Both Cigna PPO plans give participants the flexibility to choose any provider and still receive benefits. The covered benefits listed below apply specifically to in-network dental care under each plan. While you can opt for out-of-network providers, visiting a network dentist typically costs less, as they have agreed to offer discounted rates.
| CIGNA DENTAL PPO | CIGNA DENTAL PPO PLUS | |
|---|---|---|
| Cleanings Per Year | 4 | 4 |
| Deductible (Deductible waived for preventive services) |
$50/$150 | $50/$150 |
| Annual maximum benefit per member (progressive maximum) | Year 1: $1,000
Year 2: $1,100 Year 3: $1,200 Year 4: $1,300 |
Year 1: $2,000
Year 2: $2,100 Year 3: $2,200 Year 4: $2,300 |
| Diagnostic & preventive coinsurance (cleanings) | 100% | 100% |
| Basic restorative coinsurance (fillings) | 80%, after deductible | 80%, after deductible |
| Major restorative coinsurance (crowns, inlays and onlays, bridges and dentures) | 50%, after deductible | 50%, after deductible |
| Orthodontia coinsurance | 50%, no deductible* | 50%, no deductible** |
| Orthodontics lifetime maximum | $1,000 | $2,000 |
| Reimburse % UCR | 90th Percentile | 90th Percentile |
* Cigna Dental PPO covers orthodontia only for covered dependent children up to age 19.
** Cigna Dental PPO Plus covers orthodontia for employees and all covered dependents.