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Dental
Regular visits to your dentist can protect more than your smile; they can help protect your health. The City of
Newport Beach offers optional enrollment with a choice of two Cigna dental plans for all full time employees. Please
see below for a comparison between the Cigna Dental HMO and PPO plans.
Cigna Dental HMO Plan Cigna Dental PPO
In-Network In-Network Out-Of-Network
Calendar Year Deductible None None $50 per individual
$150 per family
Annual Plan Maximum Unlimited $2,000 $2,000
Diagnostic and Preventive $0 - $240 (varies by services, Plan pays 100% Plan pays 100%
see contract for fee schedule)
copay then plan pays 100%
Basic Services
Fillings $0 - $145 (varies by services, Plan pays 90% Plan pays 80% after
see contract for fee schedule) deductible
copay then plan pays 100%
Root Canals $0 - $155 (varies by services, Plan pays 90% Plan pays 80% after
see contract for fee schedule) deductible
copay then plan pays 100%
Periodontics $0 - $255 (varies by services, Plan pays 90% Plan pays 80% after
see contract for fee schedule) deductible
copay then plan pays 100%
Major Services $0 - $620 (varies by services, Plan pays 60% Plan pays 50% after
see contract for fee schedule) deductible
copay then plan pays 100%
Orthodontic Services
Orthodontia $1,110 to age 19 and $1,600 Plan pays 50% Plan pay 50%
over age 19
Lifetime Maximum Unlimited $2,000 $2,000
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