Microsoft Word - 2022 - FT Employee Benefits Enrollment Guid

Commonwealth Emergency Physicians

Health Insurance - Dental In addition to protecting your smile, dental insurance helps pay for dental care and usually includes regular checkups, cleanings and X-rays. Several studies suggest that oral diseases, such as periodontitis (gum disease), can affect other areas of your body—including your heart. Receiving regular dental care can protect you and your family from the high cost of dental disease and surgery. We’re keeping Cigna as our dental provider for 2022. The following chart outlines the dental benefits we offer.

Type of Service

CIGNA DENTAL DPPO

Deductible (Ind/Fam)

$50/$150

Preventive & Diagnostic Services

Exams, Cleanings, Routine X-rays, Sealants – 100%

Basic Services

Fillings, Extractions, Periodontics, Root Canal - 90%

Major Services

Crowns, Dentures, Bridges —50%

Orthodontia

50% No Ortho Deductible - $ 1,500 Lifetime Max

Implants

50% after Deductible

Annual Maximum

$1,600

Employee only—$0.00 Employee & spouse—$43.26 Employee & child—$45.83 Family—$104.17

Monthly Payroll Deductions for all eligible employees

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