Dental
Taking care of your oral health is not a luxury; it is a necessity for long-term optimal health. With a focus on prevention, early diagnosis, and treatment, Dental insurance can greatly reduce your costs when it comes to restorative and emergency procedures.
When you visit a dentist in the network, you will maximize your savings. These dentists have agreed to reduced fees, which means you won’t get charged more than your expected share of the bill.
Cigna Dental HMO
Plan Information
Plan Name: Cigna Dental HMO
Policy Number: 624302
Effective Date: 01/01/2025
Network: Cigna
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network Only
Deductible
$0
Annual Plan Maximum
Unlimited
Preventive Care
$0
Basic Services
Payment based on copay schedule
Major Procedures
Payment based on copay schedule
Orthodontia (Adults and Children)
Child: $1,224 copay / Adult: $1,728 copay
Plan Documents
Contact Information
Cigna Dental PPO Base
Plan Information
Plan Name: Cigna Dental PPO Base
Policy Number: 624302
Effective Date: 01/01/2025
Network: Cigna
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$1,750
Preventive Care
$0
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
Not covered
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$1,750
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
Not covered
Plan Documents
Contact Information
Cigna Dental PPO Buy-Up
Plan Information
Plan Name: Cigna Dental PPO Buy-Up
Policy Number: 624302
Effective Date: 01/01/2025
Network: Cigna
In-Network Benefit Highlights
Deductible (Individual/Family)
$XX/$XX
Out-of-Pocket Max (Individual/Family)
$XX/$XX
Preventive Care
$XX
Primary Care Visit
$XX
Specialist Visit
$XX
Urgent Care
$XX
Emergency Room
$XX
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$3,000
Preventive Care
$0
Basic Services
$0 after deductible
Major Procedures
30% after deductible
Orthodontia (Adults and Children)
50%
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$3,000
Preventive Care
$0
Basic Services
10% after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
50%