Cigna dental PPO coverage

Cigna Dental has the following dental coverage plans available: low deductible plans, high annual maximum plans, and bundled plans. Low deductible plans include Cigna Dental Preventive, Cigna Dental 1000, and Cigna Dental 1500. High annual maximum plans include Cigna Dental 5000/250, Cigna Dental 3000/150, and Cigna Dental 3000/100. Bundled plans include Cigna Dental Vision 1000, Cigna Dental Vision Hearing 2000, and Cigna Dental Vision Hearing 3500.

Cigna dental coverage plans

Cigna DPPO networks provide easy access to reputable dentists nationwide as well as discounts on covered dental care. When you see an in-network Cigna dentist, certain preventive care services are partially or fully covered. You pay a coinsurance (a part of the covered costs) once you meet your annual deductible and satisfy waiting periods, and the dental plan covers the remaining costs (up to the yearly or lifetime dollar limit of the plan).

Cigna Dental Preventive

Cigna Dental Preventive is a low deductible plan. Preventive and diagnostic services, such as oral exams, cleanings, and x-rays, are benefits fully covered by the Cigna Dental Preventive plan. Please refer to your plan documentation for a detailed list of all covered services. Certain covered dental services, such as teeth cleanings, have a limited frequency. For details on the precise frequency restrictions under your plan, consult your Policy. With Cigna Dental Preventive, there are no deductibles or maximums and it provides access to Cigna’s convenient nationwide Cigna Advantage DPPO Network.

Cigna Dental 1000

Cigna Dental 1000 is a low deductible plan. Preventive and diagnostic services are estimate of 100% covered by Cigna Dental 1000 including oral exams, cleanings, and x-rays. Simple restorative care services like tooth fillings and simple extractions are estimate of 80% covered by this plan. Major restorative treatments like crowns, dentures, and bridges are all estimate of 50% covered by this insurance plan. For a complete list of covered services, please read the documentation in your plan.

Cigna Dental 1500

Cigna Dental 1500 is a low deductible plan. With Cigna Dental 1500, preventive and diagnostic services are estimate of 100% or fully covered. These include oral exams, professional cleanings, and dental x-rays. Restorative dental care services such as dental fillings and simple tooth extractions are estimate of 80% covered after plan deductible. Major restorative procedures namely dental crowns, dentures, and dental bridges are estimate of 50% covered by Cigna Dental 1500. There’s a estimate of 50% coverage for orthodontic treatments that are also included and incorporated in this plan. Please refer to your plan documentation for a detailed list of all covered services.

Cigna Dental 5000/250

Cigna Dental 5000/250 is a high annual maximum plan. Cigna Dental 5000/250 offers full coverage for routine dental check-ups, including teeth cleanings and routine dental x-rays after deductible. About $250 individual annual deductible applies to all dental services which include preventive, basic, and major dental restorative services. Around $5,000 in benefits are available and can be applied towards both minor and major dental procedures, like fillings, crowns, and root canals. With Cigna Dental 5000/250, there are no referrals needed. Members will also have access to Cigna’s convenient nationwide Total Cigna DPPO Network.

Cigna Dental 3000/150

Cigna Dental 3000/150 is a high annual maximum plan. Cigna Dental 3000/150 offers estimate of 100% coverage for routine dental check-ups, including teeth cleanings and routine dental x-rays after deductible. Around $150 individual annual deductible applies to all dental services which include preventive, basic, and major dental restorative services. About $3,000 in benefits are available and can be applied towards both simple and major dental procedures, like teeth fillings, dental crowns, and root canals.There are no referrals needed with Cigna Dental 3000/150. Members will also have access to Cigna’s convenient nationwide Total Cigna DPPO Network.

Cigna Dental 3000/100

Cigna Dental 3000/100 is a high annual maximum plan. Cigna Dental 3000/100 offers estimate of 100% or full coverage for oral exams, including dental cleanings and routine x-rays after deductible. About $100 individual annual deductible applies to all dental services which include preventive, basic, and major dental restorative procedures. Around $3,000 in benefits are available and can be applied towards both simple and major dental services, like tooth fillings, root canals, and crowns. Referrals are not needed with Cigna Dental 3000/1000. Members will also have access to Cigna’s convenient nationwide Total Cigna DPPO Network.

Cigna Dental Vision 1000

Cigna Dental Vision Hearing 1000 is a bundled plan that offers coverage for dental care and eye care. With Cigna Dental Vision Hearing 1000, there’s a $50 annual deductible for individuals, $150 annual deductible for families, and $1,000 in dental benefits per calendar year. This plan offers estimate of 100% coverage for dental check-ups, including cleanings and routine x-rays and coverage for basic restorative services, like fillings. You can see any dentist you’d like, but save more with a dentist in the Cigna Advantage PPO network.

Cigna Dental Vision Hearing 2000

Cigna Dental Vision Hearing 2000 is a bundled plan that offers coverage for dental and eye care. With Cigna Dental Vision Hearing 2000, there’s a $100 annual deductible for individuals and $1,500 in dental benefits per calendar year. This plan offers full coverage for dental check-ups, including cleanings and routine x-rays and coverage for basic and major restorative procedures such as crowns, bridges, root canals, and dental fillings. You can see any dentist you’d like, but save more with a dentist in the Cigna Advantage PPO network.

Cigna Dental Vision Hearing 3500

Cigna Dental Vision Hearing 3500 is a bundled plan that offers coverage for eye care and dental care. Cigna Dental Vision Hearing 3500 offers a $100 annual deductible for individuals and $2,500 in dental benefits per calendar year. This plan offers full coverage for oral exams, including teeth cleanings and routine dental x-rays and coverage for minor and major restorative services such as crowns, dental bridges, root canals, tooth fillings, and dental implants. There’s also a 15% discount for each dependent added to your policy. You can see any dentist you’d like, but save more with a dentist in the Cigna Advantage PPO network.

Looking for a dentist accepting Cigna Dental PPO? We accept Cigna dental PPO.

Does Cigna dental cover the cost of tooth extraction?

According to Cigna dental, estimate of 80% of basic services like simple extractions are covered. The waiting period is 6 months. Cigna considers tooth extractions as a basic dental service. That implies that they are insured by all of their plans, both individual and family plans. Source

Wisdom teeth removal covered by Cigna Dental?

Cigna Dental covers estimated 50% of major dental procedures like wisdom teeth removal. The waiting period is 12 months. Certain Cigna dental insurance plans will also pay for post-operative care, including follow-up visits and prescriptions for painkillers. Before having your wisdom teeth removed, make sure you speak with your insurance provider to find out exactly what is covered by your plan. Source

Is X-ray covered by Cigna Dental?

According to Cigna Dental, routine dental x-rays are estimated 100% covered while non-routine x-rays are estimated 80% covered after plan deductible. Cigna Dental covers 1 set of bitewing x-rays, which consist of radiographs/diagnostic imaging (including interpretation), in any 12 consecutive month period. This is limited to a maximum of 4 films per set. Source

Does Cigna Dental Cover Braces?

Cigna dental offers estimated 50% coverage for orthodontic treatments (Class IV) such as braces. Cigna Dental 1500 plan pays estimate of 50% after a separate Class IV deductible with a 12 month waiting period. This plan has a $1,000 lifetime maximum per person. Source

How much does Cigna Dental cover for Invisalign?

Only one of Cigna’s three primary dental insurance plans—the Cigna Dental 1500—offers orthodontic benefits. These benefits, which include Invisalign and will pay estimate of 50% of the provider’s contracted fee, have some restrictions. You must wait a full year or 12 months after signing up for the Cigna Dental 1500 plan before you may use its benefits. There’s also a lifetime cap of $1,000 per person. Source

Cigna dental accepted for dental implant?

Cigna Dental Vision Hearing 3500 offers coverage for major restorative procedures like dental implants. Dental implants, implant abutments, and implant crowns for adult, adolescent, and transitional teeth may be covered by Cigna Dental PPO policies. Before proceeding, it’s crucial to comprehend the kind of treatment you require and what your dental insurance plan will cover. For details, consult the Cigna Dental plan handbook or contact our dental office.

Dental implant surgical implantation service is limited once each year, with replacement services limited to one implant surgical replacement per 10 years. Replacement is only allowed after 5 years if a prosthesis over an implant is unserviceable and cannot be fixed. Source

Cigna dental covers Dentures?

According to Cigna Dental, estimated 50% of major services like dentures are covered with a waiting period of 12 consecutive months. Partial dentures including routine post-delivery care are limited to 1 partial denture per arch every 84 consecutive months. However, a full or partial denture will not be covered in some policies unless it includes the replacement of a functioning natural tooth extracted while the person is covered under the plan (the removal of only a permanent third molar will not qualify a full or partial denture for benefit under this provision). Source

Is Cigna Dental accepted for veneers?

Unfortunately, Cigna dental insurance plans don’t provide coverage for cosmetic procedures. This consists of smile makeovers such as labial veneers (laminates), porcelain veneers, and acrylic veneers. Source

Cigna Dental gum grafts cost coverage?

Most oral surgeries, including gum grafting, are covered by Cigna dental estimated 50%. The waiting period is 12 consecutive months. Please contact us to learn more about what your plan might cover for your specific situation. Source

What does Cigna dental cover for cleaning and tooth fillings?

Cigna Dental offers estimate of  100% or full coverage for routine cleanings with no waiting period. Coverage for dental prophylaxis or dental cleanings are allowed for 14 years of age or older once per 6 consecutive month period. On the other hand, fillings are estimate of 80% covered after plan deductible with a 6 month waiting period. Replacement of an existing composite filling is payable if at least 12 consecutive months have passed since the existing tooth filling was placed. This applies to replacement of identical surface fillings only. Source

For latest information, please visit: https://www.cigna.com/individuals-families/shop-plans/dental-insurance-plans/ for more details.

DISCLAIMER: This information is subject to change on behalf of the insurance company. We are providing this as an informal guide to help you determine which services at our office are covered by your insurance. For more detailed information, please see the insurance company’s website or call the customer service or member services number listed on most insurance ID cards. Updated as of 3/27/2023. The above logo & trademarks are property of Cigna Dental.