Dental

To contact CIGNA Dental call 1-800-CIGNA24

A full time faculty or staff member is eligible for dental coverage on the first business day of the month following (or coinciding with) his or her date of hire. If the date of hire is not on the first business day of the month, then he or she will be eligible for coverage on the first day of the following month.

A dependent child can be covered under the dental plan to age 19 or to age 23 if a full-time student. Coverage will terminate at the end of the calendar month in which the dependent child turns age 19 or age 23 (provided that full-time student status has been maintained). For example, if a dependent child, who is age 22, graduates from college on May 20th, his/her dental coverage will terminate on May 31st.


Pace offers two dental plan options through CIGNA Dental:

 

CIGNA Dental DHMO

The CIGNA Dental DHMO plan offers in-network only coverage. This plan is available in 38 states.

Enrollment in the plan requires the election of a Primary Care Dentist within the CIGNA Dental Care Network. Referrals must be obtained from your Primary Care Dentist in order to see a specialist.

An ID card will be issued for this plan. Typically, a participant will receive only one ID card with all dependents, if applicable, listed.

Please visit www.mycigna.com or contact CIGNA Customer Service, at 1-800-CIGNA24, to find an in-network provider.

If you wish to change your Primary Care Dentist, you must contact CIGNA prior to visiting another dentist, even if he/she participates in the CIGNA Dental Care Network.

CIGNA Dental DHMO Plan Summary

CIGNA Dental DHMO Certificate of Coverage

Please Note: Annual deductibles, plan maximums, etc. are based upon a calendar year.

 

Current Premiums for Dental DHMO
 

Effective July 1, 2013 through June 30, 2014:

SEMI-MONTHLY DENTAL PLAN RATES(PER PAYCHECK):

Dental Plan

Individual

Individual + 1

Family

CIGNA Dental DHMO

$4.88

$12.54

$25.16

 

 


CIGNA Dental PPO

The CIGNA Dental PPO plan offers both in- and out-of-network coverage. Providers in the CIGNA CORE Network are considered to be in-network for this plan.

There is a $2,000 annual benefit maximum per person (based on a calendar year) for in-network services (CIGNA CORE Network) or $1,500 (based on a calendar year) for out-of-network services.

Preventative and Diagnostic Care is covered at 100%.

There is no ID card for this plan. Claim forms, for out-of-network services, are available on the Human Resources web page under “Forms.”

Please visit www.mycigna.com or contact CIGNA Customer Service, at 1-800-CIGNA24, to find an in-network provider.

CIGNA Dental
P.O. Box 188037
Chattanooga, TN 37422

Plan ID: 3331784.

CIGNA Dental PPO Plan Summary

CIGNA Dental PPO Certificate of Coverage

CIGNA Dental PPO Generic ID Card

Please Note: Annual deductibles, plan maximums, etc. are based upon a calendar year.

 

Current Premiums for Dental PPO


Effective July 1, 2013 through June 30, 2014:

SEMI-MONTHLY DENTAL PLAN RATES (PER PAYCHECK):

Dental Plan

Individual

Individual + 1

Family

CIGNA Dental PPO

$13.72

$45.13

$73.98