Overview

You can enroll in the dental plan of your choice as a new hire, during Open Enrollment, or if you have a qualifying life event. To see your premiums and enroll, log in to Workday.

Dental plan options

Key Features at a Glance

Our dental coverage provides:

Free in-network preventive and diagnostic care

to help keep your teeth healthy

Affordable coverage

that helps you manage the cost of dental treatment

Wide network of providers

that have agreed to negotiated rates, which helps you save money

Find a Network Dentist

You may choose to see any in- or out-of-network dentist you’d like, but you’ll generally pay less when you stay in network. Visit Cigna to find an in-network provider near you.

Plan Comparison

Coverage Details

	Cigna PPO Basic		Cigna PPO Buy-Up
	In-Network	Out-of-Network*	In-Network	Out-of-Network*
Services
Annual deductible	Cigna PPO Basic $50 individual/ $150 family	Cigna PPO Basic $50 individual/ $150 family	Cigna PPO Buy-Up $50 individual/ $150 family	Cigna PPO Buy-Up $50 individual/ $150 family
Annual maximum benefit	Cigna PPO Basic $1,750 per individual	Cigna PPO Basic $1,750 per individual	Cigna PPO Buy-Up $3,250 per individual	Cigna PPO Buy-Up $3,250 per individual
Preventive	Cigna PPO Basic You pay $0; no deductible	Cigna PPO Basic You pay $0; no deductible	Cigna PPO Buy-Up You pay $0; no deductible	Cigna PPO Buy-Up You pay $0; no deductible
Basic (includes endodontic and periodontic services)	Cigna PPO Basic You pay 10% after deductible	Cigna PPO Basic You pay 10%, after deductible	Cigna PPO Buy-Up You pay 10% after deductible	Cigna PPO Buy-Up You pay 10%, after deductible
Major	Cigna PPO Basic You pay 40% after deductible	Cigna PPO Basic You pay 40% after deductible	Cigna PPO Buy-Up You pay 40% after deductible	Cigna PPO Buy-Up You pay 40% after deductible
Orthodontia	Cigna PPO Basic Not covered	Cigna PPO Basic Not covered	Cigna PPO Buy-Up You pay 50%; no deductible (plan pays up to $2,000/ individual/lifetime)	Cigna PPO Buy-Up You pay 50%; no deductible (plan pays up to $2,000 per individual/ individual/lifetime)

Annual deductible
Cigna PPO Basic	$50 individual/ $150 family
Cigna PPO Basic	$50 individual/ $150 family
Cigna PPO Buy-Up	$50 individual/ $150 family
Cigna PPO Buy-Up	$50 individual/ $150 family
Annual maximum benefit
Cigna PPO Basic	$1,750 per individual
Cigna PPO Basic	$1,750 per individual
Cigna PPO Buy-Up	$3,250 per individual
Cigna PPO Buy-Up	$3,250 per individual
Services
Preventive
Cigna PPO Basic	You pay $0; no deductible
Cigna PPO Basic	You pay $0; no deductible
Cigna PPO Buy-Up	You pay $0; no deductible
Cigna PPO Buy-Up	You pay $0; no deductible
Basic (includes endodontic and periodontic services)
Cigna PPO Basic	You pay 10% after deductible
Cigna PPO Basic	You pay 10% after deductible
Cigna PPO Buy-Up	You pay 10% after deductible
Cigna PPO Buy-Up	You pay 10% after deductible
Major
Cigna PPO Basic	You pay 40% after deductible
Cigna PPO Basic	You pay 40% after deductible
Cigna PPO Buy-Up	You pay 40% after deductible
Cigna PPO Buy-Up	You pay 40% after deductible
Orthodontia
Cigna PPO Basic	Not covered
Cigna PPO Basic	Not covered
Cigna PPO Buy-Up	You pay 50%; no deductible (plan pays up to $2,000/ individual/lifetime)
Cigna PPO Buy-Up	You pay 50%; no deductible (plan pays up to $2,000/ individual/lifetime)

*If you use an out-of-network provider, you’re responsible for any charges above the usual, customary, and reasonable (UCR) limits.

Use Your Dental Benefits Wisely

Here’s how to make the most of your dental benefits:

Choose a network provider

Each time you need dental care, you have a choice of providers. Selecting a Cigna participating dentist will ensure you receive the highest benefits from your plan.

Submit for a pretreatment estimate.

You should submit a request for a pre-treatment estimate for procedures and services such as crowns, inlays, bridges, and periodontics. For more information, call 800-244-6224.

Check your claim status.

You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more through Cigna.