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Dental Insurance

Cigna PPO (Preferred Provider Organization) Plan

Changes to plan for 2017:

Now offering Cigna Dental Wellness Plus benefit for PPO members. Offers an incentive to get at least one cleaning in 2017 ($100 increase in maximum dollar benefit for 2018).

Cigna PPO Benefits Summary
Cigna Dental Claim Form  

 

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$6.26

$8.14

Employee + l

$12.21

$15.87

Family

$17.84

$23.20

Part-time Employees - Rates (for employees hired before 1/1/93)
Part-time Employees - Rates (for employees hired after 1/1/93)
Cigna Web site

Cigna Dental Care (Dental HMO) Plan

Cigna Dental Care Plan
This plan provides dental coverage under an HMO-like structure. This plan provides coverage based on a predetermined fee schedule with many basic services being covered at NO CHARGE. There are no patient charges for most preventative procedures, no claim forms, no deductibles and no annual dollar maximums. Complex procedures are available at low, pre-set patient charges.

Full-time Employees - Per Pay Period Rates

 

12 Month Employees

10 Month Employees

Employee

$2.97

$3.86

Employee + l

$5.95

$7.73

Family

$7.49

$9.73 

Part-time Employees - Rates (for employees hired before 1/1/93)
Part-time Employees - Rates (for employees hired after 1/1/93)
Cigna Web site
Fee Schedule


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Montgomery County, MD

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