Active Employee Dental
Cigna is the administrator for all State of Connecticut dental plans. To get answers to your questions, please call CIGNA at 800-244-6224.
dental plan features
You can choose from four dental plans to suit your needs and those of your family. Plans include various coverages on dental services.
View the Plan Coverage Chart on the Benefits Enrollment Page for a full list of covered dental services for each plan.
The Enhanced plan pays $1,500 per person per lifetime and covers 50% of the cost for adults and children. The Cigna Dental Care DHMO requires a set copay for in‐network providers. The Basic plan does not cover orthodontia for adults or children.
View the Plan Coverage Chart on the Benefits Enrollment Page for a full list of covered dental services for each plan.
Orthodontia Coverage
The Total Care DHMO plan, Enhanced plan and Cigna Dental Care DHMO plan all cover orthodontia for adults. The Total Care DHMO plan covers 55% of the cost with an in‐network provider.The Enhanced plan pays $1,500 per person per lifetime and covers 50% of the cost for adults and children. The Cigna Dental Care DHMO requires a set copay for in‐network providers. The Basic plan does not cover orthodontia for adults or children.
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
Dental services are only covered when you receive care from a dentist in the DHMO network (except in an emergency). You must select a primary care dentist who will coordinate your care. You pay lower out-of-pocket costs for mouthguards, teeth whitening, and braces offered in this plan. There is no annual deductible or calendar maximum.
Enhanced Plan
The Cigna Enhanced DPPO network allows you to choose any licensed dentist for care without a referral. This plan provides richer benefits than the Basic Plan, with lower out-of-pocket costs for in-network services such as orthodontia, implants, dentures, and fixed bridges. The orthodontic coverage and lifetime maximum have been increased. The annual deductible has been removed.
Basic Plan
The Cigna Basic DPPO network allows you to choose any licensed dentist for care without a referral. It offers convenient access to highly rated dentists nationwide and savings on covered dental services.
Dental Care DHMO Plan
Closed to new enrollment. If enrolled in this plan, you will pay a copay for treatments that are based on the service you receive and vary by location. Contact Cigna for patient copayment amounts.
For all dental plans: When you visit an out-of-network dentist, your out-of-pocket expenses will likely be higher than an in-network dentist. Use the Find a Dentist tool to confirm that your dentist is in-network for your plan to save the most.
dental plan Information
ELIGIBLE DEPENDENTS GENERALLY INCLUDE:
- Your legally married spouse.
- Your children: Medical and dental coverage through the end of the year they turn age 26.
- Children residing with you for whom you are legal guardian (to age 18) unless proof of continued dependency is provided. Disabled children may be covered beyond age 26 for medial and dental, with proper documentation from the medical insurance carrier. Documentation of an eligible relationship is required when you enroll a family member. It is your responsibility to notify your agency Payroll/Human Resources office when any dependent is no longer eligible for coverage.
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 have a Qualifying Life event, changes can be made on Core-CT and the required documentation must be provided within 31 days of the qualifying event.
- Open Enrollment
- This is your annual chance to adjust your health care benefit choices. It’s a good time to take a fresh look at the plans, consider how your and your family’s needs may have changed, and choose the best plan option for you. Open Enrollment usually takes place in May.
Several plans are available with varying levels of coverage. Below are resources to assist you in choosing the right plan.
HOW TO PICK A PLANView the Plan Coverage Chart on the Benefits Enrollment Page Take the Plan Match Quiz which asks key questions about your dental coverage needs and plan design preference
Find A Dentist to confirm your dental providers are in the plan you choose before selecting it during open enrollment or a Qualifying Life Event.
HOW TO PICK A PLAN
Review the medical and dental rates. If you participate in HEP, up to two regular dental cleanings per year are 100% covered per year. However, if you are in the Enhanced plan, you must use an in-network dentist to get the full coverage. If you go out of network, you may be subject to balance billing (if your out-of-network dentist charges more than the maximum allowable charge). In the DHMOs, you must use an in-network dentist, or your exam won’t be covered at all.