C&T, S&M, Security and YPBA Dental Plans
Delta Dental Assistance Plan
Below is a general summary of covered services under the Dental Assistance Plan administered by Delta Dental. There is no annual deductible and no out-of-pocket maximum. This is a brief summary and the plan documents will prevail. For more information, view the following Delta Dental Summary of Benefits for staff members:
See below for a general summary of covered services under the Delta Dental Plan. Click here for instructions on how to obtain a Delta ID card.
||Covered Services||Percentage Reimbursement|
|Preventive & Diagnostic||
||100% (up to the maximum allowable amount)|
||80% (up to the maximum allowable amount)|
||50% (up to the maximum allowable amount)|
CIGNA DMO Dental Care Plan (closed to new enrollment)
Under the CIGNA DMO Dental Care Plan, there are no forms, deductibles or annual or lifetime maximums. You are responsible for paying a patient charge directly to the provider when you or a dependent receives care and you must see a CIGNA DMO provider in order to have benefits paid. Click here for the CIGNA DMO Providers Directory.
- Preventative care: no patient charges apply to most preventative procedures
- Restorative care: several restorative and specialty procedures are available for low, pre-set fees
- Oral surgery
- Orthodontic care
- View CIGNA's 2013 Schedule of Fees