Rag & Bone - 2023 Benefit Guide

DENTAL PLANS – Find the Right Fit Administered by CIGNA

Dental DHMO

Dental Low

Dental High

Lowest per-paycheck cost

Affordable per-paycheck cost

Highest per-paycheck cost

May be best for someone who

Is willing to use only in-network providers, with no out-of-network option

Requires flexibility to access out-of- network doctors

Requires flexibility to access out-of- network doctors

May not require a large amount of dental work

Requires flexibility for the types of dental services that are covered

Does not require Orthodontia services

The big difference

Your cost will be determined based on the type of service Refer to the schedule of benefits

You pay set copays for most services and 20% to 50% after deductible for others, 50% for Orthodontia services

You pay set copays for most services and 20% to 50% after deductible for others

No deductible or maximum out-of-pocket cost

Annual benefit maximum $1,000

Annual benefit maximum $1,500

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