Page 19 - Franklin Madison 2022 Benefits Guide
P. 19
Dental Plan Options


The dental insurance is now ofered through Cigna. Coverage Levels
The Company ofers two Cigna Dental plan options Coverage levels are available for:
from which to choose and pays most of the cost for
the dental coverage you elect. The Plans ofered y Employee Only y Employee + Spouse
are: y Employee + y Employee + Family


y Cigna DPPO Child(ren)
y Cigna DHMO You must choose the same dental option for
both yourself and your dependents. For detailed
Cigna Dental Health Plan (DHMO) coverage information, review the Summary Plan
The DHMO Plan requires a primary care dentist Descriptions located on the online Beneits Portal at
from the Cigna DHMO network to coordinate your access.paylocity.com.
dental care. If you enroll for family coverage, each
member of your family can choose his/her own Decline Coverage
primary care dentist. If you need treatment by a If you decline dental coverage when you irst
specialist, your DHMO primary care dentist will become eligible, you will have to wait until the
arrange a referral, but most of your dental care will next annual enrollment to elect it, unless you have
be handled by your primary care dentist. a qualiied life status change during the year, as

explained on page 6.
Cigna Dental Preferred Provider

Organization (DPPO) Three Easy Ways to Find a Network

With this Plan, you can choose any dentist you Dentist
wish without a referral each time you need dental 1. Call the dentist and ask if they are part of
care. In-network providers cost you less, since they your plan’s network
agree to provide services at discounted fees. You 2. Call 800.244.6224 and ask for a network
also have a lower annual deductible. (No deductible dentist in your area
applies for preventive and diagnostic services.) 3. Log on to www.myCigna.com and view

the provider directory

Make sure you ind a dentist in your area who
is accepting new patients before selecting your
dental plan.


















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