Dental Plan
Cigna Dental HMO Plan
No annual deductible and no charge for most preventive services.
Cigna Dental HMO Plan | |
|---|---|
In-Network Only | |
Calendar Year Deductible | |
Individual | N/A |
Family | N/A |
Annual Benefit Maximum Per Member (excluding orthodontia) | |
Per Individual | N/A |
Preventive Care | You Pay |
Exams, Cleanings, X-rays, Flouride Treatments | No charge for most preventive services |
Basic Services | You Pay |
Fillings, Space Maintainers, Sealants, Extractions, Oral Surgery, Endodontics, Periodontics, Emergency Exams | Pre-set copay provided in Patient Charge Schedule |
Major Procedures | You Pay |
Crowns, Inlays/Onlays, Dentures and Bridgework, Repairs | Pre-set copay provided in Patient Charge Schedule |
Orthodontia | You Pay |
24-Month Treatment Fee - Additional fees will apply for pre-ortho visits and treatment, records and retention and banding. | |
Adults | Pre-set copay provided in Patient Charge Schedule |
Children | Pre-set copay provided in Patient Charge Schedule |
Dental Plan
Cigna Dental HMO Plan
No annual deductible and no charge for most preventive services.
Cigna Dental HMO Plan | |
|---|---|
In-Network Only | |
Calendar Year Deductible | |
Individual | N/A |
Family | N/A |
Annual Benefit Maximum Per Member (excluding orthodontia) | |
Per Individual | N/A |
Preventive Care | You Pay |
Exams, Cleanings, X-rays, Flouride Treatments | No charge for most preventive services |
Basic Services | You Pay |
Fillings, Space Maintainers, Sealants, Extractions, Oral Surgery, Endodontics, Periodontics, Emergency Exams | Pre-set copay provided in Patient Charge Schedule |
Major Procedures | You Pay |
Crowns, Inlays/Onlays, Dentures and Bridgework, Repairs | Pre-set copay provided in Patient Charge Schedule |
Orthodontia | You Pay |
24-Month Treatment Fee - Additional fees will apply for pre-ortho visits and treatment, records and retention and banding. | |
Adults | Pre-set copay provided in Patient Charge Schedule |
Children | Pre-set copay provided in Patient Charge Schedule |
Part-time and Temporary employees are eligible for a limited subset of benefits. Union employees: refer to your collective bargaining agreement for your benefits eligibility.