Dental Plan

Access to good oral healthcare can help keep your overall health costs down. Regular oral health exams can help detect significant medical conditions before they become serious.

Plan Details*

In-Network Out-Of-Network
Calendar Year Deductible
Individual $0 $25
Family $0 $75
Annual Maximum Benefit
$1500 $1500
Dental Care Services
Preventive Care 100% covered no deductible 80% covered no deductible
Basic Care 20% coinsurance Deductible then 20% coinsurance
Major Care 50% coinsurance Deductible then 50% coinsurance
Orthodontia
Coinsurance 50% covered no deductible
Lifetime Maximum $1,000
Benefit Applies To Adults and children

This is a summary of coverage. Full coverage details are available in your Summary Plan Description (SPDs) or official plan documents. In the event there are differences between this summary and your official plan documents, your plan documents prevail.

*If you live in Mississippi or Texas your coverage could be different. Please refer to your Summary Plan Document.

Orthodontia Services Note

The lifetime maximum illustrated is different from the calendar year maximum. For orthodontia services, this limit does not reset each year, this is the most your plan will cover for your services for the lifetime of your participation in this program.

Examples of Services

  • Preventive—exams, cleanings, fluoride, x-rays, and sealants
  • Basic—fillings, extractions, periodontics, repairs, and oral surgery
  • Major—crowns, inlays, dentures, and dental impacts 

Keep smiling!

Cigna is our dental plan provider.

Find in-network providers and access online tools and programs.

Additional Information

Cigna Dental Oral Health Integration Program
Cigna Dental Virtual Care
Get to Know the Cigna Dental PPO (DPPO) Plan
myCigna App