Dental
Dental Coverage
Dental benefits are provided by Cigna to all members covered by Harris County’s medical plan. ID cards are accessible exclusively through the mobile app.
- You can choose to use any licensed dentist, though you’ll get the biggest savings if you use a dentist in the Cigna dental network. You can also see a specialist without a referral.
The amount your plan pays depends on:
- The coinsurance level for the service you received
- Which dentist you visit — in-network or out-of-network
- If you’ve paid your deductible and/or reached your maximum benefit
- Once you reach the plan’s maximum annual benefit, your plan will no longer pay a portion of your costs during that calendar year
| DENTAL COVERAGE SUMMARY | |
|---|---|
| Services/Products | IN-NETWORK / OUT-OF-NETWORK1 |
| Deductible (calendar year) Individual Family |
$50 $150 |
| Maximum Benefit (calendar year) Applies to Class I, II, III, VII, IX expenses |
$1,750 |
| BENEFIT HIGHLIGHTS | YOU PAY |
| Class I: Diagnostic & Preventive Oral Evaluations, Routine Cleanings, X-rays (routine, non-routine), Fluoride Application, Sealants (per tooth), Space Maintainers (non-orthodontic) |
No charge No deductible |
| Class II: Basic Restorative Emergency Care to Relieve Pain, Restorative (fillings), Periodontics (minor and major), Oral Surgery (minor and major), Anesthesia (general and IV sedation), Repairs (bridges, crowns, inlays, dentures and denture relines), Rebases and Adjustments |
20% + deductible |
| Class III: Major Restorative Inlays and Onlays, Prosthesis over Implant, Crowns (prefabricated stainless steel/resin, permanent cast and porcelain), Bridges and Dentures |
50% + deductible |
| Class IV: Orthodontia Lifetime Benefits Maximum of $1,500 (per covered member) |
50% No deductible |
| Class VII: Endodontics | 20% + deductible |
| Class IX: Implants | 50% + deductible |
| 6-month benefit waiting period for new employees and newly covered dependents on Class III, VII and IX procedures. | |
| 1Reimbursement levels for in-network services are based on contracted fees. Reimbursement levels for out-of-network services are based on the maximum allowable charge. | |
Cigna Oral Health Integration Program
Enhanced dental coverage is available for plan members with the following medical conditions: diabetes, heart disease, stroke, head and neck cancer radiation, organ transplant, chronic kidney disease and maternity. Members who qualify can get 100% reimbursement of their coinsurance for certain related dental procedures along with additional benefits. To enroll, log in at myCigna.com or call Cigna at 800-244-6224.