Dental for 2021

Cigna offers two plans that provide different levels of dental benefits - each gives you and your family access to affordable, quality dental care and dentists.

1. The Dental Preferred Provider Organization (DPPO or PPO) costs a bit more per paycheck but you’ll have access to both in- and out-of-network dentists and services. Referrals are not required for in- or out-of-network specialists.

For more information, call Cigna at 888-336-8258 for the PPO Plan and 800-367-1037 for the HMO Plan.

Cigna DPPO In-network Out-of-network (with discounts)
Deductibles $50 Individual/$100 Family $50 Individual/$100 Family
Maximums $2,000 Annual $2,000 Annual
Preventive/ Diagnostic Care 100% - twice annually 80%
Basic Restorative Care 80% (after deductible) 70% (after deductible)
Major Restorative Care 50% (after deductible) 50% (after deductible)
Orthodontic Care 50% (after deductible)
$1,500 Lifetime
50% (after deductible)
$1,500 Lifetime
Referrals to Specialists Not required Not required
*Dental Implants $1,800 lifetime max for implant coverage, no member cost share up to the max of $1,800 ($900 for implants placed by residents and $1,800 for implants placed by attending dentists)
To pay the least out-of-pocket, stay in Advantage network. If a member goes outside the Advantage network, they will also have access to discounts under Dental PPO network. Cigna refers to this as “in-network” these benefits are paid as out-of-network, this network will afford the member discounted rates, but benefits will pay at the out-of-network level of benefits. Members who enroll in the DPPO plan will not receive a dental plan ID card. Dental providers use the member's social security number to look up their coverage.

*Members enrolled in the Cigna PPO plan are eligible for dental implants. Coverage restricted to the following Northwell dental clinics only:

  1. LIJ Medical Center
    270-05 76th Ave,
    New Hyde Park, NY, 11040
    718-470-7120
  2. Northshore Dental Manhasset
    400 Community Drive,
    Manhasset, NY, 11030
    516-562-4525
  3. Northwell Health Dental Medicine
    10 Medical Plaza
    Glen Cove NY 11542
    516-674-7646


2. The Dental Care Access Network (formerly referred to as a Dental Health Maintenance Organization or DHMO) gives you access to Cigna Dental or in-network services only. The plan has $0 deductibles, with unlimited maximum. Referrals to a specialist is required.

DHMO Schedule of fees

Cigna Dental Care Access Network In-network
Deductibles $0
Maximums Unlimited
Preventative/ Diagnostic Care 100% covered
Major/Basic Restorative Care Fixed pre-set fees
Orthodontic Care Lifetime maximum benefits/24-month treatment
Referrals to Specialists Referral required

FAQ's - Dental

The Dental Care Access Network gives you access to Cigna Dental or In-Network services only. This plan has $0 deductibles, with unlimited maximum. Referral for a specialist is required. The DPPO plan costs a bit more per paycheck, but provides access to both in- and out-of-network dentists and services. Referrals are not required.

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