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
$2,000
Preventive Care
$0.00
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
Not covered
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,000
Preventive Care
$0.00
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
Not covered
Per-Pay-Period Plan Cost (Combined With Vision)
Employee Only: $0.00
Employee + Spouse/DP: $12.47
Employee + Child(ren): $14.87
Employee + Family: $26.64
Cigna Dental PPO Buy-Up
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$100
Annual Plan Maximum
$2,500
Preventive Care
$0
Basic Services
10% after deductible
Major Procedures
30% after deductible
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,000
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,500
Preventive Care
$0.00
Basic Services
10% after deductible
Major Procedures
30% after deductible
Orthodontia (Adults and Children)
50% up to a lifetime maximum benefit of $2,000
Per-Pay-Period Plan Cost (Combined With Vision)
Employee Only: $7.62
Employee + Spouse/DP: $21.41
Employee + Child(ren): $25.03
Employee + Family: $41.95
