Cigna Dental

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Effective 1/1 - 12/31 each year

Contact Information:

Customer Service 800-244-6224

Dental Plan Rates:

 2018  Employee Only  Employee + 1  Employee + Family
 DMO P5X00  $8.41  $15.98 $21.78 
 DPPO Low $11.79  $20.15  $28.92
 DPPO High  $16.22  $27.71  $39.78

2017 Employee Only Employee + 1 Employee + Family
DMO P5X00 $7.86 $14.93 $20.35
DPPO Low $10.97 $18.74 $26.89
DPPO High $15.09 $25.78 $37.00


DHMO P5X00 Charge Schedule

DPPO Low Summary

DPPO High Summary

DHMO Policy

Summary Plan Document - DHMO

Summary Plan Document - DPPO Low

Summary Plan Document - DPPO High

Dental Rider 1

Dental Rider 2

Child's First Dental Visit

Dental Cleaning FAQ Sheet

Capeside Dental Announcement

It has come to our attention that Capeside Dental will be terminating their contract with Cigna on the DMO P5X00 plan effective, September 30, 2017

Cigna assures us they are actively negotiating with Capeside to keep them within the network.  In the meantime, please note the following:

  • Capeside is not accepting any patients who have the DMO plan
  • You may keep any appointments up to the termination date
  • You can contact Cigna Customer Service at 800-244-6224 and assign you or your family (if applicable) a new primary dentist
  • Should Capeside renegotiate with Cigna and remain in the network, an e-mail communicating this will be sent.

Please keep in mind, this ONLY affects those participants on the Cigna Dental DMO plan. 

If you have any questions, please don’t hesitate to contact Human Resources at 321-952-3421.