PRIVACY STATEMENT I PRIVACY INFORMATION I LEGAL DISCLAIMER ©2022 Cigna. Some content provided under license.
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Cigna dental customers have access to programs and services that can help improve whole person health through dental care.
Cigna Dental Health Connect
When you activate your myCigna account, you get access to a personalized experience and tools that can help you maximize your dental plan benefits.
Personalized Experience
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Cigna DPPO Plan
Find a Dentist
Offered by Cigna Health and Life Insurance Company.
The Cigna Dental Oral Health Integration Program is for customers with certain medical conditions that have been found to be associated with gum disease and other oral health conditions. The Cigna Dental Oral Health Integration Program reimburses out-of-pocket costs for specific dental services used to treat gum disease and tooth decay. There's no additional cost for the program - if you qualify and enroll, you get reimbursed!
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Cigna Dental Oral Health Integration Program
Although the Cigna Dental PPO (DPPO) plan will pay for covered services performed by dentists who do not participate in our network, you may save money by using a dentist who is in network. In-network dentists file claims on your behalf and apply your coinsurance to their fees which are discounted for Cigna customers.
Choice and Savings
With the Cigna Total DPPO network, you'll be able to choose from over 150,000* dentists. And if you're not sure where to start with your search, we've made it easy with tools on your personalized myCigna account. You can read verified patient reviews, compare Brighter Scores and view office information and photos**.
A Network of Quality Providers
Stay healthy from your teeth to your toes.
How your Cigna dental plan can help.
*The Total DPPO network unique provider count for year-end 2021: 150,000 dentist. Subject to change.
**Actual features may vary by dentist. These and other dentist directory features are for educational purposes only and should not be the sole basis for decision making. They are not a guarantee of the quality of care that will be provided to individual patients and you should consider all relevant factors when selecting a dentist.
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877-505-3682
Product availability may vary by location and plan type and is subject to change. All group health insurance policies and health benefit plans contain exclusions and limitations. For costs and details of coverage, review your plan documents.
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC) or its affiliates. Policy forms: OR - HP-POL38 02-13, TN - HP-POL43/HC-CER1V1 et al. (CHLIC).
927583 04/21 ©2021 Cigna. Some content provided under license.
***This listing is not all-inclusive. For a listing of providers and facilities that participate in the LocalPlus network, contact your Cigna
representative or visit Cigna.com.
** As of March 2021. Subject to change.
* Potential savings estimated, based on an internal Cigna study conducted in 2021 comparing Cigna’s LocalPlus plans with Cigna’s Open Access Plus (OAP) plans in Georgia with the same benefit plan provisions. Savings are not guaranteed and will vary depending on plan design, geographic distribution and utilization patterns. Medical cost savings do not directly translate to rate or premium rates.
PRIVACY STATEMENT I PRIVACY INFORMATION I LEGAL DISCLAIMER ©2022 Cigna. Some content provided under license.
Find a Total DPPO
Network Dentist
Your plan has no annual deductible or dollar maximum on most covered services. However, it is important to understand how care is covered when you use a network dentist versus a non-network dentist.
Network dentists have agreed to provide dental services to Cigna customers at a reduced rate, saving you money on care. They will file claims for you and they cannot "balance bill" you for the difference between their usual fees and what they have agreed to accept from Cigna. Balance billing occurs when the fee the dentist usually charges is more than the amount Cigna pays them.
Out-of-Network dentists do not offer a reduced rate to Cigna customers and you may have to file your own claims. Out-of-network dentists can charge whatever fee they want for services, but Cigna uses a "maximum allowed amount" to determine the reimbursable fee.
The "maximum allowable charge" (MAC) is based on a percentile of fees charged by dentists in an area for a specific service. Out-of-network dentists can balance bill you for the difference between their usual fees and the amount Cigna reimburses them.
Why use a Cigna Total DPPO network dentist?
Show me an example
We're focused on helping you be at your best, body and mind.
Active Member
Benefit Summary
Offered by Cigna Health and Life Insurance Company.
Routine dental exams can help detect signs of medical conditions such as diabetes, leukemia, heart disease and kidney disease that sometimes produce oral symptoms.
If you have a chronic medical condition such as diabetes, heart disease or a history of stroke, getting the appropriate preventive dental care is even more important, because studies show a connection between certain chronic conditions and gum disease.¹
Having regular preventive dental check-ups can help you avoid emergency room and urgent care visits. People who don't get regular dental care have 22% more visits to emergency rooms and urgent care centers.²
Your Cigna dental plan covers certain preventive dental care services at no additional cost when you use a dentist in the Total DPPO network.³
Bob and Mary both need a root canal.
Mary
Out-of-Network Dentist
Bob
Network Dentist
Fee for root canal
Percentage of reimbursable fees the plan covers
Reimbursable amount
Plan pays
$850
$850
100%
100%
Contracted Fee
$650
MAC
$700
$650
$700
Can dentist balance bill?
$150
No
Yes
Mary Pays
$0
Difference between usual fee and MAC.
Bob Pays
Bob uses a network dentist.
Mary uses an out-of-network dentist.
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1. "Oral health: A window to your overall health" Mayo Clinic, June 2019
2."Preventive Dental Treatment Associated with Lower Medical Utilization and Costs." National study of Cigna customers with dental and medical coverage, updated December 2020.
3. All group dental insurance policies and dental benefit plans contain exclusions and limitations. For costs and details of coverage, review your plan documents or contact a Cigna representative.
Example for illustrative purposes only.
Cigna DPPO Plan
Find a Dentist
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Retired Member
Benefit Summary
Cigna Dental PPO
Plan overview
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Offered by Cigna Health and Life Insurance Company.
Cigna DPPO Plan
Find a Dentist
FAQ
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Have questions or need help?
Cigna is here for you 24/7/365.
877-505-3682
Q1: Can I go to any dentist?
A1: Yes, however you will typically spend less when you visit a Cigna network dentist because Cigna has negotiated discounted rates with these dentists. The DPPO dental network is called “Total DPPO.” When you use a network dentist you’ll save becasuse the dentist has agreed to reduce their fees for Cigna customers. If you use a non-network dentist, you will not receive Cigna network discounts and the dentist may bill you for the difference between the payment they receive from Cigna and their usual fees.
Q2: What if my current dentist does not participate in the Cigna network?
A2: While most in-network dentists currently used by members and their families are part of Cigna’s extensive national network, a small number are not. You may go to cigna.com to see if your dentist is participating, or you can call Cigna to request a provider nomination form.
Q3: How are non-network dentists reimbursed under the new Cigna plan?
A3: Non-network dentists are reimbursed based on a Maximum Allowable Charge (MAC) schedule. Cigna will reimburse covered services at 100% of the Maximum Allowable Charge. There will be no charge to you if the non-network dentist accepts Cigna’s paid amount as payment in full. However, non-network dentists may balance bill you for the difference between Cigna’s payment and their usual fee. A quick example of how in-network vs non-network dentists are reimbursed is as follows;
Q4: Do I choose a dentist when I sign up for the plan?
A4: No, you are free to see any network or non-network dentist (general dentist or specialist) without notifying Cigna in advance. You can find a network dentist or specialist online at Cigna.com before you sign up, or go to your personalized website at myCigna.com after you sign up. You can also call Cigna’s 24/7/365 dedicated toll free number at 877.505.4158, and we will help you find a network dentist in your area.
Q5: Do I pay up front and submit a claim or will the dentist submit claims for me?
A5: In most instances, if you are using an in-network dentist, they will submit claims on your behalf. Cigna accepts electronic claims from non-network dentists, however a non-network dentist may require you to file your own claims after payment if they choose not to file on your behalf.
Q6: Can I download my ID card to my device?
A6: Yes. You will be receiving ID cards in the mail; however, once you are registered on the myCigna.com Home page you will see “ID Cards.” The “ID Cards” icon is usually on the bottom left of a smart phone and top right on a computer.
Q7: What if it's 3:00am and I urgently need dental care?
A7: Virtual dental care is available 24/7/365. You must first log onto myCigna.com to have access to our virtual dental care. Once you are in myCigna.com follow the prompts to the virtual care portal. This will take you to “TheTeleDentists” website where you will need to create an account. Afterwards, you will be able to receive virtual urgent dental care. Please note that the dentist must be able to see you from your device.
Q8: What are my in-network copays/deductibles/coinsurance?
A8: None. You have no copays, deductibles, or coinsurance for in-network coverage. You may have some out-of-pocket costs if you utilize an out-of-network dental provider.
Q9: What is my calendar year maximum allowed benefit?
A9: The only maximum allowed benefits are for surgical implants which has an annual maximum of $4,000. All other benefits are unlimited, subject to applicable plan frequency limits, exclusions and medical necessity provisions.
Q10: Do I need a referral to see a dental specialist?
A10: No. However we do suggest seeing an in-network dentist, if possible, to save money.
Q11: Are there any differences in the dental benefits for Active members and Retirees?
A11: Yes. The Retiree plan does not cover orthodontia services.
Q12: How many dentists are in the Cigna network?
A12: Cigna has over 150,000 dentists in the Total DPPO network.
Q13: Is orthodontia coverage available to eligible children and adults?
A13: Yes, on the Active member plan.
Q14: What if I or one of my dependents is in the middle of an orthodontic treatment plan?
A14: For more information, call Cigna at 877.505.4158
Cigna DPPO Plan
Find a Dentist
Offered by Cigna Health and Life Insurance Company.
FAQ
Frequently Asked Questions
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PRIVACY STATEMENT I PRIVACY INFORMATION I LEGAL DISCLAIMER ©2022 Cigna. Some content provided under license.
Have questions? Call Cigna at 877.505.4158
Active Member
Benefit Summary
Retired Member
Benefit Summary
Have questions or need help?
Cigna is here for you 24/7/365.
877-505-3682