Dental
Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.
Cigna Buy Up PPO
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$5,000
Preventive Care
No charge (deductible waived)
Basic Services
No charge after deductible
Major Procedures
40% after deductible
Orthodontia (Adults and Children)
50% after deductible up to a lifetime maximum benefit of $2,500 per individual
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,500
Preventive Care
No charge (deductible waived)
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50% after deductible up to a lifetime maximum benefit of $1,500 per individual
Monthly Plan Cost
Employee Only: $23.37
Employee and Spouse/DP: $50.03
Employee and Child(ren): $59.63
Employee and Family: $84.97
Cigna Base PPO
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,500
Preventive Care
No charge (deductible waived)
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50% after deductible up to a lifetime maximum benefit of $1,500 per individual
Out-of-Network
Deductible (Individual/Family)
$50/$150
Annual Plan Maximum
$2,500
Preventive Care
No charge (deductible waived)
Basic Services
20% after deductible
Major Procedures
50% after deductible
Orthodontia (Adults and Children)
50% after deductible up to a lifetime maximum benefit of $1,500 per individual
Monthly Plan Cost
Employee Only: $14.49
Employee and Spouse/DP: $32.04
Employee and Child(ren): $38.18
Employee and Family: $54.40
