Dental

Full-Time employees working a minimum of 30 hours per week may enroll in either of the Cigna dental plans: the High PPO or the Premier PPO.

The Premier PPO offers a higher Calendar Year maximum, a greater orthodontia maximum, lower cost share on endodontics, periodontics, oral surgery and coverage for implants.

Cigna does not issue dental ID cards. Members don’t need an ID card to receive care from network dentists. Simply make your appointment and provide identification to the office staff. They can verify your coverage with Cigna. You can also access a digital ID card after your benefits are effective and you have activated your www.myCigna.com account.

Dental Work in Progress

If you are currently receiving general dentistry treatment:
If you enroll in the plan for the first time during Open Enrollment, your Cigna dental plan may not cover charges for services that are already in progress. Treatments that may be considered “in progress” are those that started while you were covered under another dental plan but not finalized before your Cigna dental plan becomes effective.

Examples of these services are root canal therapy, crowns, partials, dentures, bridges. If you started a treatment/service under another carrier that has not been completed once your ZARA benefits are effective, the claim should first be filed with the other carrier.

If you are currently receiving Orthodontic treatment:
You could qualify for “orthodontia in progress” coverage if your teeth are being actively moved (by bands or appliances, such as braces) when your coverage starts.

Your benefit amount is determined by your plan’s coinsurance level for orthodontia and the months of active treatment you have left when your plan starts.

Your plan contributes to your costs until the lifetime orthodontia maximum has been met or until active treatment is done (whichever comes first).

For more detailed information, please review the work-in-progress flyers located in the benefits document library.

WellnessPlus® Progressive Maximum

The Cigna dental plan includes a progressive calendar year maximum. In year 1, the maximum is $1,500 for the High plan or $2,500 for the Premier plan. Members can progress to a higher calendar year maximum the next plan year by utilizing class 1 preventive services during the previous year. The maximum will increase $100 each year up to an $1,800 maximum on the High plan or a $2,800 maximum on the Premier plan. Additional information can be found in the document library.