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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
Image

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.