Dental
Your dental health is important to your overall health — Personify Health dental coverage can help you take care of it.
Your Dental Plan
Personify Health offers dental coverage through the Cigna Dental PPO Shared Administration Plus network. Both the Core Plan and Buy-Up Plan cover preventive, basic and major care. The Buy-Up option also covers orthodontia. Cigna’s national provider network and comprehensive coverage help ensure you and your family have access to affordable dental care.
Once you enroll, you can access your ID card through PersonifyYou.
| Deductible (Employee Only/Family) |
$50/$100 | $25/$75 |
| Calendar Year Maximum/Person | $1,000 | $1,500 |
| Preventive Services | 100% | |
| Basic Care | 80% | |
| Major Services | 50% | |
| Orthodontia (for dependent children under age 19) |
Not covered | 50% with $1,500 lifetime maximum |
Deductibles, coinsurance and maximums are the same for in-network and out-of-network provider usage.
Dental services performed by a Cigna dental network provider are based on negotiated rates with Cigna, with no balance billing to the member.
Dental services performed by out-of-network providers are paid using reasonable and customary pricing. Members using an out-of-network provider may be billed the amount which exceeds reasonable and customary.
Your Plan Contributions
You pay for your dental coverage through convenient per-paycheck contributions.
Monthly Premium
| Employee Only | $10.52 | $15.78 |
| Employee + Spouse | $36.82 | $52.60 |
| Employee + Child(ren) | $36.82 | $52.60 |
| Family | $52.60 | $78.90 |
Resources
Cigna PPO SA Plus
Personify Health Member Services
1-800-849-0580
[email protected]
