SERVICE Cigna High Plan Cigna Low Plan
Deductible (Deductible waived for preventive services) $50/$150 $50/$150
Annual Out-of-Pocket Max per member $3,000 $1,500
Preventive (cleanings) 100% 100%
Basic (fillings) 90% 80%
Major (crowns, dentures) 60% 50%
Orthodontia (child and adult) 50% Not covered
Orthodontics Lifetime Maximum $2,000 N/A

Pay less with in-network providers

Both Cigna plans allow you to choose any provider you wish and receive benefits. The covered benefits listed above apply to both in-network and out-of-network dental care for each plan. However, you generally pay less when you go to a network dentist because dentists in the network have agreed to charge discounted fees.
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Semi-monthly Rates

Benefit plan options Employee Employee
+ Spouse/DP
+ Child(ren)
Dental High Plan $10.32 $29.62 $35.46 $55.20
Dental Low Plan $0.90 $8.98 $10.77 $17.06