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***It is important to note that, in order to support both its Members and Providers during the pandemic, Cigna has decided to reimburse remote consultations at the same level as face to face; subject to clinical appropriateness. All patient charges must correspond to the Patient Charge Schedule in effect on the date the procedure is initiated. Highlights and benefits of the Humana Dental Value plan 2021 Cigna Spotlight Event FAQ's Dental Customer Support (Hover over each logo to link to access website) Cigna Customer Support: 1.800.244.6224 1.866.611.8005 . 0000007192 00000 n
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948550 09/20 DENTAL INSURANCE THAT FITS Cigna Dental Care/DHMO Plan MTI09 PLAN HIGHLIGHTS IN-NETWORK Adult cleaning (two per calendar year - each at $0) $0 Child cleaning (two per calendar year - each at $0) $0 Periodic oral evaluation $0 Comprehensive oral evaluation $0 endstream
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Procedures listed on the Patient Charge Schedule are subject to the plan limitations and exclusions described in your plan book/certificate of coverage and/or group contract. 0000009706 00000 n
#EZ-6Pt;K,ZR V\evsag1!4IO)n .XXA1a,pa-V. Use this form to request a CIGNA Dental Care patient charge schedule. The American Dental Association may periodically change CDT Codes or definitions. <<4DFFD0FAA740384DAF78994982233F75>]/Prev 268013>>
With Cigna Dental Care DHMO, you get comprehensive dental coverage that's easy to use. Important Highlights This P atient Char ge Schedule applies only when c overed dental servic es are performed by your Network Dentist, unless otherwise authorized CIGNA DENTAL CARE PLAN PATIENT CHARGE SCHEDULE (G1-V9) 92249.b - 3 - D0240 X-rays intraoral - Occlusal radiographic image $0.00 Cigna Dental Care (DHMO)* Patient Charge Schedules 887393 09/15 Page 1 CDT 2016 Covered under Procedure Code1 Dental Description and Nomenclature Cigna Dental 09 PCS Cigna Dental I09 PCS Chair Time Per Y/N Minutes Code # (if different) Y/N Code # (if different) Clinical oral evaluations D0120 Periodic oral evaluation - Deliver estimates of patient copayments, coinsurance and deductibles. 0000059794 00000 n
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CIGNA DENTAL CARE PATIENT CHARGE SCHEDULE Code Procedure Description Patient Charge Office visit fee (per patient, per office visit in addition to any other applicable patient charges) Office visit fee $5.00 Diagnostic/preventive - oral evaluations are limited to a combined total of 4 of the following . 0000003434 00000 n
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CIGNA Dental Care Patient Charge Schedule (DC-07) Code Procedure Description Patient . hbbd``b`@$. Discuss your options and increased financial obligations with your dentist. The American Dental Association may periodically change CDT Codes or definitions. 0000013184 00000 n
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For services provided by an out-of-network dentist, Cigna Dental will reimburse according to Reasonable and Customary Allowances but the dentist may balance bill up to their usual fees. Patient Charges) Office Visit Fee $5.00 Diagnostic/Preventive - Oral Evaluations are Limited to a Combined Total of 4 of the Following Evaluations During a 12 Consecutive Month Period: Periodic Oral 0000026124 00000 n
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Programs and Initiatives (CCF, DLP, ISYLP, Career Pathways), DC Government Benefits Enrollment Instructions, UnitedHealthcare Choice Open Access Plan Summary, SmartBenefits Enrollment Application & Change Form, Temporary Continuation of Coverage Benefits Enrollment Form, Health Insurance for Employees Hired Before October 1, 1987, Health Insurance Premiums for Employees Hired on or After October 1, 1987, DCEHBP Temporary Continuation of Coverage (TCC) Premiums, How to Enroll in Your DC Government Benefits, Coronavirus (COVID-19) Resources for DC Government Employees, Electronic District Personnel Manual (eDPM), Electronic-District Personnel Manual (E-DPM), Whistleblower Protections and Obligations, Sexual Harassment Prevention Officer Directory, Human Resource Officer - Advisor Directory, 2023 Cigna Dental HMO Patient Charge Schedule, 2022 Cigna Dental HMO Patient Charge Schedule, 2021 Cigna Dental HMO Patient Charge Schedule. endstream
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% Search the Fee Schedule by entering a code or keyword. %MFclR*4))[3nqC)
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Easily search for DPPO network providers in the directory on Cigna.com . CIGNA DENTAL CARE (*DHMO) . The information, tools, and resources you need to support the day-to-day needs of your office Why take out a health insurance policy for employees at your SME? startxref
All patient charges must correspond to the Patient Charge Schedule in effect on the date the procedure is initiated. Different codes may be used to describe these covered procedures. All patient charges correspond to the Patient Charge Schedule in effect on the date the procedure is initiated. 0000038912 00000 n
VIDEO Cigna Dental PPO {6LG3IsUz119Wf6aj'\`SG`]xIS7B< There are no deductibles to pay before coverage begins, no annual dollar maximums on covered services, no claim forms, and no waiting periods. 0000047327 00000 n
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Offered by: Cigna Health and Life Insurance Company or its affiliates. 0000004890 00000 n
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Cigna Dental PPO Benefit Summary. Additional charge per tooth/unit for crowns, inlays, onlays, post $150.00 and cores, and veneers if your dentist uses same day in-office CAD/CAM (ceramic) services. 0000044371 00000 n
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The Cigna Dental Care (DHMO) plan includes coverage for many procedures that may not be available on other dental plans. Cigna DHMO insurance plan features 3 $C@
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CIGNA DENTAL CARE PLAN PATIENT CHARGE SCHEDULE (A3O09) Important Highlights (Continued) GENERAL DENTIST FEE SCHEDULE ALL PROCEDURES Effective from 06/01/2022 D1351 Sealant - Per Tooth $36 D1352 Preventive Resin Restoration In A Moderate To High Caries Risk Patient - Permanent Tooth $35 D1353 Sealant Repair - Per Tooth $35 D1354 Interim Caries Arresting Medicament Application - Per Tooth $29 0000009175 00000 n
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For premiums to remain affordable, practitioners, private facilities and health insurers need to work together to provide quality private healthcare at a reasonable and affordable price. 0000080015 00000 n
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Due to evolving medical practice, The Cigna Fee Schedule is reviewed periodically and therefore, complexities and/or fee values of procedures may change, maximum procedure fee reimbursement could go up or down. 'mec`PcsPFZ%5&:
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Please use the search function to calculate your fees. Consultation fees and surgery/anaesthetist fees represent a significant element of total claims costs in private medical insurance and subsequently, have a major effect on premiums. cS^d4V$%UXH%
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The CCSD schedule is reviewed regularly and reflects current medical practice. Cigna Dental Care DHMO1 Regular dental care is important for a healthy smile. .}\U\ 92249.a - 2 - CIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (W1-09) 0000085278 00000 n
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