JHU Benefits Site - Dental Plans

Cigna Dental Plan

The Cigna PPO Dental Plan allows you to see any dentist, in or out-of-network. Your out-of-pocket costs are less when you select a dentist in Cigna’s network. To see if your dentist participates in the network or to find a dentist, see Cigna’s online provider directory.

Some of the features of the plan are outlined below.

  Coverage Level (the plan pays)
In-network Out-of-Network
 
Calendar Year Deductible
(you pay)
$0 $50 individual
$100 family
Class I: Diagnostic and
Preventive
(cleanings, X-rays, office
visits)
100% of allowable charge 100% of allowable charge
Class II: Basic Services
(fillings, root canals,
periodontics, oral surgery)
75% of allowable charge 75% of allowable charge
subject to deductible
Class III: Major Services
(dentures, crowns, bridges)
50% of allowable charge 50% of allowable charge
subject to deductible
Class I, II, & III, Calendar
Year Maximum Benefit
$1,500 combined
Orthodontia 50% of allowable charge 50% of allowable charge
Lifetime Maximum Benefit
for Orthodontia
$1,500 total for in- and out-of-network
orthodontia services

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