Cigna Dental Oral Health Integration Program®

Cigna Dental Oral Health Integration Program®

Get the dental services you need for your medical condition.

The Cigna Dental Oral Health Integration Program® is one of the innovative solutions developed as part of Cigna Dental Health Connect™, Cigna's approach to whole-person healthkeeping you healthy from your teeth to your toes!

The Cigna Dental Oral Health Integration Program® is for people with certain medical conditions that have been found to be associated with gum disease. The program reimburses out-of-pocket costs for specific dental services used to treat gum disease and tooth decay.

There's no additional cost for the programif you qualify, you get reimbursed.1

Do I qualify?

If you have a Cigna dental plan, you’re eligible for the program. You do not have to be enrolled in a Cigna medical plan to be eligible for this program. You must currently be under treatment by a doctor for any of the following conditions:

  • Heart disease
  • Stroke
  • Diabetes
  • Maternity
  • Chronic kidney disease
  • Organ transplants
  • Head and neck cancer radiation
  • Rheumatoid Arthritis
  • Sjogren's Syndrome
  • Lupus
  • Parkinson's Disease
  • Amyotrophic Lateral Sclerosis
  • Huntington's Disease
  • Opioid Misuse and Addiction

How does it work?

First, before visiting your dentist, you must enroll in the program by completing and mailing the program registration form.

When you visit your dentist, you will pay your usual deductible, copay, or coinsurance amount. As a reminder, your copay is the fixed amount you pay for covered services, and your coinsurance is the percentage of costs you pay for covered services.

Next, your dentist will send Cigna a claim. We review the claim and will refund your out-of-pocket costs for eligible dental services. Once we receive your claim, you can expect to be reimbursed in about 30 days.

What dental services are covered under the Cigna Dental Oral Health Integration Program®?

Check the chart below to see which dental services1 are covered for each qualifying medical condition.

Nurse hands toothbrush to smiling senior woman in wheelchair

ConditionConnection to Oral HealthWhat You Get In Addition
to Your Dental Plan
Eligible Procedures
Heart Disease-Periodontal (Gum) Disease
-Inflammation
Periodontal (Gum) Treatment *
Periodontal (Gum) Maintenance (2 additional)
D4341, D4343, D4910
Stroke-Periodontal (Gum) Disease
- Inflammation
Periodontal (Gum) Treatment *
Periodontal (Gum) Maintenance (2 additional)
D4341, D4343, D4910
Diabetes-Periodontal (Gum) Disease
-Inflammation
-Thrush
-Dry Mouth
Periodontal (Gum) Treatment *
Periodontal (Gum) Maintenance (2 additional)
D4341, D4343, D4910
Maternity-Periodontal (Gum) Disease
-Tooth Decay/Cavities
Periodontal (Gum) Treatment *
Periodontal (Gum) Maintenance (2 additional), Oral Evaluation (1 additional), Periodontal Evaluation (1 free, included in most plans already), Cleaning (1 additional), Full Mouth Scaling in Presence of Inflammation (1 additional), Emergency Palliative Treatment (unlimited)
D4341, D4343, D4910, D0180, D0120, D0140, D0150, D1110, D4346, D9110
Chronic Kidney Disease-Periodontal (Gum) Disease
-Inflammation
Periodontal (Gum) Treatment *
Periodontal (Gum) Maintenance (2 additional), Topical application of fluoride varnish**, Sealants & Sealant repair ***, Tooth Decay/Cavity Prevention (2 free treatments per tooth per year)
D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Organ Transplant-Periodontal (Gum) Disease
-Dry Mouth
Same benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Radiation for Head & Neck Cancers-Dry Mouth
-Tooth Decay/Cavities
Same benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Rheumatoid Arthritis-Periodontal (Gum) Disease
-Tooth Decay/Cavities
Same benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Sjogren’s Syndrome-Dry Mouth
-Tooth Decay/Cavities
Same benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Lupus-Tooth decay/CavitiesSame benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Parkinson’s Disease-Poor oral hygiene
-Tooth Decay/Cavities
Same benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Amyotrophic Lateral Sclerosis (ALS)-Periodontal (Gum) Disease
-Tooth Decay/Cavities
Same benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Huntington’s Disease-Periodontal (Gum) Disease
-Tooth Decay/Cavities
Same benefits as Chronic Kidney Disease – listed above. D4341, D4343, D4910, D1206, D1208, D1351, D1354, D1355
Opioid Misuse & Addiction-Periodontal (Gum) Disease
-Tooth Decay/Cavities
Same benefits as Chronic Kidney Disease, plus an Oral Evaluation (1 additional)D0120, D0140, D0150, D4341, D4342, D4910, D1206, D1208, D1351, D1353, D1354, D1355

How do I enroll?

  1. Online: If you are registered on myCigna, you can find information at the bottom of your dental coverages page.
  2. Fill out the registration form [PDF] and mail to:
Cigna Dental
P.O. Box 188037
Chattanooga, TN 37422

You will receive a welcome letter in the mail once you've been enrolled. You can also call the number on your Cigna ID card to have an enrollment form sent to you. You only need to complete the form one time per qualifying condition.

Once you're enrolled, you can visit your dentist and pay your usual deductible, copay, or coinsurance amount for the covered service. We'll send your reimbursement in about 30 days.

Please note that services received prior to enrollment are not eligible for reimbursement.

Oral Health Integration Program Frequently Asked Questions

What else does the Cigna Dental Oral Health Integration Program include?

When you join the program, you can ask us for information on issues that affect your oral health and your overall wellness–such as fear of going to the dentist. Or the effect of stress or tobacco products. We’ll also give you guidance on how to overcome these behaviors.

What are periodontal treatment and maintenance?

Periodontal treatment and maintenance are not the same as prophylaxis or "regular cleaning." Periodontal treatment (or "scaling and root planing") consists of "deep cleaning" which involves parts of your teeth below the "gum line." During scaling and root planing, the dentist may numb the area of your mouth that they are working on. Periodontal maintenance is a follow-up procedure involving removal of plaque and calculus (tartar) above and below the gum line along with scaling and root planing in areas where needed.

Do I have to enroll in the program each time I go to the dentist?

You need to enroll in the program once for each eligible medical condition. Once enrolled, Cigna will automatically reimburse you for the dental services covered for that medical condition.

How and when will I get reimbursed for my out-of-pocket expenses?

As with any dental service, you will pay your dentist at the time the service is performed. A claim form is typically submitted to Cigna by your dentist. Once we receive the claim form from the dentist, we pay them for their services and you will then receive reimbursement for the amount of your deductible, copay, or coinsurance. This may take about 30 days, depending on when the dentist submits the claim. Please keep in mind that only dental services eligible under the Cigna Dental Oral Health Integration Program® will be reimbursed.

How do I know if my enrollment has been processed?

Once your enrollment has been approved, Cigna will send you a program welcome letter.

If my dental coverage has a calendar year maximum or deductible, how do procedures covered under the program get applied?

Any procedures covered under the program are not subject to or applied toward your plan's annual deductible. However, they are applied towards and subject to your plan's calendar year maximum.

If I go out-of-network, will the services covered under this program still apply?

If your plan does not include coverage for out-of-network services, then you must use a dentist in your plan's network for coverage under this program to apply. If your plan includes out-of-network coverage, you will be reimbursed for your covered expenses whether you choose to use an in-network or out-of-network dentist. However, if you use an out-of-network dentist you may have out-of-pocket costs because the dentist may choose to bill you for charges that are in excess of what your plan reimburses for covered expenses.

If I'm a dependent (spouse, partner, or child), do I provide my ID number or the person who is the primary covered individual?

Please provide the ID number of the person who is the primary covered individual.

Where can I find my Group/Account Number?

Please check a previous Explanation of Benefits, your dental page on myCigna®, or call Customer Service at the number on your ID card and follow the prompts to get your Group/Account Number. You can also provide your ID and/or social security number and a Customer Service Representative will identify your Group/Account Number for you. If you have a Cigna Medical or Dental ID card, the Group/Account Number is listed on the cards.

What does "Other Coverage" mean, on the registration form?

Please complete the Other Coverage section of the form if you have additional coverage through a different carrier (sometimes referred to as “secondary insurance”), typically through your spouse or partner.

If I don't have an e-mail address but still want information on behavioral conditions affecting my oral health, how can I get the information?

Please include a note when you submit your Cigna Dental Oral Health Integration Registration Form indicating the address where you would like the information mailed and it will be sent through the U.S. Postal Service.

Do I have to include anything that proves I have a condition and does Cigna have the right to verify my condition?

You do not have to include any documentation with your registration form that proves you have a specific condition. However, at the bottom of the form, you must sign your name verifying that you have the condition and acknowledge that Cigna reserves the right to request medical records or check with your physician prior to reimbursement.

If I have questions about the Cigna Dental Oral Health Integration Program® or how to complete and submit the registration form who do I call?

Please call Customer Service at the number on your Cigna ID card with any questions. One of our associates will be happy to help you, 24 hours a day, 7 days a week.

Enroll Today

* Once enrolled in the plan, you are eligible for one free non-surgical whole mouth treatment (four quadrants) every 24 months. This deep cleaning is also referred to as “scaling and root planing” and is done to treat signs of gum disease.

** One treatment.

*** One treatment per tooth every 36 months.

1 Eligibility, reimbursement, and coverage for eligible services are subject to applicable calendar year maximums. Participation in the program does not guarantee coverage and is subject to the terms of your plan documents. Some employers may have opted-out from offering this program. If you have dental coverage through your employer, review your plan documents for details.

2 Limited to four times per year and subject to plan guidelines.

3 One additional evaluation per year.

4 One additional cleaning per year.

5 No limitations.

6 Age limits removed, all other limitations (including frequency limitations) apply. Refer to your plan documents for the details of your specific plan.