Partnership Program Dental
Not all groups are enrolled in Cigna Dental through the state health plan. If you have any questions, please reach out to your HR administrator.
dental plan features
We offer four separate fully insured dental plans to suit your needs and those of your family. Plans include various coverages on dental services: Cigna Dental Partnership Plans.
Contact your HR today to confirm your coverage.
Contact your HR today to confirm your coverage.
Employees (including dependents) enrolled in a State of Connecticut dental plan are eligible for Cigna’s Oral Health Integration Program (OHIP). OHIP provides 100% reimbursement of copays for select covered services to members with qualifying medical conditions such as:
Watch: More information on the program
- Maternity
- Heart disease
- Diabetes
- Stroke
- Chronic Kidney Disease
Watch: More information on the program
Cigna PPO network dentists offer discounts on non-covered services for Basic and Enhanced plan members. Visit a network dentist, confirm the procedure is discounted, and pay the negotiated fee directly to them. Discounts may vary by state; check with your dentist or Cigna to confirm eligibility.
Before starting extensive dental procedures where charges may exceed $200, your dentist may submit a pretreatment estimate to the plan.
OUR DENTAL PLANS
Total Care DHMO Plan
This plan provides dental services only from a defined network of dentists and pays benefits only when you receive care from a network dentist (except in cases of emergency). You must select a primary care dentist; they will coordinate your care. Referrals are required for all specialist services. There’s no annual deductible or calendar-year maximum. When you need care, you pay coinsurance based on the service you receive.
Enhanced Plan
This plan pays benefits for services received in- and out-of-network, without a referral. When you visit an out-of-network dentist, you are responsible for all charges above the maximum allowable charge—the amount the plan would have paid if you had visited an in-network dentist. That means your out-of-pocket expenses may be higher if you see a dentist who is not part of the Cigna PPO Network.
Basic Plan
This plan allows you to visit any dentist or dental specialist without a referral.
dental plan Information
ELIGIBLE DEPENDENTS GENERALLY INCLUDE:
- Your legally married spouse or civil union partner.
- Your children: Medical and dental coverage through the end of the (calendar) year in which they turn age 26.
- Disabled children may be covered beyond age 26 for medical and dental, with proper documentation from the medical insurance carrier. Contact your HR representative to confirm. Documentation of an eligible relationship is required when enrolling a family member. It is your responsibility to notify your group’s Payroll or Human Resources office if any dependent becomes ineligible for coverage. For additional eligibility questions, contact your HR representative.
You can make changes to your dental plan, add or drop coverage for your eligible family members or enroll if you previously waived coverage during the following times:
- Qualifying Life Event
- If you experience a Qualifying Life Event, you can make changes by contacting your Human Resources office. Be sure to provide the required documentation within 31 days of the event.
- Open Enrollment
- During Open Enrollment, you have the opportunity to review and adjust your health care benefits. It’s a great time to assess your and your family’s needs and select the best plan for you. For assistance, please reach out to your HR staff.
Review the dental plan rates.
Note: All Health Enhancement Program participants must complete one dental cleaning per year. Those non-compliant with HEP will l pay an additional $100 a month for coverage with an in-network deductible of up to $1,400.
Note: All Health Enhancement Program participants must complete one dental cleaning per year. Those non-compliant with HEP will l pay an additional $100 a month for coverage with an in-network deductible of up to $1,400.
Benefits Enrollment