Page 9 - Cytokinetics 2022 Benefits Guide

Dental plan

It’s important to have regular dental exams and cleanings as a pre-emptive measure to ensure good health. Early signs of
disease can be identified with these wellness exams to avoid future expensive treatments. Keeping your teeth and gums
clean and healthy will help prevent most tooth decay and is an important part of maintaining your overall health. We offer a
dental plan through Cigna.

Cigna DPPO

Plan Provisions In-Network Out-of-Network
Annual Deductible (Individual/Family) $50/$150
Calendar Year Maximum $2,000
Orthodontia Lifetime Maximum $2,000 per individual

Diagnostic and Preventive Services (e.g., X-rays, cleanings, exams) Covered at 100%
Basic and Restorative Services (e.g., fillings) 20% coinsurance
Major Services (e.g., dentures, crowns, bridges) 50% coinsurance

Orthodontia 50% coinsurance for adults & children up to age 26

Cigna Dental Insurance
Phone: 800-244-6224
Website: www.mycigna.com

Using an in-network contracted dental providers
While you have the option of choosing any provider, you will save money when you use an in-network contracted dentists. When
using an out-of-network dental provider, you will pay more out of pocket because there is no contract in place to set fees for
services which the provider can balance bill you for.

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