Good dental care improves your overall health. Our dental plan is designed to help you maintain a healthy smile through regular dental care and fix any problems as soon as they occur.
| Plan Features | Cigna Dental PPO Plan | |
|---|---|---|
| In-Network | Out-of-Network* | |
| Annual Benefit Maximum | $2,000 per person | |
| Orthodontia Lifetime Maximum | $3,000 per person | |
| You pay: | ||
| Annual Deductible Individual/Family |
$50 / $150 | |
| Diagnostic & Preventive Services (e.g., x-rays, cleanings, exams) |
Covered at 100% | Covered at 100% |
| Basic & Restorative Services (e.g., composite fillings, extractions, root canals) |
20% after deductible | 20% after deductible |
| Major Services (e.g., crowns, bridges, implants) |
35% after deductible | 35% after deductible |
| Orthodontia (adults & children) |
50% | 50% |
*For out-of-network services, members pay applicable coinsurance plus any amount that exceeds the usual, customary, and reasonable (URC) charge.
Below is your cost for dental coverage. Your payroll deductions are pre-tax.
| Plan Type | Employee Only | Employee + Spouse/Domestic Partner* | Employee + Child(ren) | Employee + Family |
|---|---|---|---|---|
| Dental PPO | $5.90 | $12.07 | $14.30 | $22.48 |
*Domestic partnership must be deducted on a post-tax basis. Imputed income may also apply.