Dental Plan Highlights
The dental plan is designed to keep you smiling year after year. Good dental health is important and can also be an indicator of other more serious health issues. Take advantage of our comprehensive plan and keep up with your preventive dental care.
You may receive care from any provider, but you’ll likely pay less out of pocket if you stay in the Cigna network. If you see a non-network dentist, Cigna will pay the maximum reimbursable charge (MRC) charge and you’ll be responsible for any charges the dentist bills that exceed the MRC amount.
Cigna Dental Plan Summary
The deductibles and coinsurance below indicate the amounts for which you are responsible.
| Cigna Dental PPO | ||
|---|---|---|
| Plan Features | In-Network | Out-of-Network |
| Calendar Year Maximum | $2,500 per member (maximum plan will pay out) | |
| Plan Deductible (Indiv./Fam.) | $50 / $150 | |
| Office Visit Copay | NA | |
| Preventive Services | No Charge (deductible waived) | No Charge (deductible waived) |
| Basic Services | 20% after deductible | 20% of MRC after deductible |
| Major Services | 50% after deductible | 50% of MRC after deductible |
| Orthodontic Services | 50% | |
| Orthodontia Lifetime Maximum | $1,000 (per child up to age 19) | |