Citi Benefits Handbook
Dental Options at a Glance
The Plan provisions (deductibles, coinsurance and annual and lifetime maximums) will be the same whether or not your dentist is a PDP provider as shown in the table below. However, using preferred dentists can reduce your out-of-pocket costs.
MetLife Preferred Dentist Program (PDP)1
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Cigna Dental HMO2
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Annual Deductible
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$50
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None
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$150
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None
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Preventive and diagnostic services
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100% paid; no deductible to meet
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Most services are paid at 100% when you use your network dentist
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Basic services
such as fillings, amalgams (silver) and composite (white) filings, root canals, periodontal services, extractions and oral surgery
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80% after deductible
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Copay when you use your network dentist. See "Patient Charge Schedule" for more information.
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Major restorative services
such as crowns, inlays/onlays, bridges and dentures
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50% after deductible
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Copay when you use your network dentist. See "Patient Charge Schedule" for more information.
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Orthodontia
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50% after deductible
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Copay when you use your network dentist. See "Patient Charge Schedule" for more information.
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Lifetime orthodontia limit for children and adults
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$3,000 per person
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Coverage limited to 24 months of treatment
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Temporomandibular joint (TMJ) treatment excluding surgery
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50% after deductible if not the result of an accident (covered under orthodontia)
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100% paid for oral evaluation; copay for other related services when you use your network dentist
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Implants
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Subject to "dental necessity"
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Copay when you use your network dentist. Limit of one implant per calendar year, with one replacement per 10 years
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Annual maximum
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$3,000 per person
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None
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1 MetLife PDP providers charge negotiated fees for services. For services other than those for preventive care, you must meet the annual deductible before the Plan will pay a percentage of eligible costs. Benefit amounts for out-of-network dentists are based on the maximum allowed amount for your geographic area.
2 You can obtain a schedule of charges and a list of providers by calling Cigna Dental HMO at 1 (800) Cigna 24 (1 (800) 244-6224). Once enrolled, you can obtain a schedule of charges at www.myCigna.com. You can also view the Cigna Patient Charge Schedule online at www.citibenefits.com under "Forms and Documents."