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.
Cigna DPPO
Benefit Highlights
In-Network
Deductible (Individual/Family)
$50/$150
Plan Maximum
$3,000
Preventive Care
$0
Basic Services
$0 After Deductible
Major Procedures
30% coinsurance after deductible
Orthodontia (Adults and Children)
30% coinsurance after class IV deductible
$3,000 Lifetime Maximum per plan participant
Out-of-Network
Deductible (Individual/Family)
$50/$150
Plan Maximum
$3,000
Preventive Care
$0
Basic Services
10% coinsurance after deductible
Major Procedures
40% coinsurance after deductible
Orthodontia (Adults and Children)
40% coinsurance after Class IV deductible
$3,000 Lifetime Maximum per plan participant
HMSA DPPO (Hawaii Only)
Benefit Highlights
PPO Network
Deductible (Individual/Family)
N/A
Plan Maximum
$1,500
Preventive Care
$0
Basic Services
30% coinsurance
Major Procedures
50% coinsurance
Orthodontia (Adults and Children)
N/A
