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  • Dental | Retirees

Dental | Retirees

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.
  • Residents of these states cannot enroll in the Cigna DHMO: AK, ME, MT, NH, NM, ND, PR, SD, VT, USVI, 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 | SUMMARY PLAN DESCRIPTION - SPD

  • Cigna Dental Care Access | View  
  • Delta Dental PPO Plus Premier | 2020 & 2021 | 2022

PREMIUMS & COPAYS

  • See p. 13 | Retiree Enrollment Guide 2021
  • Cigna Patient Charge Schedule 2021

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

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ADOA | HR-Benefit Services Division
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Phoenix, AZ 85007
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Phone: 602-542-5008
Fax: 602-542-4744
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