Whitfield County Schools offers two dental plan options with Cigna: Standard and Premium. Cigna provides comprehensive coverage at a competitive cost with an extensive dental network in the Dalton area.
The Standard plan has lower rates and a lower annual maximum with no orthodontia coverage. The Premium plan has a higher premium and annual maximum and includes orthodontia coverage. Both plans have the same coinsurance and deductibles, and dependent children can be covered up to age 26, regardless of student status.
As long as you access a Total Cigna DPPO network provider, your claim will be processed at the in-network level with no balance billing. Services not covered or that exceed the calendar year maximum are the patient’s responsibility.
The DPPO network is the largest and has the best discounts. We encourage you to use a Cigna DPPO provider in order to maximize your dental plan benefits. Access www.cigna.com to locate participating dental provider information. Refer to the Cigna benefits summary for complete details regarding frequencies and coverage information.
Below is a benefit summary of your annual deductible and co-insurance costs.
We recommend you review participating Cigna dental network information online prior to obtaining services. To locate in-network Cigna dental providers, access www.cigna.com and follow the below instructions:
Balance billing happens when a dentist who isn’t in your plan’s network charges more than your plan pays. This is a risk when you receive services from an out-of-network dentist. Although we recommend you use network dentists, if you go out-of-network, the balance bill amount is your responsibility.
We encourage you to register for your account on the portal or mobile app at www.mycigna.com.
Below are some features of the portal:
While Cigna recommends contacting your dentist first for your dental care needs, that may not always be possible.
This program includes additional preventive care benefits like extra cleanings for dental plan members with specific medical conditions.
|Cigna Dental Coverage||Standard Plan||Premium Plan|
|$75 individual | $225 Family||$50 individual | $150 Family|
Type A - Preventive Services (Deductible Waived):
Cleanings (regular and periodontal), exams, fluoride, x-rays (including full mouth), sealants and more
|Plan pays 100%||Plan pays 100%|
Type B - Basic Services (After Deductible):
Fillings, simple extractions, general anesthesia, periodontal scaling, and root planing
|Plan pays 80%||Plan pays 80%|
Type C - Major Services (After Deductible):
Periodontal surgery, major periodontics, bridges, dentures, crowns, and root canals
|Plan pays 50%||Plan pays 50%|
Type D - Orthodontia (After Deductible):
Adults and children
|Not Covered||Plan pays 50%|
Orthodontia Lifetime Maximum
|Not Covered||$1,500 per person|
Annual Maximum (per person)
|$1,000 per person||$2,000 per person|