Dental Benefits

Like brushing and flossing, visiting your dentist is an essential part of your oral health. Hamilton offers affordable plan options from Cigna Dental for routine care and beyond.

CIGNA DENTAL PLAN

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Premiums

Plan	EMPLOYEE ONLY	EMPLOYEE + SPOUSE	EMPLOYEE + CHILD(REN)	EMPLOYEE + FAMILY
PremiumsBiweekly Contributions	$46.05	$92.12	$82.45	$147.84
PremiumsWeekly Contributions	$23.02	$46.06	$41.23	$73.92

Premiums

Biweekly Contributions

EMPLOYEE ONLY: $46.05
EMPLOYEE + SPOUSE: $92.12
EMPLOYEE + CHILD(REN): $82.45
EMPLOYEE + FAMILY: $147.84

Premiums

Weekly Contributions

EMPLOYEE ONLY: $23.02
EMPLOYEE + SPOUSE: $46.06
EMPLOYEE + CHILD(REN): $41.23
EMPLOYEE + FAMILY: $73.92

Dental Plan Summary

Service	IN-NETWORK	OUT-OF-NETWORK
Calendar year deductible - individual	$50	$50
Calendar year deductible - family	$150	$150
Calendar year maximum - per person preventive & diagnostic costs do not apply	$1,500	$1,500
Preventive services oral exams, routine cleanings, fluoride applications	0%; deductible waived	0%; deductible waived
Basic services fillings, simple extractions, root canals	20%*	20%*
Major services crowns and dentures	50%*	50%*
Orthodontics children up to age 19	Plan pays 50%	Plan pays 50%
Orthodontic lifetime maximum	$1,500 per person	$1,500 per person

Calendar year deductible - individual

IN-NETWORK: $50
OUT-OF-NETWORK: $50

Calendar year deductible - family

IN-NETWORK: $150
OUT-OF-NETWORK: $150

Calendar year maximum - per person preventive & diagnostic costs do not apply

IN-NETWORK: $1,500
OUT-OF-NETWORK: $1,500

Preventive services oral exams, routine cleanings, fluoride applications

IN-NETWORK: 0%; deductible waived
OUT-OF-NETWORK: 0%; deductible waived

Basic services fillings, simple extractions, root canals

IN-NETWORK: 20%*
OUT-OF-NETWORK: 20%*

Major services crowns and dentures

IN-NETWORK: 50%*
OUT-OF-NETWORK: 50%*

Orthodontics children up to age 19

IN-NETWORK: Plan pays 50%
OUT-OF-NETWORK: Plan pays 50%

Orthodontic lifetime maximum

IN-NETWORK: $1,500 per person
OUT-OF-NETWORK: $1,500 per person

*After deductible

Plan Notes

If your dentist doesn’t participate in your plan’s network, your out-of-pocket costs will be higher, and you are subject to any charges beyond the Reasonable and Customary (R&C). To find a network dentist, visit Cigna at mycigna.com. Make sure to use the Cigna Total DPPO network when searching.
Orthodontics are covered for children up to age 19: the plan pays 50%, up to a $1,500 per-person lifetime maximum.
Preventive services are covered at 0% coinsurance with the deductible waived, and preventive and diagnostic costs do not count toward the $1,500 per-person calendar-year maximum.