* Limitations may apply for some benefits some services may be excluded from your plan. Covered Under Basic ServicesĬrowns, inlays, onlays and cast restorations, bridges and dentures (periodontal scaling, root planing, and treatment of gum disease. (root canals) Covered Under Basic Services Use any licensed dentist, but save with the Delta Dental DPO or Delta Premier networks UT SELECT Dental Plus Plan (Enhanced Dental PPO Plan) - greater benefits than the standard UT SELECT Dental Planĭental Plan Comparison Chart DENTAL SERVICE. UT SELECT Dental Plan (Standard Dental PPO Plan) - good for standard dental insurance needs.Both dental PPO plans allow you the freedom to choose from any licensed dentist although you will maximize your benefits when you use a Delta Dental DPO or Delta Premier network provider. UT Benefits offers two dental PPO plans for you to choose from based on the level of benefits your family needs. Cigna may not control the content or links of non-Cigna websites.UT Benefits and Delta Dental Insurance Company provide three plan options for employees and their families, two PPO Plans and one dental HMO plan. Selecting these links will take you away from to another website, which may be a non-Cigna website. This website is not intended for residents of New Mexico. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. All insurance policies and group benefit plans contain exclusions and limitations. Life (other than GUL), accident, critical illness, hospital indemnity, and disability plans are insured or administered by Life Insurance Company of North America, except in NY, where insured plans are offered by Cigna Life Insurance Company of New York (New York, NY). Group Universal Life (GUL) insurance plans are insured by CGLIC. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. In addition, reference the Contact Support Tool for important contact information. For additional information, continue to use the websites and contacts: For helpful information about recent changes to ID cards, refer to the Guide to the GWH-Cigna Network. Always refer to the information on the ID card for claim and contact information. The participant ID card identifies the appropriate channels for submitting claims and contacting us. Participant benefits and programs: plan design, health improvement programs and networks.Contractual relationships with ancillary vendors.The process for verifying eligibility and benefits, checking claim status or submitting precertification requests.Claims addresses and electronic data interchange (EDI) payer identification numbers.Please note that the following are separate for each network: As we progress toward integrating the Cigna and GWH-Cigna networks, our goal is to strengthen the networks to offer more choice to our customers.
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