DENTAL | VISION

Cigna | United Healthcare

Dental Plans
Vision Plan

DENTAL

Who Is Eligible?

All full time associates scheduled to work 30+ hours per week.

Why sign up for Dental coverage?

It’s important to go to the dentist regularly. Brushing and flossing are great, but regular exams catch dental issues early before they become more expensive and difficult to treat.

That’s where dental insurance comes in. Dental insurance makes it easier and less expensive to get the care you need to maintain good oral health. Dental insurance covers four types of treatments:

  • Preventive care includes exams, cleanings and x-rays
  • Basic care focuses on repair and restoration with services such as fillings, root canals, and gum disease treatment
  • Major care goes further than basic and includes bridges, crowns and dentures
  • Orthodontia treatment to properly align teeth within the mouth

You have the choice between two different dental plans administered by Cigna: A DPPO plan and an HMO Plan. You will find the greatest savings when you use a Cigna participating provider for your dental care.

Download the myCigna® app

With easy one-touch secure sign on, you can access your digital ID cards, manage your health information, update your profile, and more.

Accessing your digital ID card is easy.

You never have to worry about misplacing your ID card. It’s always right there on myCigna®, whenever and wherever you need it.*

  • Log in to myCigna.com or the myCigna App
  • Click or tap "ID Cards"
  • View your card(s), as well as any dependents' card (s)**
  • Email cards directly to dentist
  • Save your digital ID cards in your Apple Wallet

Not registered on myCigna yet?

It's quick and easy. Visit myCigna.com and register now.

Unlock the full value of your health plan with myCigna.

From programs that help improve your health to tools that help you manage your health spending, there’s so much you can do on myCigna.com and the myCigna App.***

Feel better protected

Cigna is as committed to protecting your health information as we are to your health and well-being. That’s why we take certain steps to enhance the security of your personal health information on myCigna.

* The transition to digital ID cards does not apply to the following: all insured medical clients sitused in Texas, New York, Florida and Colorado (ASO will be included); all medical clients sitused in Minnesota regardless of funding type; all D-HMO plans sitused in Texas; all D-HMO and D-PPO plans sitused in Georgia and Minnesota; all vision plans sitused in Georgia, Minnesota, and Texas. Clients with situs in Texas, North Carolina, New York, Tennessee, Colorado, Georgia and Florida will transition beginning with 7/1/2023 new and renewal effective dates unless prohibited by a state mandate. ** Customers under age 13 (and/or their parent/guardian) will not be able to register at myCigna.com. *** Actual myCigna features may vary depending on your plan and customer profile.

Dental Plans

Plan Features
HMO Plan
DPPO Advantage
In-Network | Out-of-Network

Deductible

Applies to Basic & Major Services

No Deductible
$50 | $75 per person
$150 | $225 per family

Maximum Benefit

Applies to Preventive, Basic & Major Services

No Maximum
$1,750 | $1,750 (combined with in-network)

Preventive

Routine exams, cleanings (3/yr), topical fluoride, x-rays, space maintainers, sealants

$5 office copay then $0-$240 copay varies by services; Refer to copay schedule
0% | 20%

Basic Services

Composite fillings, extractions, endodontics, periodontics, oral surgery

$5 office copay then $0-$430 copay varies by services; Refer to copay schedule
20%* | 30%*
Major Services
Crowns, bridges, dentures, full implants
$5 office copay then $13-$1,015 copay varies by services; Refer to copay schedule
50%* | 60%*
TMJ Services
Occlusal orthotic device and adjustment
$240-$330 copay
Refer to copay schedule
50%* | 60%*
Orthodontia
Adults and Children
$2,040-$2,376 copay
varies by services; Refer to copay schedule
50%* | Not Covered
Orthodontia Lifetime Maximum
No Maximum
$1,500 | Not Covered

* This plan allows you to see any licensed dentist, but using an in-network dentist may minimize your out-of-pocket expenses.

Cigna will allow up to the contracted dental fee schedule amount for dental procedures and services after the required deductible amount, as shown. Charges above the plan payment are the patient’s responsibility.

For plan details, go to mycigna.com, download the myCigna mobile app or call (800) 966-5772.

Dental Summary of Benefits and Coverage

HMO Benefit Summary
DPPO Benefit Summary
California DHMO SBC

VISION

Who Is Eligible?

All full time associates scheduled to work 30+ hours per week.

Vision coverage helps with the cost of eyeglasses or contacts, but even if you don’t need vision correction, an annual eye exam checks the health of your eyes and can detect more serious health issues such as diabetes, high blood pressure, high cholesterol, and thyroid disease.

Vision Plan

Plan Features
In-Network
Out-of-Network

Eye Exam and Screening

Once every 12 months

$15 copay
Up to $40

Frames

Once every 24 months

Up to $150 allowance, plus 30% off the remaining balance
($30 materials copay applies)
Up to $45

Lenses

Once every 12 months

Single

Bifocal

Trifocal

100% of basic lenses
($30 materials copay applies)
Up to $40 for Single
Up to $60 for Bifocal
Up to $80 for Trifocal

Contacts (Elective)

Once every 12 months

UHC Vision Select: $30 copay for up to 6 boxes of disposable lenses;
All Other: $150 allowance
(copay waived instead of eyeglasses)
Up to $150
(in-network limitations apply)

Enjoy the freedom of LASIK If you’re ready to break up with your glasses or contacts, UnitedHealthcare vision plan benefits include a discount of up to 35% on laser vision correction at QualSight® LASIK.

Warby Parker – UHC vision members have access to Warby Parker’s comprehensive network. Members can purchase eyeglasses and sunglasses, with prescription lenses included, for $30 or less! Warby Parker also offers contact lenses at the in-network benefit. For more information visit www.warbyparker.com/united or call (888) 492-7297.

While waiting for your plan date to start, you may search the network for providers near you at myuhcvision.com/providersearch.

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