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Cigna

Your Dental Plan

Cigna DHMO Plan (Access Plus)

This plan provides dental care services at a fixed cost when you go to a dentist who is a member of Cigna's DHMO network. Similar to a medical HMO, the plan requires you and each of your covered dependents to choose a primary care dentist from Cigna's network. You must receive all your non-emergency dental care from your Cigna DHMO network dentist.

Cigna DPPO Plan

This plan is a preferred provider program that gives you the option of receiving treatment from any licensed dental provider you choose. If you go to a dentist who is a member of Cigna's DPPO network, you will receive a higher level of benefits and reduce your out-of-pocket costs.

Dental Benefit Summary
Dental Benefits Dental HMO
(Access Plus)
Dental PPO
(In & out-of-network)
* deductible waived
Annual Deductible No deductible$50 per individual
$150 per family
Annual Maximum Unlimited$1,750 per person
(Out-of-network: $1,500 per person)
Diagnostic & Preventive Services
100% covered100% covered*
Basic Services Copay varies80%
Endodontic & Periodontic ServicesCopay varies80%
Major ServicesCopay varies50%
Orthodontia$1,608 child copay
$2,592 adult copay
50% up to $1,500 lifetime maximum benefit*
(adults and dependent children)
Employee Cost per Paycheck
Coverage Level HMO PPO
Employee Only $2.50 $18.83
Employee + Spouse $7.13 $35.50
Employee + Child(ren) $7.07 $43.47
Employee + Family $14.52 $64.76

Find a Network Dentist

Visit www.mycigna.com to find an in-network dental provider. Use the Total network for DPPO and Access Plus network for DHMO.

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Balance Billing

When a provider bills you for the difference between the provider’s charge and the allowed amount. For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30. This typically occurs when utilizing out-of-network or non-preferred providers.