It’s a program that reimburses out-of-pocket costs for specific dental services used to treat or help prevent gum disease and tooth decay. The program is for people with certain medical conditions that may be impacted by dental care. There’s no additional cost for the program – if you qualify, you get reimbursed!
If you have a Cigna dental plan, you’re eligible for the program. It doesn’t matter if you have Cigna health insurance or not. The only requirement is that you’re currently being treated by a doctor for:
Heart disease
Stroke
Diabetes
Head and neck cancer radiation
Maternity
Chronic kidney disease
Organ transplants
Once you register for the program, when you visit your dentist you will pay your usual copay. As a reminder, your copay is the fixed amount you pay for covered services. Next, your dentist will send Cigna Healthcare your information, and we will review the claim and refund your copay for eligible services. Once we receive your claim, you can expect to be reimbursed in about 30 days.
Together, we can make sure proper dental care is given to those who need it most.
1 Participants fill out the online Registration Form on myCigna.com. This is required only one time per qualifying medical condition. You can also call the number on your ID card or policy.
2Once you’re logged in on myCigna.com, click “Review my Coverage” then select “Dental” from the drop down menu. Next, from the “Related Links” section on the right side of the page, select “Cigna Dental Oral Health Integration Program Registration Form.”
3Program participants simply visit their network general dentist for the covered service and pay the dentist their usual copay amount for that procedure. We’ll send reimbursement in about 30 days.
Benefits Administration does not support any practice that excludes participation in programs or denies the benefits of such programs on the basis of race, color, national origin, sex, age or disability in its health programs and activities. If you have a complaint regarding discrimination, please call 615.532.9617.
Cigna Dental Care® product designs may difer by state of residence of enrollee, including but not limited to, prepaid plans, managed care plans (including Dental HMO plans), and plans with open access features. The Cigna Dental Care® Prepaid plan for the State Group Insurance Program may not be available in every state. There are no out-of-network benefts, except for emergencies or where required by law.
Refer to your plan materials to see if your plan includes orthodontic coverage. The following orthodontic services are generally not covered: incremental costs associated with optional/elective materials; orthognathic surgery applicances to guide minor tooth movement or correct harmful habits; and any services which are not typically included in orthodontic treatment.
A maximum beneft of 24 months of interceptive and/or comprehensive orthodontic treatment is covered.
California and Texas residents: Treatment for conditions already in progress on the efective date of your coverage are not excluded if otherwise covered under you Patient Charge Schedule.
A beneft is paid for covered out-of-network emergency dental care. Certain states mandate coverage for dental care received out-of-network. For example, in Minnesota, the plan will pay 50% of the value of your network beneft for covered outof-network services. In Oklahoma, the plan will pay the same amount it pays network dentists for covered out-of-network services. You are responsible for any charges not covered by the plan. Other states may have similar mandates. Refer to your plan documents for cost and coverage details.
Actual features may vary by dentist. Online appointment scheduling is not available with network general dentists or pediatric dentists. These and other dentist directory features are for educational purposes only and should not be the sole basis for decision making. They are not a guarantee of the quality of care that will be provided to individual patients and you should consider all relevant factors when selecting a dentist.
You may be billed separate for lab fees.
NetMinder. DHMO data as of March 2019 and is subject to change. The Ignition Group makes no warranty regarding the performance of the data and the results that will be obtained by using. These are examples used for illustrative purposes only. Your actual costs and plan coverage will vary. Plan limitations and exclusions may apply. See your plan materials for details.
Dentists who participate in Cigna Healthcare’s network are independent contractors solely responsible for the treatment provided to their patient. They are not agents of Cigna Healthcare. All Cigna Healthcare products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. Cigna Dental Care® plans are insured by Cigna Dental Health Plan of Arizona, Inc., Cigna Dental Health of California, Inc., Cigna Dental Health of Colorado, Inc., Cigna Dental Health of Delaware, Inc., Cigna Dental Health of Florida, Inc., a Prepaid Limited Health Services Organization licensed under Chapter 636, Florida Statutes, Cigna Dental Health of Kansas, Inc. (KS & NE), Cigna Dental Health of Kentucky, Inc. (KY & IL), Cigna Dental Health of Maryland, Inc., Cigna Dental Health of Missouri, Inc., Cigna Dental Health of New Jersey, Inc., Cigna Dental Health of North Carolina, Inc., Cigna Dental Health of Ohio, Inc., Cigna Dental Health of Pennsylvania, Inc., Cigna Dental Health of Texas, Inc., and Cigna Dental Health of Virginia, Inc. In other states, Cigna Dental Care® plans are insured by Cigna Health and Life Insurance Company or Cigna HealthCare of Connecticut, Inc., and administered by Cigna Dental Health, Inc. Policy forms: HP-POL134 (TN). The Cigna name, logo and other Cigna marks are owned by Cigna Intellectual Property, Inc. Brighter Score is a trademark of Brighter, Inc. a Cigna Company.
887429 n 07/24 © 2024 Cigna Healthcare. Some content provided under license.
