Dental Plan

We have selected Cigna as our dental care insurance provider. Cigna's nationwide network of dentists provides you and your family members with the flexibility to choose any dentist that you wish to use.

You may elect dental coverage for yourself and eligible family members. The plan provides coverage for services from any licensed dentist – however, you can optimize your benefits by accessing care from a contracted provider. Non-network dental services are subject to usual, customary, and reasonable (UCR) fees, which may result in additional costs if the dentist charges more than the carrier-contracted fees. This is referred to as balance billing.

Please reference the Cigna Provider Directory to find dentists that are in-network with Cigna, so you can maximize your coverage.

Cigna Dentist Search:

  • Go to www.cigna.com
  • Click “Employer or School”
  • Select: “If your insurance plan is offered through work or school…”
  • Enter location
  • Select Dental Plan: “Total Cigna DPPO”
  • Enter provider name or type (dentist)
  • Confirm the provider is in the Total Cigna DPPO network when results appear

If you are having trouble confirming if a particular dentist is in-network or out-of-network, please contact Total Rewards Team and they'll reach out to Cigna's contracting team to confirm their status.

Please note: After you have completed your enrollment, eligibility information will be sent to the carriers on the next weekly file. The carriers take approximately 3-4 business days to process the files at which time, you can register with myCigna.com and login to download a digital ID card and also contact Cigna Member services with any questions.

Group Number
Service Number
3347659
800.244.6224

Cigna Provider Directory

Cigna Dental PPO Plan SDBC
Cigna Dental PPO Plan Summary
Cigna Dental PPO Plan Summary (New Mexico Only)
Cigna Dental PPO Plan Summary (Texas Only)
Cigna Dental Member Resources
CIGNA DENTAL
PPO PLAN
Network

In-Network | Out-of-Network

Annual Plan Maximum
$3,000
Annual Deductible
  • Individual
  • Family
(waived for preventive & diagnostic)
$50
$150
Preventive Services
100%
Basic Services
80%
Major Services
50%
Orthodontia
50%
Ortho Lifetime Max
$3,000
(Adult & Child)
Usual, Customary & Reasonable
Negotiated Fee | 90th Percentile*

*For out-of-network providers, Cigna will only pay dentist up to the 90th percentile of the Usual, Customary and Reasonable (UCR) prevailing billed charges in the dentist's zip code. If your dentist charges a rate higher than this benchmark, you are responsible for the additional charges. Ask your dentist for an estimate if you are concerned.

Contributions

MONTHLY (12)
DENTAL PPO PLAN
EMPLOYEE COST
Employee Only
$7.41
Employee + Spouse
$22.84
Employee + Child(ren)
$34.65
Family
$55.94

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Disclaimer: This presentation provides a summary of the employee benefit programs offered by Fuze Health. Should any discrepancies arise, please refer to the actual plan documents, which supersede this presentation. Once enrolled, you will receive a Combined Evidence of Coverage and Disclosure Form detailing the exclusions, limitations, and the full range of covered services of your plan.