dbt Labs offers a competitive PPO dental plans to help you maintain your oral health. If you choose to use a dentist that is not part of the network, your benefit will be based on the Usual and Customary (U&C) allowance for the dental procedure performed. You will be responsible for the charges over the Usual and Customary allowance in addition to your portion of the coinsurance.
On the Cigna DPPO Base plan, you have an annual maximum of $1,500. Preventive Services are covered at 100%, in-network Basic services are covered by Cigna at 80% and in-network Major services are covered by Cigna at 50%. Orthodontia is NOT covered.
On the Cigna DPPO Buy-Up plan, you have an annual maximum of $1,500. Preventive Services are covered at 100%, in-network Basic services are covered by Cigna at 90% and in-network Major services are covered by Cigna at 60%. Orthodontia is covered for Children and adults at 50% with an orthodontia lifetime maximum of $1,500.
For access to care, simply let your provider know that your dental plan is through Cigna, Group #636399 and provide your name and date of birth to the provider's office.