Plans insured by Cigna Health and Life Insurance Company

Cigna Dental Preventive

Starting from $19 per person, per month1

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When you need coverage for dental check-ups, Cigna Dental Preventive is an affordable choice. You will pay $0 for a dental exam every 6 months2 including cleanings, oral exams, and routine x-rays with no deductibles or copays, when you visit any of the over 93,000+ dentists in 297,000+ convenient locations3 across Cigna's large nationwide network.1

Search for in-network dentists

Benefits of All Cigna Dental Plans

  • Convenient billing and payments. Get your medical and dental insurance statements on one bill if you have Cigna for both.
  • No claim filling when you visit an in-network dentist. Cigna network dentists submit claims automatically.
  • No need to choose a primary dentist. And no referrals needed for specialist care.
  • Access to our large nationwide network of over 93,000+ unique dentists in 297,000+ convenient locations.3 Choose from in-network or out-of-network providers. Stay in-network to get the most benefits.4
  • Digital tools for members, including the myCigna® mobile app.5
  • 24/7/365 live customer service when you need it. Current customers call: 1 (800) 997-1654
Benefit DPPO Advantage Network Out-of-network

Individual Calendar Year Deductible

Not applicable

Not applicable

Family Calendar Year Deductible

Not applicable

Not applicable

Calendar Year Benefit Maximum

Not applicable

Not applicable

Benefit DPPO Advantage Network Out-of-network

Preventive/Diagnostic Services Waiting Period

None

None

Preventive Diagnostic Services (Oral exams, cleanings, x-rays, fluoride application, sealants, non-orthodontic space maintainers)

You pay $0

You pay the difference between the provider's actual billed charges and 100% of the Contracted Fee4

 

Procedure Frequency/Limitation6

Oral Exams

1 per consecutive 6-month period

Routine Cleanings

1 routine prophylaxis or periodontal maintenance procedure per consecutive 6-month period (routine prophylaxis is Class I; periodontal maintenance procedure is Class III).

Routine X-Rays

Bitewings: 1 set in any consecutive 12-month period. Limited to a maximum of 4 films per set.

Fluoride Treatment

1 per consecutive 12 months for participants less than age 14

Sealants

1 treatment per tooth per lifetime. Payable on unrestored permanent bicuspid or molar teeth for participants less than age 14

Space Maintainers (non-orthodontic)

Limited to non-orthodontic treatment for prematurely removed or missing teeth for a person less than 14 years old

Benefit DPPO Advantage Network Out-of-network

Basic Restorative Services Waiting Period

Not applicable

Not applicable

Basic Restorative Services (Fillings, non-routine x-rays)

You pay 100% of the provider's actual billed charges4

You pay 100% of the provider’s actual billed charges

Procedure Frequency/Limitation5

Fillings

Not covered under this plan.

Non-routine X-Rays

Not covered under this plan.

Routine Tooth Extraction

Not covered under this plan.

Emergency Treatment

Paid as a separate benefit only if no other service, except x-rays, is rendered during the visit

Benefit DPPO Advantage Network Out-of-network

Major Restorative Services Waiting Period

Not applicable

Not applicable

Major Restorative Services2

You pay 100% of the provider's actual billed charges4

You pay 100% of the provider’s actual billed charges2

 

Procedure Frequency/Limitation6

Periodontal (Deep Cleaning)

Not covered under this plan.

Periodontal Maintenance

Not covered under this plan.

Crowns

Not covered under this plan.

Root Canal Therapy

Not covered under this plan.

Wisdom Tooth Extraction

Not covered under this plan.

Dentures and Partials

Not covered under this plan.

Bridges

Not covered under this plan.

Benefit DPPO Advantage Network Out-of-network

Orthodontia Waiting Period

Not applicable

Not applicable

Orthodontia

You pay 100% of the provider's actual billed charges4

You pay 100% of the provider’s actual billed charges

Orthodontia Individual Lifetime Maximum

Not applicable

Not applicable

Procedure Frequency/Limitation6

Orthodontia

Not covered under this plan.

State-Specific Details

Learn more about the benefits and coverage included in the Cigna Dental Preventive plan by selecting the state where you live:

 

This summary contains highlights only and is subject to change.

 

All State Policy Disclosures, Exclusions, Limitations, and Reductions

Questions about Cigna Dental plans?

Call 1 (855) 226-0509, Monday-Friday, 8 am-8 pm ET

1Sample monthly rate is based on a single person and represents Cigna's national average rate for a Preventive Dental plan (all ages and geographic locations) and reflects a rate valid through June 30, 2021.

2Not all preventive services are covered, including athletic mouth guards. Refer to the policy for a complete list of covered and non-covered preventive services. Frequency limitations apply. Cigna Dental plans in MD cover one dental cleaning per calendar year.

3Cigna internal data as of March 2020. Subject to change.

4You may pay more for out-of-network charges if the dentist’s charges exceed the amount Cigna reimburses for billed services. Covered expenses for Non-Participating Providers (Out-of-Network) are based on the Contracted Fee which may be less than Actual Billed Charges. Non-Participating Providers can bill you for amounts exceeding covered expenses (often called Balance Billing). Balance Billing is when a Non-Participating Provider bills you for the difference between the charges for a service, and what Cigna will pay for that service after coinsurance and Contracted Fee have been applied. The Contracted Fee is the most Cigna will pay a dentist for a covered service or procedure for out-of-network dental care that is based on a basic Cigna DPPO Advantage fee schedule within a specified area. For Massachusetts and Alaska customers: You pay the difference between the provider’s Actual Billed Charges and the Maximum Reimbursable Charge. For Maryland customers, please refer to the Summary of Benefits [PDF] for Frequency/Limitation information. For AR, MN, NM, NV and VT customers, coverage is provided for Temporomandibular Joint Dysfunction (TMJ) services, non-surgical, at 50% in-network and out-of-network (plan deductible applies).

5The downloading and use of the myCigna® mobile app is subject to the terms and conditions of the app and the online store from which it is downloaded. Standard mobile phone carrier and data usage charges apply.

6For Maryland customers, please refer to the Summary of Benefits [PDF] for Frequency/Limitation information.

This summary contains highlights only and is subject to change.