State of Arizona

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Save up to $1,112 on dental premiums.

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Savings and predictability

*Savings of $1,112.80 annually for employee plus family rates for the Cigna Dental Care (DHMO) plan compared to the DPPO plan option.

Cigna Dental Care (DHMO)

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The Cigna Dental Care plan offers the savings of a DHMO plan, but it's even simpler to use, with coverage designed for every stage of life and predictable costs designed to fit any budget. The Cigna Dental Care plan is built around the real-life, whole person needs of you and your family and offers premium savings of up to $1,112 per year over the cost of the DPPO plan option!*

Enjoy an affordable premium, no deductible, no waiting periods or calendar year dollar maximums, and predictable costs based on your patient charge schedule.

The Cigna Dental Care Access network includes high-quality general dentists and specialists in convenient locations.

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: • Change network dentists anytime • Consult with a licensed dentist 24/7/365 • Click to Chat with a live representative

We want you to feel comfortable knowing that Cigna is a leading health services company with one mission: to help the people we serve improve their health, well-being and security. We've been committed to this community for nearly 40 years and are honored to be providing dental benefits to you and your family. We understand you have an important decision to make and we want the information found here to help make the process easier. Use this site to learn more about the Cigna benefit plan available to you and to search for network dentists.

Welcome, State of Arizona Employees

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Prepared for State of Arizona Employees

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.

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 options. The plan also has no deductibles to pay before coverage begins, no annual dollar maximums on covered services, no claim forms and no waiting periods.²

Adult cleaning Child cleaning Periodic oral evaluation Comprehensive oral evaluation Topical fluoride X-rays: bitewings, 2 films X-rays: panoramic film Sealant - per tooth Amalgam filling (silver) 1, 2, or 3 surfaces Composite filling (tooth colored) 1, 2, or 3 surfaces, anterior Molar root canal (excludes final restoration) Periodontal (gum) scaling & root planing 1 - 3 teeth/quadrant Periodontal (gum) maintenance Removal/extraction of erupted tooth or exposed root Removal/extraction of impacted tooth - soft tissue Crown - porcelain fused to high noble metal Occlusal guard, by report Implants (surgical placement)

$0 $0 $0 $0 $0 $0 $0 $12 $0 $0 $335 $42 $53 $12 $46 $450 $205 $1,025

PROCEDURE

YOUR COST

Common covered procedures and your costs.

How the plan works

The Cigna Dental Care (DHMO) plan covers important dental care services when performed by a dentist in the Cigna Dental Care Access Network. The plan offers low 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.

PROCEDURE

DHMO

Orthodontics for the whole family Teeth whitening Custom-made athletic mouth guards Fluoride and sealants for the whole family TMJ-related services*

DPPO

• You can change your NGD any time by calling or logging 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 • You don't need referrals to see network orthodontists or pediatric dentists

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Cigna Dental Care (DHMO)

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Cigna Dental Care (DHMO)

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*TMJ-related coverage may be available on your medical plan.

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.

This is not a complete list. Actual terms of coverage may vary by state. 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 Oral Health Integration Program

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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***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.

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Cigna Dental Care (DHMO)

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Dental Health Resources Library

To learn more about a specific dental health topic, click a link below.

The Oral and Overall Health Connection Dental Anxiety Genes and Oral Health Dental Hygiene Aging and Oral Health Alcohol, Tobacco and Oral Health New Year, New Habits Children's Oral Health Women's Oral Health Obesity and Oral Health Diabetes and Oral Health Men's Oral Health