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 PPO
Plan Information
Plan Name: Cigna Dental PPO
Policy Number: 22222
Effective Date: 11/01/2024
Provider 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 (Per Individual)
$50/$150
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
DPPO: 20% after deductible; Advantage: 10% after deductible
Major Procedures
DPPO: 50% after deductible; Advantage: 40% after deductible
Orthodontia (Dependent children up to age 26)
50% after deductible, up to a lifetime maximum benefit of $2,000 per individual
Out-of-Network
Deductible (Per Individual)
$50/$150
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Dependent children up to age 26)
50% after deductible, up to a lifetime maximum benefit of $2,000 per individual
Plan Documents
Contact Information
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
In-Network
Deductible (Per Individual)
$50/$150
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
DPPO: 20% after deductible; Advantage: 10% after deductible
Major Procedures
DPPO: 50% after deductible; Advantage: 40% after deductible
Orthodontia (Dependent children up to age 26)
50% after deductible, up to a lifetime maximum benefit of $2,000 per individual
Out-of-Network
Deductible (Per Individual)
$50/$150
Plan Maximum
$2,000
Preventive Care
$0
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Dependent children up to age 26)
50% after deductible, up to a lifetime maximum benefit of $2,000 per individual
