Tacodeli
Dental Coverage Benefits for 2025
Summary of Coverage
Key Features
Low Plan
High Plan
Annual Deductible Individual | Family
$25 | $75
$50 | $150
Calendar Year Max
$750 per person
$1,000 per person
Preventive Care Benefits
No Charge
No Charge
20% after deductible
Basic Services
20% after deductible
Major Services
Not Covered
50% after deductible
50% (adults and children up to age 19) $1,000 per member (adults and children up to age 19)
Orthodontia
Not Covered
Orthodontia Lifetime Max
Not Covered
Go to hcpdirectory.cigna.com to find in-network providers in your area. Both plans use the “Cigna Total Network”
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This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations, and exclusions set forth in each insurance carrier or provider’s contract.
2025 Employee Benefit Guide
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