Dental

Woman having dental exam

We are proud to offer you a choice between three different dental plans.

  1. Cigna DHMO
  2. Cigna In-Network (Low) PPO Plan
  3. Cigna High PPO Plan

With this plan, you choose a primary dental provider to manage your care. There are no charges for most preventive services, no claim forms and no deductibles. Reduced, pre-set charges apply to other services.

DHMO Schedule of Benefits (PDF)
DHMO Finding a Provider (PDF)

DHMO - Dental Rates 

Coverage 
Employee Cost 
Employee
$0.00
Employee + Spouse
$14.89
Employee + Child(ren)
$9.92
Family
$27.37

Dental Plan Highlights

Benefits
Low Plan (PPO) High Plan (PPO)
Type I: Preventive Services
Reimbursement Level
X-rays
Cleanings (2 per year)
No waiting period
See Low Plan summary (PDF)
No deductible / 100%
No waiting period
See High Plan summary (PDF)
No deductible / 100%
Type II: Basic Services
Fillings
Extractions
Root canal   
$50 deductible / 80% $50 deductible / 90%
Type III: Major Services
Crowns
Removable / fixed bridgework
Partial or complete dentures
$50 deductible / 50% $50 deductible / 60%
Type IV: Orthodontia Child Only
$2,000
Child Only
$2,000
Annual Deductible   
   
Individual $50 $50
Family $150 $150
Annual Maximum    
Dental Annual Maximum $2,000 $2,000
Orthodontia Lifetime Maximum $2,000 $2,000