first place, I shall drop the matter. If not I shall
pressforhisterminationassettlementatthehighestlevels,andshallgobeyond
if necessary. Be advised not to underestimate an impoverished old man. David
ArthurWalters

13July2017fromDavidArthurWalterstoSolstice

Contact<contact@solsticebenefits.com>Thu,Jul13,2017at9:14AM
To:DavidArthurWaltersdavidarthurwalters@gmail.com

Dear Mr. Walters; your concerns are being further evaluated, you will be
contactedsoon.Thankyouforcontactingourservices;MemberServices,Solstice
Benefits,Inc.

13July2017fromDavidArthurWalterstoSolstice

DavidArthurWalters<davidarthurwalters@gmail.com>Thu,Jul13,2017at7:32
AM
To:Contact<contact@solsticebenefits.com>

Sir:Youareutteringnonsensewhenyousayyoufirstsentmealargelistthatdid
not include the small list. Any larger list should have included the providers
availabletome,whichwasthepurposeasyouknowofmyrequest,toseewho
wasavailableinmyimmediatearea.Andofcoursethoseproviderswouldbeon
thesmalllistaswell.Youdidnotrefermetoanelectronicdatabase.Yousentme
thewronglist,andyoushouldberequiredtoeatit.Youstilldonotapologizefor
anerrorthatcostmeinanemergency.Ihadtwooptionsinmyimmediatearea,
within 6 blocks, and I was misled by your misinformation into believing that
neitherwasinthenetwork.ThenafterIwenttooneyousentmethecorrectlist
withthenetworkdentistonitwithoutanapology,parrotingtheHMOrhetoricas
an excuse and casting the blame for your mistake upon me. If your behavior is
condonedbyyourSolsticeCompany,itisnottheBESTasadvertised.Iknowwhat
IwoulddoifIweretheCEOofyourcompany,andifIweretheCEOofPreferred
CarePartners.AndIknowwhatIwoulddoifIweretheparticipatingdentalgroup
youfailedtoincludeintheinformationyouoriginallysentmewhenIdesperately
neededsomeonenearby.Amistakeisforgivable,butnotyourabsurddenial.And
then the failure to process my grievance at a higher level as requested is
inexcusable.ItappearswhatpassesforBESTtodayisbasedonalternativefactsif
thisisanyindicationofSolsticepractice.DavidArthurWalters

July13,2017fromSolsticetoDavidArthurWalters

Contact<contact@solsticebenefits.com>Thu,Jul13,2017at6:39AM
To:DavidArthurWalters<davidarthurwalters@gmail.com>

DearMr.Walters;arewesorrytohearthatyouranintodifficultiesfindingalocal
providerforyourdentalneeds,aswellasforanydiscomfortthatyoumayhave
experienced.Aboutyourcurrentplan;thisisanHMOplan,ahealthmaintenance
organizationthatrequirestheexclusiveuseofinnetworkprovidersinordertobe
coveredforservices.SolsticeBenefitsisyourdentalplanadministratorcompany,
and as such you are free to contact us to find local providers, get verbal
explanationofbenefits,questionthestatusonanyclaimssubmittedtousonyour
behalf by in network providers. In your particular situation you contacted us
initiallythroughemailfirstonthe5/8/2017requestingalistofprovidersaswell
aswheretogetyourbenefits,andyouwererepliedinalloccasionswiththelatest
listofprovidersforinyourarea,andreferringyoutoyourPreferredCarePartners
hand book, or to call Preferred Care Partners directly if you didnt have the
benefitsbooklet;lateronasecondrequest,becauseyoucomplainedtousthat
youcouldntfindaproviderfromourextensivelistthatwehadsent,wesentyou
another narrower focused list with local providers near you. At any from first
contactwithSolsticeitwasyourresponsibilitytopickaproviderfromourlistsof
the hundreds of participating providers that we had sent you; but you chose
someone out of network, therefore its our determination that there is no
coverage. If you have any question; suggestion or concerns, please feel free to
contact us or visit our corporate website to locate a provider with having to
register www.solsticebenefits.com. Thank you for contacting our services;
HernandoJimenezJr.MemberServicesSolsticeBenefits,Inc.

July13,2017fromSolsticetoDavidArthurWalters

GoodeveningMr.Walters,

Please find attached the resolution letter for your grievance regarding
misinformation in the Provider Listing received on May 8, 2017. Should you
have any questions or concerns regarding this decision, kindly submit your
concernstotheaddress/faxlistedontheresolutionletterattached.Respectfully,
MyrnaJames,AppealsandGrievancesCoordinator,SolsticeBenefits

July13,2017fromDavidArthurWalterstoSolstice

DavidArthurWalters<davidarthurwalters@gmail.com>Thu,Jul13,2017at12:58
AM
Cc:HernandoJimenez<hjimenez@solsticebenefits.com>,MemberServices
<MemberServices@mypreferredcare.com>

Hernando: I have not received a response to my complaint to the grievance


department as per your advice nor have I received an apology from you for the
financialandemotionalcostIsufferedasaresultofthemisinformationyousent
me,thereforeIexpecttoretainanattorneytoproceedagainstyou,Solstice,and
PreferredCarePartnersforrecovery.DavidArthurWalters

8May2017fromDavidArthurWalterstoSolstice&SouthBeachSmiles

DavidArthurWalters<davidarthurwalters@gmail.com>Mon,May8,2017at4:05
AM
To:sofi@southbeachsmiles.com
Cc:HernandoJimenez<hjimenez@solsticebenefits.com>,MemberServices
MemberServices@mypreferredcare.com

Nikki, Amini Bahman and group at 119 Washington Ave are not on the current
SolsticeProviderDirectorysenttometodaybySolstice,althoughthegroupwas
in the 2017 Prepaid Health Care Partners PLAN MATERIALS circulated at the
beginning of this year. It appears from comparison of the two lists that dentists
haveleftSolsticeindrovesalreadythisyear.ThereforesinceIaminpainandmy
regular dentist Dr. Mereos has the expertise to do the root canal in his office
today,Ishallpayanextra$1,100ofpockettohavehimdoitat3PMtotakeme
outofpain,the$2,200totalpricetoincludeacrown.Ithankyouforfollowingup.
IftherehasbeensomefoulupbySolsticeyoumayletmeknowifyouwishsinceI
amareporterandthesemattersinterestmeinanyevent.DavidArthurWalters

Attached:ProviderDirectoryZ9187VUQ.PDF2364K

8May2017fromDavidArthurWalterstoUnitedHealthCare

May8,2017

DavidArthurWalters<davidarthurwalters@gmail.com>Mon,May8,2017at4:11
AM
To:Enroll@uhcsouthflorida.com

Enroll:Whatamess!Dozenshavebeendroppedfromthe2017listaccordingto
theproviderlistsentmebySolstice.

ForwardedAbove:
From:DavidArthurWalters<davidarthurwalters@gmail.com>
Date:Mon,May8,2017at4:05AM
Subject:SolsticeProviderList
Cc: Hernando Jimenez <hjimenez@solsticebenefits.com>, MemberServices
<MemberServices@
mypreferredcare.com>

6May2017fromDavidArthurWalterstoPreferredCarePartners

MailDeliverySubsystem<mailerdaemon@googlemail.com>Sat,May6,2017at
3:48AM
To:davidarthurwalters@gmail.com
Address not found: Your message wasn't delivered to
MemberServices@mypreferredcare.com because the address couldn't be found.
Checkfortyposorunnecessaryspacesandtryagain.

6May2017fromDavidArthurWalterstoPreferredCarePartners

DavidArthurWalters<davidarthurwalters@gmail.com>Sat,May6,2017at3:48
AM
To:MemberServicesMemberServices@mypreferredcare.com
Benefitinfounavailabletoenrollees
DavidArthurWalters<davidarthurwalters@gmail.com>8:57PM

Hello, I have a painful dental emergency, and I have been unable to obtain a
scheduleofprovidersandascheduleofbenefitsalthoughPreferredHealthCare
Partners is supposed to provide dental insurance via Solstice and my premiums
arepaidthroughtheSSA.SolsticewebsiterefersmetoPreferredCare,Preferred
Care to Solstice. The Website is horrible. No search facility. I cannot sign in. No
recognitionofmembernumberoncards,MyPreferredCareNo.is92039XXXXXX,
my Solstice No. is 920391XXXXX. Preferred Choice Dade Please respond
immediately.DavidArthurWalters305742XXXX[Ed.numbersredacted]

P.S.(toEnroll,contact)Also,thePreferredCarewebsiteadvisestoregisterprior
tologgingin,butdoesnot,likeanyotherwebsite,provideinstructionsorafacility
forregistrationonthatpage.Iamsurprisedwiththeinadequaciesofthewebsite,
andIhopethatisnotindicativeofthecompanyasawhole,whichhasstatedon
formssenttomethatmydoctor,whoislistedinthehardcopycatalogue,isnota
participatingprovider,andafterahalfhour'sconversationwitharepresentative,
hasnotcorrectedthatissuenoranotherissue,involvingthemishandlingofan$8
drug bill, which is being kicked around to two other insurance companies,
CAREPLUSandHUMANA,bothofwhichpaidthebillalthoughIamnotamember,
and are dunning me for it. I hope the managed health care system is not so
mismanaged.

END

P.O. Box 19199


Plantation, FL 33318
Member Services:
1.877.760.2247

Plan Name: Preferred Choice Dade


County: Broward Hollywood Dental Care Dental Associates of Hollywood, PA
Specialty: General Dentist Askowitz, Ronald L, DDS Rezaie, Yeganeh , DDS
2303 Hollywood Blvd Ste 14 3801 Hollywood Blvd Ste 225
Hollywood, FL 33020 Hollywood, FL 33021
Horizon Dental Care (954) 367-5671 (954) 921-7339
Escobar, Carlos F, DDS
6890 Miramar Pkwy Ste E Elite Dental Center Dental Associates of Hollywood, PA
Miramar, FL 33023 Pelton, Ivan S, DDS Santiago-Herzog, Tatiana E, DDS
(954) 987-4435 2219 Hollywood Blvd Ste 104 3801 Hollywood Blvd Ste 225
Hollywood, FL 33020 Hollywood, FL 33021
Horizon Dental Care (954) 589-2176 (954) 921-7339
Escobar, Carlos F, DDS
12578 W Sunrise Blvd Elite Dental Center Dental Associates of Hollywood, PA
Sunrise, FL 33323 Silver, Richard M, DDS Benito, Juan C, DDS
(954) 851-9829 2219 Hollywood Blvd Ste 104 3801 Hollywood Blvd Ste 225
Hollywood, FL 33020 Hollywood, FL 33021
Hallandale Family Dental Care (954) 589-2176 (954) 921-7339
Defelice, Janice R, DMD
226 S Dixie Hwy BGR Dental Dental Associates of Hollywood, PA
Hallandale Beach, FL 33009 Borda, Miguel F, DMD Llapur, Carlos A, DMD
(954) 454-3883 2647 Hollywood Blvd 3801 Hollywood Blvd Ste 225
Hollywood, FL 33020 Hollywood, FL 33021
Hallandale Family Dental Care (954) 923-7348 (954) 921-7339
Gonzalez, Kelly Y, DMD
226 S Dixie Hwy BGR Dental All Care Dental
Hallandale Beach, FL 33009 Laska, Mario , DMD Yeoshoua, Oded , DMD
(954) 454-3883 2647 Hollywood Blvd 3911 Hollywood Blvd Ste 102
Hollywood, FL 33020 Hollywood, FL 33021
Hallandale Family Dental Care (954) 923-7348 (954) 987-3344
Quevedo, Fernando , DDS
226 S Dixie Hwy Dalinda A Canela-Pichardo DDS Pa Family Dental Care of Hollywood
Hallandale Beach, FL 33009 Canela-Pichardo, Dalinda A, DDS Fatmi, Naved , DMD
(954) 454-3883 603 N Federal Hwy Ste 2 3911 Hollywood Blvd Ste 101
Hollywood, FL 33020 Hollywood, FL 33021
Hallandale Family Dental Care (954) 920-6616 (954) 967-2525
Rivera-Sotomayor, Marlene , DMD
226 S Dixie Hwy Dental Associates of Hollywood, PA Family Dental Care of Hollywood
Hallandale Beach, FL 33009 Berkowitz, Harry D, DMD Assi, Tarek , DMD
(954) 454-3883 3801 Hollywood Blvd Ste 225 3911 Hollywood Blvd Ste 101
Hollywood, FL 33021 Hollywood, FL 33021
Stephen Rothenberg DDS (954) 921-7339 (954) 967-2525
Rothenberg, Stephen , DDS
416 E Hallandale Beach Blvd Dental Associates of Hollywood, PA Rothfield Dental Group
Hallandale Beach, FL 33009 Kushner, Bruce A, DMD Rothfield, Elizabeth A, DMD
(954) 457-8288 3801 Hollywood Blvd Ste 225 4601 Hollywood Blvd
Hollywood, FL 33021 Hollywood, FL 33021
Advanced Aesthetic Dentistry 1 PA (954) 921-7339 (954) 989-8800
Ripa, Anatoly , DDS
1701 E Hallandale Beach Blvd Dental Associates of Hollywood, PA TLC Dental-Hollywood
Hallandale Beach, FL 33009 Duarte, Beatriz , DMD Morales, Ronald J, DMD
(954) 458-4584 3801 Hollywood Blvd Ste 225 1718 Sheridan St
Hollywood, FL 33021 Hollywood, FL 33020
Gorbatov & Associates, DDS, PA (954) 921-7339 (954) 926-5888
Gorbatov, Dmitry , DDS
2100 E Hallandale Beach Blvd Ste 309 Dental Associates of Hollywood, PA TLC Dental-Hollywood
Hallandale Beach, FL 33009 Fatmi, Naved , DMD Jacobsohn, Henry D, DMD
(954) 457-8308 3801 Hollywood Blvd Ste 225 1718 Sheridan St
Hollywood, FL 33021 Hollywood, FL 33020
ABC Dental Team (954) 921-7339 (954) 926-5888
Gorbatov, Dmitry , DDS
650 S Federal Hwy # 2
Hollywood, FL 33020
(954) 342-8315

1
P.O. Box 19199
Plantation, FL 33318
Member Services:
1.877.760.2247

Plan Name: Preferred Choice Dade


TLC Dental-Hollywood TLC Dental Dania TLC Dental Dania
Coutras, Elevteria , DMD Coutras, Elevteria , DMD Haratz, Zina , DDS
1718 Sheridan St 435 E Sheridan St 435 E Sheridan St
Hollywood, FL 33020 Dania, FL 33004 Dania, FL 33004
(954) 926-5888 (954) 926-5888 (954) 926-5888

TLC Dental-Hollywood TLC Dental Dania TLC Dental Dania


Sorroza, Jennifer P, DMD Vilk-Shapiro, Dora , DMD Lamb, Nicole , DMD
1718 Sheridan St 435 E Sheridan St 435 E Sheridan St
Hollywood, FL 33020 Dania, FL 33004 Dania, FL 33004
(954) 926-5888 (954) 926-5888 (954) 926-5888

TLC Dental-Hollywood TLC Dental Dania County: Miami-Dade


Helfant, Jared N, DDS Sorroza, Jennifer P, DMD Specialty: General Dentist
1718 Sheridan St 435 E Sheridan St
Hollywood, FL 33020 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco-Jamis Dental Group
Blanco, Jorge L, DMD
TLC Dental-Hollywood TLC Dental Dania 4765 W 8th Ave Fl 4
Cunha, Renata F, DDS Talchik, Paul S, DDS Hialeah, FL 33012
1718 Sheridan St 435 E Sheridan St (305) 823-0902
Hollywood, FL 33020 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco-Jamis Dental Group
Blanco, Farid , DDS
TLC Dental-Hollywood TLC Dental Dania 4765 W 8th Ave Fl 4
Rios Ku Hop, Milagritos C, DMD De Leon, Ennio A, DMD Hialeah, FL 33012
1718 Sheridan St 435 E Sheridan St (305) 823-0902
Hollywood, FL 33020 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco-Jamis Dental Group, PA
Blanco, Jorge L, DMD
TLC Dental-Hollywood TLC Dental Dania 258 E 49th St
Mandel, Jonathan O, DMD Helfant, Jared N, DDS Hialeah, FL 33013
1718 Sheridan St 435 E Sheridan St (305) 824-3408
Hollywood, FL 33020 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco-Jamis Dental Group, PA
Blanco, Farid , DDS
TLC Dental-Hollywood TLC Dental Dania 258 E 49th St
Hamilton , Todd , DMD Cunha, Renata F, DDS Hialeah, FL 33013
1718 Sheridan St 435 E Sheridan St (305) 824-3408
Hollywood, FL 33020 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco Jamis Dental Group, P.A. UHC
Blanco, Jorge L, DMD
TLC Dental Dania TLC Dental Dania 1700 W 68th St
Cook, Maria T, DDS Polhamus Lopez, Melisa , DMD Hialeah, FL 33014
435 E Sheridan St 435 E Sheridan St (305) 262-4604
Dania, FL 33004 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco Jamis Dental Group, P.A. UHC
Blanco, Farid , DDS
TLC Dental Dania TLC Dental Dania 1700 W 68th St
Jacobsohn, Henry D, DMD Irving, Bizu , DDS Hialeah, FL 33014
435 E Sheridan St 435 E Sheridan St (305) 262-4604
Dania, FL 33004 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco Jamis Dental Group, P.A. Wes
Blanco, Jorge L, DMD
TLC Dental Dania TLC Dental Dania 4410 W 16th Ave Ste 330
Block, Michael , DDS Mingel, Marc , BDS Hialeah, FL 33012
435 E Sheridan St 435 E Sheridan St (305) 262-4604
Dania, FL 33004 Dania, FL 33004
(954) 926-5888 (954) 926-5888 Blanco Jamis Dental Group, P.A. Wes
Blanco, Farid , DDS
4410 W 16th Ave Ste 330
Hialeah, FL 33012
(305) 262-4604

2
P.O. Box 19199
Plantation, FL 33318
Member Services:
1.877.760.2247

Plan Name: Preferred Choice Dade


Blanco - Jamis Dental Group Blanco Jamis Dental Group, PA Miami Beach Medical Group
Blanco, Jorge L, DMD Blanco, Jorge L, DMD Arguelles, Lourdes , DMD
199 SW 12th Ave Ste 56 4155 SW 130th Ave Ste 104 2601 SW 37th Ave Ste 901
Miami, FL 33130 Miami, FL 33175 Miami, FL 33133
(786) 401-6024 (786) 476-0026 (305) 856-3881

Blanco - Jamis Dental Group Blanco Jamis Dental Group, PA Miami Beach Medical Consultants LLC
Blanco, Farid , DDS Blanco, Farid , DDS Castro, Oscar L, DDS
199 SW 12th Ave Ste 56 4155 SW 130th Ave Ste 104 7500 SW 8th St Ste 1-8
Miami, FL 33130 Miami, FL 33175 Miami, FL 33144
(786) 401-6024 (786) 476-0026 (305) 532-3923

Blanco-Jamis Dental Group, PA Miami Beach Medical Consultants LLC Miami Beach Medical Group
Blanco, Jorge L, DMD Castro, Oscar L, DDS Martinez, Ernesto , DDS
8500 W Flagler St Ste 107a 13220 Biscayne Blvd 9611 SW 40th St
Miami, FL 33144 North Miami, FL 33181 Miami, FL 33165
(305) 551-6405 (305) 899-7090 (305) 534-0076

Blanco-Jamis Dental Group, PA Miami Beach Medical Consultants LLC Miami Beach Medical Group
Blanco, Farid , DDS Castro, Oscar L, DDS Barzaga, Lizette , DDS
8500 W Flagler St Ste 107a 551 E 49th St 9611 SW 40th St
Miami, FL 33144 Hialeah, FL 33013 Miami, FL 33165
(305) 551-6405 (305) 532-3923 (305) 534-0076

Blanco-Jamis Dental Group Miami Beach Medical Consultants LLC Miami Beach Medical Group
Blanco, Jorge L, DMD Castro, Oscar L, DDS Arguelles, Lourdes , DMD
7801 Coral Way Ste 100 1200 Alton Rd 9611 SW 40th St
Miami, FL 33155 Miami Beach, FL 33139 Miami, FL 33165
(305) 262-4604 (305) 534-0076 (305) 534-0076

Blanco-Jamis Dental Group Miami Beach Medical Group Fermin R. Lopez, DDS PA Corp.
Blanco, Farid , DDS Martinez, Ernesto , DDS Gonzalez, Hansel , DMD
7801 Coral Way Ste 100 600 NW 35th Ave 1125 NW 22nd Ave
Miami, FL 33155 Miami, FL 33125 Miami, FL 33125
(305) 262-4604 (305) 631-9875 (305) 649-6112

Blanco Jamis Dental Group, P.A. UHC Miami Beach Medical Group Dr. Silvia Stambler, DDS
Blanco, Jorge L, DMD Barzaga, Lizette , DDS Stambler, Silvia , DDS
1695 SW 107th Ave 600 NW 35th Ave 2925 Aventura Blvd Ste 309
Miami, FL 33165 Miami, FL 33125 Aventura, FL 33180
(305) 262-4604 (305) 631-9875 (305) 935-4800

Blanco Jamis Dental Group, P.A. UHC Miami Beach Medical Group Robert J Cohen DDS
Blanco, Farid , DDS Arguelles, Lourdes , DMD Cohen, Robert J, DDS
1695 SW 107th Ave 600 NW 35th Ave 2925 Aventura Blvd Ste 202
Miami, FL 33165 Miami, FL 33125 Aventura, FL 33180
(305) 262-4604 (305) 631-9875 (305) 932-1214

Blanco-Jamis Dental Group, PA Miami Beach Medical Group Great Expressions Dental Centers
Blanco, Jorge L, DMD Martinez, Ernesto , DDS Brody, Robert A, DMD
9724 SW 40th St 2601 SW 37th Ave Ste 901 19913 Biscayne Blvd
Miami, FL 33165 Miami, FL 33133 Aventura, FL 33180
(305) 221-3666 (305) 856-3881 (305) 935-1400

Blanco-Jamis Dental Group, PA Miami Beach Medical Group Great Expressions Dental Centers
Blanco, Farid , DDS Barzaga, Lizette , DDS San Jorge, Alejandro , DDS
9724 SW 40th St 2601 SW 37th Ave Ste 901 19913 Biscayne Blvd
Miami, FL 33165 Miami, FL 33133 Aventura, FL 33180
(305) 221-3666 (305) 856-3881 (305) 935-1400

3
P.O. Box 19199
Plantation, FL 33318
Member Services:
1.877.760.2247

Plan Name: Preferred Choice Dade


Great Expressions Dental Centers Great Expressions Dental Centers Main Street Children's Dentistry of
Sutnick, Steven , DDS Schwartz, Edward L, DDS Llapur, Carlos A, DMD
19913 Biscayne Blvd 19913 Biscayne Blvd 19084 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 935-1400 (305) 933-4355

Great Expressions Dental Centers Great Expressions Dental Centers Kornbluth & De Jesus
Morales, Ronald J, DMD Spingarn, Joseph , DDS Felton, Tanya, DMD
19913 Biscayne Blvd 19913 Biscayne Blvd 19080 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Miami, FL 33180
(305) 935-1400 (305) 935-1400 (305) 944-1946

Great Expressions Dental Centers Great Expressions Dental Centers Dental Center at Aventura
Zusselman, Arnold , DMD Dooley, Jill , DDS Herbert, Ronald L, DDS
19913 Biscayne Blvd 19913 Biscayne Blvd 19086 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 935-1400 (305) 682-1554

Great Expressions Dental Centers Great Expressions Dental Centers Dental Center at Aventura
Reichman, Lewis W, DDS Munoz, Numa F, DDS Duarte, Beatriz , DMD
19913 Biscayne Blvd 19913 Biscayne Blvd 19086 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 935-1400 (305) 682-1554

Great Expressions Dental Centers Great Expressions Dental Centers Dental Center at Aventura
Friedman, Hyman , DDS Lisi, Richard , DMD Quintero, Juan M, DDS
19913 Biscayne Blvd 19913 Biscayne Blvd 19086 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 935-1400 (305) 682-1554

Great Expressions Dental Centers Great Expressions Dental Centers Dental Center at Aventura
Rodriguez, Dario A, DDS Dagan, Shachar , DMD Godoy, Yami A, DDS
19913 Biscayne Blvd 19913 Biscayne Blvd 19086 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 935-1400 (305) 682-1554

Great Expressions Dental Centers Great Expressions Dental Centers Dental Center at Aventura
Hogan, Helena , DMD Cohen, Michael A, DMD Llapur, Carlos A, DMD
19913 Biscayne Blvd 19913 Biscayne Blvd 19086 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 935-1400 (305) 682-1554

Great Expressions Dental Centers Great Expressions Dental Centers Main Street Orthodontics of Aventur
Iurcovich, Maximillian O, DMD Taha, Ahmed A, BDS Schuetz, Eric J, DMD
19913 Biscayne Blvd 19913 Biscayne Blvd 19086 NE 29th Ave
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 935-1400 (305) 682-9468

Great Expressions Dental Centers Shalom Amselem, DDS, PA Dental Options, PA


McCown, Michael G, DMD Amselem, Shalom , DDS Gordon, Alexandra , DDS
19913 Biscayne Blvd 2630 NE 203rd St Ste 101 2999 NE 191st St Ste 804
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (305) 931-1888 (305) 466-1804

Great Expressions Dental Centers Primary Dental Care Dental Options, PA


Cunha, Renata F, DDS Hernandez-Rivera, Ricardo N, DDS Papir, Jessica B, DMD
19913 Biscayne Blvd 21000 NE 28th Ave Ste 100 2999 NE 191st St Ste 804
Aventura, FL 33180 Aventura, FL 33180 Aventura, FL 33180
(305) 935-1400 (954) 399-7839 (305) 466-1804

4
P.O. Box 19199
Plantation, FL 33318
Member Services:
1.877.760.2247

Plan Name: Preferred Choice Dade


Dental Options, PA Miami Risa Dental Incorporated Gateway Dental Inc
Kusnick, Steven J, DDS Zuniga, Juan C, DDS Santana, Dania , DMD
2999 NE 191st St Ste 804 1829 NE Miami Gardens Dr 1400 NE Miami Gardens Dr Ste 201
Aventura, FL 33180 Miami, FL 33179 North Miami Beach, FL 33179
(305) 466-1804 (305) 932-6600 (305) 856-2300

Dental Options, PA Astoria Dental Gateway Dental Inc


Rojas, Sandra , DMD Lopez, Alexander O, DMD Heredia, Abelardo , DDS
2999 NE 191st St Ste 804 18140 NE 19th Ave 1400 NE Miami Gardens Dr Ste 201
Aventura, FL 33180 North Miami Beach, FL 33162 North Miami Beach, FL 33179
(305) 466-1804 (305) 948-8882 (305) 856-2300

Dental Options, PA Gateway Dental Inc Gateway Dental Inc


Segal, Michelle A, DMD Carballo, Rodolfo , DDS Zamora, Lyan T, DMD
2999 NE 191st St Ste 804 1400 NE Miami Gardens Dr Ste 201 1400 NE Miami Gardens Dr Ste 201
Aventura, FL 33180 North Miami Beach, FL 33179 North Miami Beach, FL 33179
(305) 466-1804 (305) 856-2300 (305) 856-2300

Dental Options, PA Gateway Dental Inc Jean-Jacques Edderai, DDS, PA


Del Castillo, Raymond , DDS Miranda, Pablo , DMD Edderai, Jean J, DDS
2999 NE 191st St Ste 804 1400 NE Miami Gardens Dr Ste 201 17101 NE 19th Ave Ste 104
Aventura, FL 33180 North Miami Beach, FL 33179 North Miami Beach, FL 33162
(305) 466-1804 (305) 856-2300 (305) 947-7999

Dental Options, PA Gateway Dental Inc Feoli Dental


Cruz Elizundia, Delia , DDS Perrotti, Steven D, DMD Feoli, Carmen A, DDS
2999 NE 191st St Ste 804 1400 NE Miami Gardens Dr Ste 201 1490 NE Miami Garden Dr
Aventura, FL 33180 North Miami Beach, FL 33179 Miami Gardens, FL 33179
(305) 466-1804 (305) 856-2300 (305) 949-5353

Dental Options, PA Gateway Dental Inc Feoli Dental


Mata, Valentina , DMD Vazquez, Jorge E, DMD Castillo, Sandra , DDS
2999 NE 191st St Ste 804 1400 NE Miami Gardens Dr Ste 201 1490 NE Miami Garden Dr
Aventura, FL 33180 North Miami Beach, FL 33179 Miami Gardens, FL 33179
(305) 466-1804 (305) 856-2300 (305) 949-5353

Dental Options, PA Gateway Dental Inc Feoli Dental


Hernandez, Cristina , DDS Herrera, Victoria E, DDS Soto, Paola F, DMD
2999 NE 191st St Ste 804 1400 NE Miami Gardens Dr Ste 201 1490 NE Miami Garden Dr
Aventura, FL 33180 North Miami Beach, FL 33179 Miami Gardens, FL 33179
(305) 466-1804 (305) 856-2300 (305) 949-5353

Dental Options, PA Gateway Dental Inc Dental Health Group - Ives Dairy
Rothstein, Eric B, DDS Pita, Reynaldo , DMD Brody, Robert A, DMD
2999 NE 191st St Ste 804 1400 NE Miami Gardens Dr Ste 201 1001 Ives Dairy Rd Ste 103
Aventura, FL 33180 North Miami Beach, FL 33179 North Miami Beach, FL 33179
(305) 466-1804 (305) 856-2300 (305) 652-3412

Myriam Berrahil DMD, PA Gateway Dental Inc Dental Health Group - Ives Dairy
Berrahil, Myriam , DMD Garcia Fernandez, Aliuska , DDS Garces, Carolina , DMD
3363 NE 163rd St Ste 807 1400 NE Miami Gardens Dr Ste 201 1001 Ives Dairy Rd Ste 103
North Miami Beach, FL 33160 North Miami Beach, FL 33179 North Miami Beach, FL 33179
(305) 940-5157 (305) 856-2300 (305) 652-3412

Myriam Berrahil DMD, PA Gateway Dental Inc Dental Health Group - Ives Dairy
Haratz, Zina , DDS Vento, Yosvany J, DDS Ojeda, Juan M, DMD
3363 NE 163rd St Ste 807 1400 NE Miami Gardens Dr Ste 201 1001 Ives Dairy Rd Ste 103
North Miami Beach, FL 33160 North Miami Beach, FL 33179 North Miami Beach, FL 33179
(305) 940-5157 (305) 856-2300 (305) 652-3412

5
P.O. Box 19199
Plantation, FL 33318
Member Services:
1.877.760.2247

Plan Name: Preferred Choice Dade


North Miami Beach Dental Dental Associates of North Miami Be C & C Dental, Inc
Swanson, Wendy , DDS Corpas, Alfredo D, DDS Casas, Silvia B, DDS
2040 Ne 163rd St Ste 206 1620 NE 163rd St 951 NE 167th St Ste 104
North Miami Beach, FL 33162 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 760-2739 (305) 956-7900 (305) 493-9371

North Miami Beach Dental Tin Wai Hui (Harold) DMD PA David M Adelman, DDS, PA
Farrokhi, Ali , DDS Hui, Tin W, DMD Adelman, David M, DDS
2040 Ne 163rd St Ste 206 16209 NE 13th Ave 16680 NE 10th Ave
North Miami Beach, FL 33162 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 760-2739 (305) 940-9888 (305) 944-6669

North Miami Beach Dental Tin Wai Hui (Harold) DMD PA Bright Smiles Dental Center
Galbut, Kimberly A, DDS Elperin, Alexei A, DMD Sheikh, Jason O, DMD
2040 Ne 163rd St Ste 206 16209 NE 13th Ave 951 NE 167th St Ste 104
North Miami Beach, FL 33162 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 760-2739 (305) 940-9888 (305) 493-9371

Beautiful Smile LLC Tin Wai Hui (Harold) DMD PA Bright Smiles Dental Center
Askowitz, Ronald L, DDS Feoli, Carmen A, DDS Hasan-Verrett, Hajar , DDS
1871 NE 163rd St 16209 NE 13th Ave 951 NE 167th St Ste 104
North Miami Beach, FL 33162 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 945-7030 (305) 940-9888 (305) 493-9371

All Care Dentistry Tin Wai Hui (Harold) DMD PA Bright Smiles Dental Center
Yeoshoua, Oded , DMD Shather, Meriam I, DMD Espinal, Licette F, DDS
100 Kings Point Dr 16209 NE 13th Ave 951 NE 167th St Ste 104
Sunny Isles Beach, FL 33160 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 949-0733 (305) 940-9888 (305) 493-9371

Next Dental Tin Wai Hui (Harold) DMD PA Bright Smiles Dental Center
Haratz, Zina , DDS Goodwin, Sharon , BDS Casas, Silvia B, DDS
16125 NE 18th Ave 16209 NE 13th Ave 951 NE 167th St Ste 104
North Miami Beach, FL 33162 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 949-2766 (305) 940-9888 (305) 493-9371

Next Dental Leung Dental Care, Inc. A.N.A. Dental Services


Smith, Edwin P, DDS Rindley, Steven , DDS Beydoun, Miriam M, DMD
16125 NE 18th Ave 16200 NE 13th Ave 995 N Miami Beach Blvd Ste 137
North Miami Beach, FL 33162 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 949-2766 (305) 760-2950 (305) 945-9333

Next Dental Leung Dental Care, Inc. Bravo Dental P.A.


Panchal, Darshan K, BDS Hernandez-Rivera, Ricardo N, DDS Yanez Bravo, Maria A, DDS
16125 NE 18th Ave 16200 NE 13th Ave 909 N Miami Beach Blvd Ste 501
North Miami Beach, FL 33162 North Miami Beach, FL 33162 North Miami Beach, FL 33162
(305) 949-2766 (305) 760-2950 (305) 945-9333

BDC Dental Health Inc./Pierre-Miche Leung Dental Care, Inc. Next Dental Care
Smith, Pierre M, DDS Suarez, Alberto , DDS Haratz, Zina , DDS
16125 NE 18th Ave 16200 NE 13th Ave 16451 NE 6th Ave
North Miami Beach, FL 33162 North Miami Beach, FL 33162 Miami, FL 33162
(305) 949-2766 (305) 760-2950 (786) 916-6127

BDC Dental Health Inc./Pierre-Miche Leung Dental Care, Inc. Next Dental Care
Darojat, Zuhdiyah M, DDS Lea Plaza, Rodolfo , DDS Smith, Edwin P, DDS
16125 NE 18th Ave 16200 NE 13th Ave 16451 NE 6th Ave
North Miami Beach, FL 33162 North Miami Beach, FL 33162 Miami, FL 33162
(305) 949-2766 (305) 760-2950 (786) 916-6127

6
P.O. Box 19199
Plantation, FL 33318
Member Services:
1.877.760.2247

Plan Name: Preferred Choice Dade


Next Dental Care Miami Beach Medical Consultants LLC
Panchal, Darshan K, BDS Martinez, Ernesto , DDS
16451 NE 6th Ave 13220 Biscayne Blvd
Miami, FL 33162 North Miami, FL 33181
(786) 916-6127 (305) 899-7090

Rodlin Jerome DDS, PA Miami Beach Medical Consultants LLC


Jerome, Rodlin , DDS Barzaga, Lizette , DDS
20823 NW 2nd Ave 13220 Biscayne Blvd
Miami Gardens, FL 33169 North Miami, FL 33181
(305) 704-8977 (305) 899-7090

Countyline Dental Miami Beach Medical Consultants LLC


Aron, Robert , DDS Arguelles, Lourdes , DMD
21457 NW 2nd Ave 13220 Biscayne Blvd
Miami, FL 33169 North Miami, FL 33181
(305) 654-1234 (305) 899-7090

Countyline Dental JTCHC Dental Center Miami Gardens


Devack, Justin A, BDS Barcia, Antonio R, DDS
21457 NW 2nd Ave 18360 NW 7th Ave
Miami, FL 33169 Miami Gardens, FL 33169
(305) 654-1234 (305) 637-6400

Biscayne Dental Center, Inc JTCHC Dental Center Miami Gardens


Aguilar, Lina , DDS Bridge, Donna M, DMD
14771 Biscayne Blvd 18360 NW 7th Ave
North Miami, FL 33181 Miami Gardens, FL 33169
(305) 945-7745 (305) 637-6400

Biscayne Dental Center, Inc JTCHC Dental Center Miami Gardens


Cabrera, John , DDS George, Deborah V, DDS
14771 Biscayne Blvd 18360 NW 7th Ave
North Miami, FL 33181 Miami Gardens, FL 33169
(305) 945-7745 (305) 637-6400

Biscayne Dental Center, Inc JTCHC Dental Center Miami Gardens


Bouchard-Lavenka, Cynthia R, DMD Perdigon-Cangahuala, Nitza , DMD
14771 Biscayne Blvd 18360 NW 7th Ave
North Miami, FL 33181 Miami Gardens, FL 33169
(305) 945-7745 (305) 637-6400

Biscayne Dental Center, Inc JTCHC Dental Center Miami Gardens


Lopez, Edgar K, DMD Lebron, Vanessa E, DDS
14771 Biscayne Blvd 18360 NW 7th Ave
North Miami, FL 33181 Miami Gardens, FL 33169
(305) 945-7745 (305) 637-6400

Manhattan Dental JTCHC Dental Center Miami Gardens


Narvaez, Antonio J, DDS Sweeting, Tamarra N, DMD
68 NE 167th St # B 18360 NW 7th Ave
North Miami Beach, FL 33162 Miami Gardens, FL 33169
(305) 940-9840 (305) 637-6400

C & C Dental, Inc Cosmetic Dentistry Corporation


Casas, Silvia B, DDS Sinilo-Katz, Elena M, DMD
16777 N Miami Ave 12955 Biscayne Blvd Ste 210
North Miami Beach, FL 33169 North Miami, FL 33181
(305) 705-2798 (305) 892-0008