Dental
PLANS
Benefit Options offers two dental plan options.
CIGNA DENTAL Care Access
- A Dental Health Maintenance Organization Plan with no deductibles or dollar limits.
- Services must be obtained from an in-Network provider.
- Out-of-Network services are only covered in emergency situations.
- The Cigna DHMO is not available if you reside in the following states or territories: AK, ID, ME, MT, NH, NM, ND, PR, SD, VT, USVI, WV and WY.
DELTA DENTAL PPO PLUS PREMIER
- A Dental Preferred Provider Organization Plan.
- Services can be obtained in-Network or out-of-Network but will have higher costs for out-of-Network services.
- Additionally, there are in-Network and out-of-Network deductibles that must be met.
POLICIES
- Cigna Dental Care Access | For 2020 & 2021
- Delta Dental PPO Plus Premier | For 2020 & 2021
PREMIUMS & COPAYS
| 2021 Dental Plan Premiums Per Pay Period | Cigna Dental Care Access | Delta PPO Plus Premier |
|---|---|---|
| Employee Only | $1.64 | $14.30 |
| Employee + Adult | $3.29 | $30.33 |
| Employee + Child | $3.08 | $23.34 |
| Employee + Family | $5.46 | $48.26 |
CONTACT
Cigna | 800-968-7366 | cigna.com/stateofaz | Group: 2500541
Delta Dental of Arizona | 602-588-3620 | 866-978-2839 | deltadentalaz.com | Group: 77777-0000
