Dental
Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.
Cigna Dental PPO Base
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$1,500
Preventive Care
$0
Basic Services
You pay 20% after deductible (coverage limited to 1 per surface per 24-month period)
Major Procedures
You pay 50% after deductible (coverage limited to 1 per surface per 24-month period)
Orthodontia (Adults and Children)
Not covered
Out-of-Network
Deductible (Individual/Family)
$75
Annual Plan Maximum
$1,500
Preventive Care
$0
Basic Services
You pay 30% after deductible (coverage limited to 1 per surface per 24-month period)
Major Procedures
You pay 50% after deductible (coverage limited to 1 per surface per 24-month period)
Orthodontia (Adults and Children)
Not covered
Per-Pay-Period Plan Cost
Employee Only: $7.13
Employee and Spouse/DP: $16.03
Employee and Child(ren): $16.03
Employee and Family: $22.30
Cigna Dental PPO Buy-Up
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,500
Preventive Care
$0
Basic Services
20%
Major Procedures
50%
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,000 per individual; deductible waived
Out-of-Network
Deductible (Individual/Family)
$75
Annual Plan Maximum
$2,500
Preventive Care
$0
Basic Services
30%
Major Procedures
50%
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,000 per individual; deductible waived
Per-Pay-Period Plan Cost
Employee Only: $9.42
Employee and Spouse/DP: $21.19
Employee and Child(ren): $21.19
Employee and Family: $29.47