Dental
You may enroll in the Cigna High PPO plan. The plan offers in- and out-of-network care, but you will pay less out-of-pocket when you use in-network Cigna providers.
You may enroll in the Cigna High PPO plan.
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 your new hire or 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 benefits are effective, the claim should first be filed with the other carrier.
If you are currently receiving Orthodontic treatment:
If you enroll in the plan for the first time during your new hire or 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 benefits are effective, the claim should first be filed with the other carrier.
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 plan year maximum. In year 1, the maximum is $1,500. Members can progress to a higher plan year maximum the next plan year by utilizing class 1 preventive services (such as a routine cleaning) during the previous year. The maximum will increase $100 each year up to an $1,800 maximum. Additional information can be found in the document library.
Dental Plan Overview + Contributions
| HIGH PPO | ||||
| Dental Plan Highlights | In-Network | Out-of-Network | ||
| Plan Year Deductibe (Single/Family) Waived for Preventive | $50 / $150 | $100 / $300 | ||
| Coinsurance (Coins.): Paid by Carrier | ||||
| Diagnostic / Preventive | 100% | 100% | ||
| Basic | 80% | 80% | ||
| Endodontics / Periodontics | 80% | 80% | ||
| Major / Implants | 50% / Not Covered | 50% / Not Covered | ||
| Orthodontia (Child Only) | 50% | |||
| Orthodontia Lifetime Maximum | $1,000 | |||
| Plan Year Maximum | $1,500 | |||
| Out-of-Network UCR Level | N/A | 80th Percentile | ||
| Dependent Age Limit | To Age 26 | |||
| *Silver fillings are covered under the plan. Composite fillings are covered for front teeth only. NOTE: This chart does not describe all covered services. Please review the plan summaries for complete coverage information. | ||||
Employee Dental Contributions (24 times per plan year)
| CIGNA | HIGH PPO | |
| EMPLOYEE | EMPLOYER | |
| Employee | $7.15 | $9.23 |
| Employee + Child(ren) | $20.52 | $13.65 |
Savings & Finance
Voluntary Benefits