Church Pension Group | Basic Dental PPO

Cigna Dental Plans Going Away

Cigna Dental coverage will no longer be offered after December 31, 2023.

Our new vendor for dental coverage will be Delta Dental, effective January 1, 2024. You must enroll in a Delta Dental plan during Annual Enrollment if you want dental coverage through the Medical Trust in 2024.

Basic Dental PPO

The Basic Dental PPO (DPPO) plan includes most preventive procedures at low or no cost to you, and these services are not subject to the annual maximum. However, you pay 15% coinsurance for basic restorative services and 50% coinsurance for major restorative services. These payments are subject to the annual maximum. Orthodontia is not covered under this plan.

The coverage includes:

  • DPPO & Out-of-Network Annual Deductible: $50 individual, $150 family
  • Annual Benefit Maximum: $2,000 individual
  • Dental implants and medically necessary night guards are included as covered major services (plan pays 50%) and count towards the annual benefit maximum
  • Preventive procedures are not subject to the annual benefit maximum.

Service
Your Cost
Preventive & Diagnostic Services
DPPO Advantage Provider: 0%
DPPO & Out-of-Network Provider: 0%1
Basic Restorative Services
DPPO Advantage Provider: 15%
DPPO & Out-of-Network Provider: 15%1
Major Restorative Services
DPPO Advantage Provider: 50%
DPPO & Out-of-Network Provider: 50%1
Orthodontia
Not covered under this plan

For detailed descriptions of our three dental plans, download our Cigna Dental Handbook.

View the plan summary:

 

1 If the provider’s fees exceed the regular and customary charges allowed in the plan, you may be billed for the balance.

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