DENTAL PLANS
SUMMARY OF COVERAGE
Key Features
Cigna Dental
In Network
Out of Network
Annual Deductible Individual | Family
$50 | $150
$50 | $150
Calendar Year Plan Max
$1,500 per person
$1,500 per person
Preventive Care Benefits
No Charge
No Charge
Basic Services
You pay 0%
You pay 20%
Major Services
You pay 40%
You pay 50%
Orthodontia
Not Covered
Not Covered
Dental Costs included in Meritain Medical Costs
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CAMPBELL & COMPANY BENEFITS GUIDE
DENTAL PLAN I
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* For illustrative purposes only. Please refer to your plan documents for all plan details
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