Dental Plan
We partner with Cigna to offer you and your family members dental insurance. Access to good oral healthcare can help keep your overall health costs down. Regular oral health exams can help detect significant medical conditions before they become serious. Visit www.cigna.com to find in-network providers and access a variety of online tools and programs.
Orthodontia Services Note
The lifetime maximum illustrated is different from the calendar year maximum. For orthodontia services, this limit does not reset each year, this is the most your plan will cover for your services for the lifetime of your participation in this program.
Examples of Services
- Preventive—exams, cleanings, fluoride, x-rays, and sealants
- Basic—fillings, extractions, periodontics, repairs, and oral surgery
- Major—crowns, inlays, dentures, and dental impacts
Plan Details
| In-Network | Out-Of-Network | |
|---|---|---|
| Calendar Year Deductible | ||
| Individual | $0 | $25 |
| Family | $0 | $75 |
| Annual Maximum Benefit | ||
| $1,500 | $1,500 | |
| Dental Care Services | ||
| Preventive Care | 100% covered no deductible | 80% covered no deductible |
| Basic Care | 20% coinsurance | Deductible then 20% coinsurance |
| Major Care | 50% coinsurance | Deductible then 50% coinsurance |
| Orthodontia | ||
| Coinsurance | 50% covered no deductible | |
| Lifetime Maximum | $1,000 | |
| Benefit Applies To | Adults and children | |
This is a summary of coverage. Full coverage details are available in your Summary Plan Description (SPD) or official plan documents. In the event there are differences between this summary and your official plan documents, your plan documents prevail.
Two important notes:
- You may enroll in or make changes to your dental benefits every two years unless you have a qualifying life event.
- You automatically are enrolled in Vision benefits when you enroll in Dental benefits.
Keep smiling!
Cigna is our dental plan provider.
Find in-network providers and access online tools and programs.
-
Visit: cigna.com
- Call: 800.244.6224
Additional Information
Cigna Dental Oral Health Integration Program
Cigna Dental Virtual Care
Get to Know the Cigna Dental PPO (DPPO) Plan
myCigna App
