A balance of choice and savings
CIGNA Dental Exclusive Provider Organization (DEPO1) lets members visit any licensed dentist in our Preferred Provider network without requiring referrals for specialty care. Members are reimbursed for all or part of costs for covered procedures up to the annual dollar maximum after meeting deductibles or satisfying any waiting periods.
The CIGNA Dental EPO provides the flexibility of broad network access with in-network only benefits. Members will enjoy these advantages:
- No need to select a primary care dentist.
- No referral needed to seek care from a network specialist.
- No need to submit claims because participating providers will submit them for you.
- No balance billed charges, since participating dentists are not allowed to bill above the negotiated, discounted fees for covered services.
- You can enjoy savings on non-covered services. And the savings apply to covered services when you exceed your annual maximum or other plan limitations. To take advantage of these savings, you must visit a network dentist.
- Claims are paid using the negotiated provider fee schedules in place today with our DPPO plan.
- Lower out-of-pocket costs for covered services because the contracted fee schedules for this network represent an average of 35% off average area charges.2
- An ID card is not needed to access dental care.
With the DEPO plan, members will find that coverage for most preventive services is provided at no or low cost.
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Finding the care you need
You can feel confident that you're getting access to quality dental care. All DEPO network dentists complete a credentialing process and participate in a Quality Management Program. We recredential each network dentist periodically and survey members to measure customer service and quality levels.
If you have a CIGNA Dental EPO plan, you can call Customer Service at 1.800.CIGNA24 (1.800.244.6224), log in to myCIGNA.com for more information, or ask your employer or benefits manager for more information about enrolling in a CIGNA dental plan.
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How the Dental EPO might work for you
The key to a healthy smile is to take care of your teeth and gums before problems begin. Every $1 spent on preventive dental care could save $8 to $50 in restorative and emergency treatment.1 Regular, routine oral care helps address minor problems before they become major and more expensive to treat. And with the CIGNA Dental EPO, coverage for most preventive services is at no or low cost.
The CIGNA Dental EPO provides the flexibility of broad network access with in-network only benefits.
Check your plan materials or log in to myCIGNA.com for information about the plan your group offers – including benefit levels and any exclusions and limitations.
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Health and wellness programs
As a member of CIGNA Dental plan, you also have:
- Member discounts: Save up to 60% on products and services – from acupuncture to weight management – with our Healthy Rewards® discount program. Note: All programs are not available in all states.
Check your plan materials or log in to myCIGNA.com for more information about your plan, including your eligibility for specific programs and services. Or ask your employer or benefits manager for more information about enrolling in a CIGNA Dental plan.
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Employer Advantages
The CIGNA Dental EPO provides the flexibility of broad network access with in-network only benefits. Members will be reimbursed for all or part of their costs for covered procedures, up to the annual dollar maximum, and after meeting a deductible or satisfying any waiting periods. Coverage includes most preventive procedures at low or no cost to members. Members also have referral-free access to network specialists.
Please call your broker or CIGNA HealthCare representative for more information about CIGNA Dental EPO. If you currently offer CIGNA HealthCare benefits to your employees, log in to www.CIGNAaccess.com for personalized information and online benefits management.
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There are advantages of packaging medical and dental benefits. Numerous studies have revealed the link between gum disease and conditions such as premature birth, diabetes, heart disease and stroke. Quality dental care can help contribute to reduced medical costs.
Members who participate in CIGNA medical and dental plans may also have access to enhanced benefits through the CIGNA Dental Oral Health Integration Program®. Ask your CIGNA representative about this program.
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Choose from multiple funding options:
Fully Insured
- Full premium paid monthly
- Predetermined and guaranteed rates
- Predictable, easy-to-budget expenses
- Protection from high claim costs
Fully Insured - Participating
- Full premium paid monthly
- Predetermined and guaranteed rates
- Predictable, easy-to-budget expenses
- Protection from high claim costs
- Year-end settlement
- Can earn cash back at year end if claims are low
Minimum Premium
- Lower premium paid monthly
- Claims funded through bank account with a monthly claim cap
- Protection from high claim costs
- Year-end settlement
- Improved cash flow
- Lower expenses and premium taxes
Administrative Services Only
- No monthly premium or premium taxes paid, just an administrative fee
- Exempt from most state regulations and mandates on coverage levels
- Stop Loss coverage available
- Maximizes cash flow
- Freedom to design your health benefits
- Financial protection against unanticipated, catastrophic claims
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