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Good dental care improves your overall health. Our dental plan through Cigna is designed to help you maintain a healthy smile through regular dental care and fix any problems as soon as they occur.
The DPPO plan offers you the freedom and flexibility to choose any licensed dentist. You receive the greatest savings when you visit a Cigna DPPO Dentist. If you visit a non-network provider, you will pay a percentage of the Reasonable and Customary (R&C) fee based on the dentist’s rates. Find a network provider at www.mycigna.com.
| Plan Features | Cigna DPPO Plan | ||
|---|---|---|---|
| Cigna DPPO Advantage | Cigna DPPO | Non-Network | |
| You pay: | You pay: | You pay: | |
| Calendar Year Deductible (waived for Preventive Services) |
$50 Individual / $150 Family | $50 Individual / $150 Family | $50 Individual / $150 Family |
| Calendar Year Benefit Maximum | $5,000 | $5,000 | $5,000 |
| Plan pays: | Plan pays: | Plan pays: | |
| Diagnostic & Preventive Services (e.g., x-rays, cleanings, exams) |
100%, no deductible | 100%, no deductible | 100%, no deductible |
| Basic & Restorative Services (e.g., fillings, extractions, root canals) |
90% after deductible | 80% after deductible | 80% after deductible |
| Major Services (e.g., dentures, crowns, bridges) |
60% after deductible | 50% after deductible | 50% after deductible |
| Orthodontia (adults and children) |
50%, no deductible | 50%, no deductible | 50%, no deductible |
| Orthodontia Lifetime Maximum | $1,500 | $1,500 | $1,500 |
See the benefit summary for detailed information.
This website highlights some of your benefit plans. Your actual rights and benefits are governed by the official plan documents. If any discrepancy exists between this communication and the official plan documents, the plan documents will prevail. The company reserves the right to change any benefit plan without notice. Benefits are not a guarantee of employment.
Benefits Help
Alight
(877) 399-8952
Monday – Friday, 6am-6pm (PDT)
member.alight.com
