Dental Plan
Cigna Dental HMO Plan
No annual deductible and no charge for most preventive services. Please click here to view the Patient Charge Schedule.
| 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. | |
| Implants | You Pay |
| Pre-set copay provided in Patient Charge Schedule | |
| Mental Health & Substance Abuse | You Pay |
| Adults | Pre-set copay provided in Patient Charge Schedule |
| Children | Pre-set copay provided in Patient Charge Schedule |