Dental Plans

Healthy teeth and gums are important to your overall wellness. To help you maintain your dental health and address any issues, your dental coverage from Allied Universal^® pays for most preventive and diagnostic care and helps pay for the cost of basic and major restorative treatments. The plans also provides orthodontia benefits for you and your covered dependents.

Using Your Dental Benefits

Here’s how to make the most of your dental benefits:

Present your plan identification information at your provider’s office. The group number is 3330706 and your member number is your Social Security number.
If your service will exceed $500, submit for a pre-treatment estimate. It is recommended that you submit a request for a pre-treatment estimate for procedures and services your dentist believes will exceed $500 (procedures such as crowns, inlays, bridges, and periodontics). For more information about pre-treatment estimates, call Cigna at 1-800-244-6224 or visit Cigna.

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Find a network dentist

You’ll generally pay less out-of-pocket when you use an in-network dentist. Visit Cigna for more information.

Contact Info

Cigna Dental

Group # 3330706
Phone: 1-800-244-6224
Pre-enrolled: www.cigna.com
Once enrolled: mycigna.com

Documents

DHMO and DPPO

Dental

Dental

Dental Plan Options

The Cigna Dental PPO Plan

Includes a national network of dentists. You may see any licensed dentist, but you will save the most money if you see dentists in the Cigna Advantage Network.

The Cigna Dental HMO Plan

Offers access to a national network of dentists. Coverage is only provided for services received in the Cigna Dental Access Plus Network. Upon enrolling in this plan, a dentist is assigned by default. You must contact Cigna to update your dentist before seeking any services. This plan is not available in all areas. If this option is available in your area, you will see the option listed when you enroll on eHub.

Dental Coverage

Benefit	Cigna Dental PPO (DPPO)* Cigna Dental PPO - Total (LA and MI Only) Cigna Dental Choice (TX)		Cigna Dental Care (DHMO) (Only available in Certain Areas)
	Cigna DPPO Advantage Network	Cigna DPPO Network or Out-of-Network	Cigna Dental Access Plus Network Only
Deductible
(Individual/Family)	$50/$150	$50/$150	None
Annual Maximum Benefit	$1,500	$1,000	None
Services
Preventive & Diagnostic Procedures
Oral Exams, Cleanings and X-Rays	You pay 0%	You pay 20% after deductible	$5 office visit fee (for most services)
Basic Procedures
Fillings, Oral Surgery, Periodontics, Endodontics and Anesthesia	You pay 20% after deductible	You pay 50% after deductible	Varying copay amounts based on services provided
Major Procedures
Restorations, Crowns, Bridges and Dentures	You pay 50% after deductible	You pay 50% after deductible	Varying copay amounts based on services provided
Orthodontia
	50%, no deductible $1,500 lifetime maximum benefit Children and adults included		Children and adults, varying copay amounts based on services provided
* In Louisiana, Mississippi and Texas, in-network level benefits are paid even if you see an out-of-network provider. However, the maximum reimbursable charges still apply. For more plan details, review the plan summaries for the Cigna Dental PPO-Total, the Cigna Dental PPO-Total LA & MS (Louisiana & Mississippi) and the Cigna Dental Choice-Texas.