Jonesboro Cigna Dental Insurance Coverage

Woman in dental chair giving thumbs up At Woodsprings Family Dentistry, we are dedicated to helping patients receive the dental care they need in a stress free office environment. Financing dental care is one of the leading stressors affecting patients in our office, and that’s why we really go the extra mile to make preventive, restorative, and cosmetic dentistry services affordable and help our patients plan for their payments and understand their financing options. We are also happy to process and file claims for most PPO insurance plans to help patients receive the maximum coverage. Our office is in-network with many PPO insurers, including Cigna. If you are covered by Cigna (which you are if you work for Baptist Health Systems and get your dental insurance through them) or have any other dental insurance plan, let us know when you call to schedule your first appointment. We’ll do our utmost to help you maximize your insurance benefits in our office.

Basics of Dental Benefits

Dental benefits on computer screen Dental benefit plans offer coverage for a percentage of the cost of dental care in exchange for the payment of a monthly premium. Each plan is unique to the individual who chooses it, but certain aspects of all Cigna plans are similar. You and/or your employer will pay a monthly premium, and Cigna will provide coverage for dental care up to an annual plan maximum that is usually between $1000 and $1500. In most cases, you can expect to receive coverage for the following treatments:

Preventive dentistry – including checkups, teeth cleanings, dental sealants, and other services to keep smiles healthy typically receive 80 to 100% coverage
Restorative dentistry – including dental crowns, bridges, dentures, and other treatments to repair damaged smiles typically receive 50 to 80% coverage
Orthodontics – when elected by the patient and/or employer, traditional braces and clear aligners typically receive 20 to 70% coverage
Miscellaneous services – including treatments like dental sedation and custom oral appliances typically receive 10 to 50% coverage

Tips to Maximize Your Insurance Coverage

Dental benefits on computer screen We all want to make the most of our dental benefits, and no one wants to pay more than they need to for necessary dental care. If you’re trying to make the most of your insurance coverage, you may want to keep the following tips in mind:

Visit the dentist every six months for checkups. These preventive appointments receive the highest percentage of treatment coverage. Regular visits help patients keep their smiles healthy and avoid the need for more advanced dental care that receives lower coverage from the insurer.
Plan to extend complex treatments over the course of two or more plan years to make the most of annual treatment maximums.
Utilize any health spending account (HSA) and flexible spending account (FSA) funds to pay any out of pocket costs of your dental care.
Visit an in-network dentist to ensure you have minimum out of pocket treatment costs.

In-Network VS Out of Network Dental Care

Dental benefit claim form PPO plans are designed to allow patients the flexibility to choose their dental care providers and still receive coverage. However, when you visit an in-network provider, you know treatments will be covered and that your out of pocket costs will be minimal. In-network dentists with PPO providers have agreements stating that the dentist will charge fees that fall within the insurer’s average pricing. Out of network dental offices may have fees that are higher than those set by your insurer, but you will need to pay the difference in pricing in addition to the out of pocket percentage of treatment costs.