Good dental care improves your overall health. Our dental plans are designed to help you maintain a healthy smile through regular dental care and fix any problems as soon as they occur. Your dental plan premiums are 100% covered by Sportradar.
This dental plan offers you the freedom and flexibility to choose any licensed dentist. You receive the greatest savings when you visit a participating dentist. Find an in-network provider at my.cigna.com or call (800) 244-6224.
| Plan Features | Cigna Base Plan | Cigna Buy-Up Plan | ||
|---|---|---|---|---|
| In-Network | Out-of-Network | In-Network | Out-of-Network | |
| Calendar Year Deductible (waived for Preventive Services) Individual/Family | $50 / $150 | $50 / $150 | ||
| Calendar Year Benefit Maximum | $1,500 | $750 | $2,500 | $750 |
| You pay: | You pay: | |||
| Diagnostic & Preventive Services (e.g., x-rays, cleanings, exams) | Covered in full | Covered in full | ||
| Basic & Restorative Services (e.g., fillings, extractions, root canals) | 20% | 40% | 10% | 40% |
| Major Services (e.g., dentures, crowns, bridges) | 50% | 50% | 40% | 50% |
| Orthodontia | 50% (children only) |
50% (adults and children to age 26) |
||
| Orthodontia Lifetime Maximum | $1,250 | $2,000 | $1,250 | |
See the Benefits Guide or benefit summaries for detailed information.
Your per pay period payroll deductions are shown in the table below.
| Coverage Level | Cigna Base Plan | Cigna Buy-Up Plan |
|---|---|---|
| Employee Only | $0 | $2.70 |
| Employee + Spouse/DP | $0 | $5.64 |
| Employee + Child(ren) | $0 | $7.08 |
| Employee + Family | $0 | $10.02 |