Plumbers' Union

Offered by Cigna Health and Life Insurance Company.

Smile more. Stress less.

Convenience

Whole health focus

You have access to highly rated dentists on the Cigna Total DPPO Cigna Dental Care (DHMO) Access network. Using a Cigna network dentist is convenient and offers savings on dental care.

Network

The online tools available on your personalized myCigna account (available once your benefits are active) make it easy to compare and choose dentists, read patient reviews, and view costs based on your specific plan. And added support is just a call away, 24/7. Plus, you can: • Manage plan benefits • Consult with a dentist 24/7/365 • Chat with a live representative

For enrollment information and instructions, click here. For issues or questions with the YES system, please contact the HRIS Help Desk at 1.602.542.4700 or email hrishelpdesk@azdoa.gov For questions about the Cigna Dental Care (DHMO) plan, contact Cigna at 1.800.968.7366.

Although all of your options provide important preventive care services at little to no extra cost, they each have different features and benefits. Learn more about your options on this site. If you're unsure which plan is best for your needs, use the decision guide tool which asks a few simple questions and then presents you with information about each plan, specific to your needs.

No matter which dental plan you choose, you'll have access to programs and services that can help improve whole person health through dental care. Learn about the Cigna Dental Oral Health Integration Program.

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Not sure which dental plan to choose?

Use the decision guide tool to see information about your options, specific to your needs.

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Cigna Dental Care (DHMO)

Cigna Dental PPO

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You have a choice for dental plans.

Offered by Cigna Health and Life Insurance Company.

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Cigna Dental Care (DHMO)

Cigna Dental PPO

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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.

We're focused on helping you be at your best, body and mind. That means offering a rich set of benefits, including preventive care services, and programs designed to help you better manage medical conditions through dental care.

The Cigna Dental Care (DHMO¹) plan includes coverage for many procedures - including some that may not be available on your other dental plan option. There are no deductibles to pay before coverage begins, no annual dollar maximums on covered services, no claim forms and no waiting periods.²

Prophylaxis (routine cleaning) Periodic oral evaluation Topical fluoride for all ages X-rays: bitewings, 2 films Sealants for all ages - per tooth Amalgam filling (silver) 1, 2, 3 or 4 surfaces, all teeth Composite filling (tooth colored) 1, 2, 3 or 4 surfaces, front teeth Composite filling (tooth colored) 1, 2, 3 or 4 surfaces, back teeth Molar root canal (excludes final restoration) Periodontal (gum) scaling & root planing 4+ teeth - per quadrant Periodontal (gum) maintenance Removal/extraction of impacted tooth - soft tissue Removal/extraction of impacted tooth - completely bony Surgical implants Orthodontics - all ages Teeth whitening (per arch)

0% 0% 0% 0% 0% 0% 0% 0% 40% 0% 0% 0% 40% 40% 50% $165

PROCEDURE

YOUR COST

Common covered procedures and your costs.

How the plan works

The Cigna Dental Care (DHMO) plan covers dental care services when performed by a dentist in the Cigna Dental Care Access Network. The plan offers lower costs because you must use a network dentist for all care. Some exceptions may be made for emergencies and state requirements, so be sure to review your enrollment materials and plan documents carefully.³

You choose a network general dentist (NGD) who will provide all of you routine care. Should you need to see a specialist, your NGD will refer you to one in the network.

BENEFITS

DHMO

Teeth whitening Custom-made athletic mouth guards Fluoride and sealants for the whole family

DPPO

• You can change your NGD any time - just call or log on to myCigna • Your enrolled dependents can each choose their own NGD • Children up to the age of 13 can use a pediatric network dentist • Referrals not needed for network orthodontists or pediatric dentists

View Patient Charge Schedule

1. The term “DHMO” is used to refer to product designs that may differ by state of residence of enrollee, including but not limited to, prepaid plans, managed care plans, and plans with open access features. The Cigna Dental Care (DHMO) may not be available in all states. 2. All group dental plans and insurance policies have exclusions and limitations. For costs and details about the services covered under your plan, review your enrollment materials. Dentists who participate in Cigna’s network are independent contractors solely responsible for the treatment provided and are not agents of Cigna. 3. A benefit is paid for covered out-of-network emergency dental care. Certain states mandate coverage for dental care received out-of-network. For example, in Minnesota, the plan will pay 50% of the value of your network benefit for covered out-of-network services. In Oklahoma, the plan will pay the same amount it pays network dentists for covered out-of-network services. You are responsible for any charges not covered by the plan. Other states may have similar mandates. Refer to your plan documents for cost and coverage details. 4. TMJ-related coverage may be available on your medical plan. 5. This is not a complete list. Actual terms of coverage may vary by state. Exclusions and limitations apply. For a more complete list of both covered and not covered services, including benefits required by your state, refer to the rest of your enrollment materials or call 800.Cigna24 (800.244.6224) if you have questions or need more information.

Cigna Dental Care (DHMO)

Offered by Cigna Health and Life Insurance Company.

Not sure which dental plan to choose?

Use the decision guide tool to see information about your options, specific to your needs.

Learn how a DHMO plan works.

Find a DHMO Access Network Dentist

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

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Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Not sure which dental plan to choose?

Use the decision guide tool to see information about your options, specific to your needs.

Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Not sure which dental plan to choose?

Use the decision guide tool to see information about your options, specific to your needs.

***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.

Find a Network Dentist

It is important to understand how care is covered when you use a network dentist versus a non-network dentist. You can view an example below.

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 reimbursable charge" (MRC) is based on the amount Cigna would pay a network dentist 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 network dentist?

View Benefit Summary

Cigna Dental PPO (DPPO)

Offered by Cigna Health and Life Insurance Company.

Sarah and Mary are due for routine preventive care services.

Example for illustrative purposes only.

Fee for visit Discounted (allowed) amount % of allowed amount that the plan covers Customer coinsurance Plan pays Can the dentist balance bill?

Mary Out-of-Network Dentist

Learn how a DPPO plan works.

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Cigna Dental Care (DHMO)

Cigna Dental PPO

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Sarah Cigna DPPO Dentist

Prophylaxis (cleaning), routine x-rays and exam.

$350 $250 100% 0% $250 YES

$350 $250 100% 0% $250 NO

Sarah Pays $0

Mary Pays $100

Not sure which dental plan to choose?

Use the decision guide tool to see information about your options, specific to your needs.

Not sure which dental plan to choose?

Use the decision guide tool to see information about your options, specific to your needs.

Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Not sure which dental plan to choose?

Use the decision guide tool to see information about your options, specific to your needs.

Although the DPPO plan will pay for covered services performed by dentists who do not participate in our network, you can 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.

The Cigna Dental PPO (DPPO) plan covers certain preventive care services at no additional cost when you use a dentist in the Cigna Total DPPO network*. The plan has an annual dollar maximum which is the most the plan will pay toward covered services during the plan year. For services other than preventive care, you'll pay a deductible and then a percentage of the amount Cigna reimburses the dentist. It you use an out-of-network dentist, you will be subject to balance billing. This happens when the amount Cigna reimburses the dentist is less than their usual fee. In this case, the dentist can bill you directly for the difference. See the example below for more information.

How the plan works

View Benefit Summary

The Cigna Dental PPO plan makes it easy to protect your health - and your smile - with the right dental care at the right price. And with coverage that allows you to see any dentist you want, the DPPO plan also offers maximum flexibility.

Find a Total DPPO Network Dentist

It is important to understand how care is covered when you use a network dentist versus a non-network dentist.

Learn how a DPPO plan works.

Why use a Cigna Total DPPO network dentist?

Bob and Mary both need a root canal. They have met their annual deductible.

Example for illustrative purposes only.

Bob Network Dentist

Fee for root canal

$850

Contracted Fee $650

MRC Amount $650

$520

Yes

$130 + $200 = $330

$520

80%

$850

Percentage of reimbursable fees the plan covers

Reimbursable amount

Plan pays

Can dentist balance bill?

Mary Out-of-Network Dentist

Mary Pays

$130

20% coinsurance plus difference between usual fee and MRC.

Bob Pays

Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose

Offered by Cigna Health and Life Insurance Company.

Home

Cigna Dental Care (DHMO)

Cigna Dental PPO

Help Me Choose