Dental and Vision insurance promote preventive care and contribute to overall health and wellness. These benefits help pay for services typically not covered by private medical plans, filling the coverage gap to maintain oral and eye health. Outlined below you will find a Cigna DHMO Dental Selection Process for Participants.
IMPORTANT: Participants who have selected the new DHMO dental plan for 2020 will have to select a primary care dentist from Cigna.com. Participants who do not make a selection will be assigned a dentist in their area, but will be free to change their dentist election at a later date if desired. Participants must notify Cigna of the dentist they choose by calling Cigna at 1- 800-244-6224.
Here is a Guide to walk DHMO participants through the process of selecting a DHMO dentist on cigna.com.
– Patient Charge Schedule
LEARN MORE ABOUT YOUR DENTAL PLAN CHOICES
How to Increase Your Dental Plan Maximum
Under the dental plan offered through HealthFlex, individuals have the opportunity to increase their plan maximum benefit on a calendar-year basis merely by doing their annual routine exam for oral health care and getting their preventive dental services. Individuals who receive their preventive services will have their plan maximum increased by $150 for each calendar year they complete their preventive services (up to $450 maximum above the standard benefit).
Why Is This Important?
Encouraging preventive care contributes to your overall good health, along with potentially leading to fewer treatment claims and lower costs over time. Preventive dental care can also help diagnose the onset of some medical conditions and potentially avoid complications for other diseases.
Wellness Incentive Plan
Your plan is designed to encourage yearly visits to your dentist for preventive care. If a covered person obtains Class 1 Services (preventive) in a calendar year, the annual maximum benefit progresses to the next level ($150 higher) in the following calendar year. The increase applies to both in-network and out-of-network annual maximums. The maximum can be increased in three consecutive years for a total of $450 above your standard dental benefit. Refer to the Cigna Benefit Summary for provisions regarding your dental plan or log into mycigna.com to view your plan details and current maximum benefit.
You may also visit your Healthflex WebMD for more information, or review your elected Dental Benefit Summary.
How to Use My Vision Eye Care Discount Benefits:
Using your VSP benefit is easy:
- Find the right eye care provider for you and your family. You can choose to see a VSP doctor or any other provider within the network.
- Review your benefits information through your HealthFlex WebMD or your review your elected Vision Benefit Summary
- At your appointment, tell them you have VSP. There’s no ID card required. A vision card is available to print through your HealthFlex WebMD or download from the mobile site.
That’s it! We’ll handle the rest—there are no claim forms to complete when you see a VSP doctor. If you choose to go out-of-network and see a provider other than a VSP doctor, you typically have 12 months to submit a claim to VSP for out-of-network reimbursement. Login to your HealthFlex WebMD to see what the plan offers in coverage for other providers (out-of-network) and for details on how to submit a claim.
Have Questions? Call VSP Member Services at 800.877.7195 to speak with a Member Services Representative.