Dental Plan
The plan pays benefits for covered preventive and diagnostic services with no need for you to pay a deductible (whether services are obtained in-network or out-of-network). NOTE: You may elect dental coverage whether or not you elect medical coverage.
Finding Cigna Providers Is Easy!
To search for providers in the Cigna network once you are a member, visit mycigna.com and log in, or download the MyCigna app from the app store.
| Carlisle Cigna DPPO Plan | ||
|---|---|---|
| IN-NETWORK | OUT-OF-NETWORK | |
| Calendar Year Deductible | ||
| Individual | $50 | $50 |
| Family | $150 | $150 |
| Calendar Year Benefits Maximum | ||
| Per Individual | $1,500 per individual (Basic and Major Services combined) | |
| YOU PAY | ||
| Preventive Care | ||
|
Cleanings, exams, X-rays twice per year |
0% | Member will be balance billed |
| Basic Services | ||
|
Fillings, Space Maintainers, Sealants, |
20%* |
20%* or more if charges are more than maximum allowable charges |
| Major Procedures | ||
|
Crowns, Inlays/Outlays, Dentures and |
50%* | 50%* or more if charges are more than maximum allowable charges |
| Orthodontia | ||
| 24-Month Treatment Fee. Additional fees will apply for pre-ortho visits and treatment, records and retention, and banding. | ||
|
Children and Adults |
50% up to a lifetime maximum benefit of $1,500 per individual; |
|
*After Deductible