Dental

Dental coverage helps you maintain a healthy smile with preventive care, basic services, and major procedures. You can visit any licensed dentist, but you’ll save the most when you use an in-network provider who has agreed to discounted rates. Out-of-network dentists may charge more than the plan’s allowed amount, and you may be responsible for the difference. Most plans cover preventive services—such as exams, cleanings, and X-rays—at 100% when you stay in-network, making regular checkups an easy way to protect your oral health and avoid costly issues.

Delta Dental PPO Plan

Benefit Highlights

PPO In-Network

Deductible (Individual/Family)
$25/$75

Plan Maximum
$2,000

Preventive Care
$0

Basic Services
20%

Major Procedures
50%

Orthodontia (Adults and Children)
50% to a Lifetime maximum of $1,500

Premier In-Network

Deductible (Individual/Family)
$25/$75

Plan Maximum
$2,000

Preventive Care
$0

Basic Services
20%

Major Procedures
50%

Orthodontia (Adults and Children)
50% to a Lifetime maximum of $1,500

Out-of-Network

Deductible (Individual/Family)
$25/$75

Plan Maximum
$1,500

Preventive Care
$0

Basic Services
20%

Major Procedures
50%

Orthodontia (Adults and Children)
50% to a Lifetime maximum of $1,500

Bi-Weekly Plan Cost

Employee Only: $2.52

Employee and Spouse: $5.09

Employee and Child(ren): $5.09

Employee and Family: $6.22

Cigna Global Dental–U.S. and Non-U.S. Global Assignees

Benefit Highlights

Deductible (Individual/Family)
$25/$75

Plan Maximum
$1,500

Preventive Care
$0

Basic Services
20%*

Major Procedures
50%*

Orthodontia (Adults and Children)
50%

*After deductible

Plan Cost

The cost for dental is include with medical.

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