Does Cigna dental cover implants

Does Cigna dental cover implants

Yes! We are a Cigna dental implant preferred provider office that offers anxiety-free sedation services including twilight sedation dentistry and general anesthesia. You as the patient can choose a dental implant provider that have contracts with Cigna dental. When you choose a implant provider, you receive benefits available under the Cigna implant policy.

In many parts of the country, Cigna plans may include dental implant coverage as an added benefit. Not all Ciga insurance plans that offer dental coverage may cover dental implants, so you should be sure to check with your plan carrier directly to make sure you know exactly what ADA dental implant-related codes are covered like, implant placement, implant crown abutment, and implant crown.

How much do dental implants cost with Cigna insurance

As of 2022, plans with surgical dental implant coverage are available.

Prior authorization may be required for certain specialty care treatments like dental implants. Only those procedures that are medically necessary and listed on the plan’s Patient Charge Schedule (PCS) are covered.

Does cigna covers dental implants

Services related to the surgical placement of a dental implant are limited to one per year with replacement of a surgical implant frequency limitation of one every 10 years. Prosthesis over implant replacement is limited to every 5 years if unserviceable and cannot be repaired. The frequency limitations of certain other covered services are set forth in the PCS.

Cigna dental plan_implant coverage.pdf

Are white porcelain fillings covered by Cigna Dental?

Cigna Dental’s plans cover white fillings. However, some Cigna plans may restrict this benefit depending on the location of the tooth. For more detailed information see the Cigna plan booklet or contact our office.

Replacing missing teeth with Cigna

The "Tooth Missing But Not Replaced” rule applies to initial dentures, fixed and removable bridgework, and dental implants that replace teeth missing, lost or extracted before the effective date of coverage. Services subject to the "Tooth Missing But Not Replaced" rule may not be covered by your Cigna Dental plan. See the Cigna Dental plan booklet or call our office for specifics.

Are dental implants covered by Cigna?

Cigna Dental PPO plans may cover a dental implant, implant abutment, and implant crown treatment of transitional, adolescent, and adult teeth. See Cigna Dental plan booklet or call our office for details.

Implant Dentures coverage with Cigna

These plans do cover replacement dentures and partials, subject to plan limitations or exclusions. See your Cigna plan document or contact us for details.

Cigna covers partial and full dentures. In many clinical situations, you may be covered for extractions and immediate denture procedures.

What are the Cigna dental plans and their effective date for dental implants

Services started before your Cigna Dental Insurance effective date. What will the Cigna Dental plan cover if a service started before my effective date?

  • If you were covered under a previous insurance carrier and started dental treatment for the following services while you were still eligible under that plan, the extension of benefits provided under your earlier plan should consider the service:
  • crowns and fixed bridgework when the teeth were prepared before the effective date of this plan 
  • appliances, when the impression was taken before the effective date of this plan
  • root canal therapy, when the tooth pulp chamber was opened before the effective date of this plan
  • If you were not covered under a previous carrier and started treatment for a service, it may not be considered eligible under this plan if your plan has a work-in-progress exclusion.

If more than one dental service is needed to fix a problem, most services would be considered separately. Although dental services started before the start date of coverage may be denied, any dental services started after the effective date would be considered for benefits.

What are Cigna Dental Implant coverage limitations and restrictions?

cigna dental implant coverage

Cigna Dental Frequency limitations. Are there restrictions on how often a dental service can be performed?

Yes, there are certain services that will have a frequency limitation. As an example, standard plans include frequency limitations for the following dental procedures:

  • Cleanings – 2 per the calendar year
  • Exams – Routine: 2 per year. Problem-focused: 2 per year
  • Fluoride treatment – 1 per year for children under age 16
  • Bitewing X-rays – one set per the calendar year
  • Full mouth X-rays – one set every 3 rolling years
  • Sealants – 1 per tooth every 3 rolling years under age 16; permanent molars only
  • Scaling and root planing (deep cleaning) – 4 separate quadrants every 2 rolling years
  • Periodontal maintenance – 2 per the calendar year following active therapy
  • Gingivectomy – 1 per quadrant or site every 3 rolling years
  • Periodontal Osseous surgery - 1 per quadrant every 3 rolling years
  • Space maintainers – no age limit (covered for premature loss of primary teeth only)
  • Denture and crown replacement – must be at least 8 years old
  • Dental implant - coverage varies - call for detail

Please see your Cigna plan document or call our office for details.

Cigna dental plan limitations and restrictions.pdf

Cigna dental predetermination for dental implants

Predetermination. How will I know if the dental treatment I need will be covered by Cigna?

The easiest way is to have your dentist send a pre-treatment estimate (predetermination).
This will let both you and the dentist know what the benefit would be if the service were done.
Your dentist may also call customer service at the number on your ID card for general information about your dental coverage.

Are wisdom teeth removal covered by Cigna?

Wisdom teeth extraction and regular extraction. How will tooth extraction services be covered by my Cigna dental plan?

Extractions may be considered under your Cigna medical or Cigna dental plan. We would send Cigna a predetermination for wisdom teeth.

For more information on simple and surgical extractions please call our office.

Periodontal and LANAP dental visits and Cigna Coverage

Periodontal maintenance after LANAP. When is periodontal maintenance after LANAP covered by Cigna?

This procedure is for patients who have previously been treated for laser periodontal gum disease. Cigna PPO plans require surgical and/or non-surgical periodontal history.

Dental Implants in progress by Cigna benefits

dental implant restoration take over and work in progress. What is this and how will it impact my performed dental implant benefits?

Performed dental implant in progress for its implant crown prosthesis: This is a situation in which an individual member who was not previously active with the plan sponsor begins coverage with the Cigna plan.

Example: Plan X sponsor has Cigna dental coverage effective 02/01/2021. A new X employee enrolls for dental coverage on 07/01/2022.

If your Cigna plan includes the work-in-progress exclusion, dental implant restoration treatment will not be eligible for coverage. Please see your plan document or contact our office for details.

Insurance carrier takeover: This means a situation in which a plan sponsor previously had dental coverage through another carrier and provided coverage for the service. The plan sponsor terminates coverage with the previous carrier and begins coverage with Cigna. This only includes individuals who were covered under the prior plan at the time of the takeover.

Example: Plan sponsor X has YNZ dental coverage effective 01/01/2021. The entire X Company terminates with XNZ dental on 12/31/2022 and begins coverage with Cigna dental on 01/01/2020.

In dental implant takeover situations, the treatment is only eligible for consideration under Cigna if the previous dental carrier covered and considered the member’s dental implant treatment plan.

How to get Dental Implant coverage after Cigna enrollment

For the Fort Lauderdale area in Broward County what you can do once you are enrolled in Cigna dental plan? Know that our office provides family, cosmetic, and implant dental services. First, track a claim. Replace your ID card and more. It’s easy with our Cigna secure member website which is available 24 hours a day, 7 days a week. You can:

  • Call our dental office
  • Get estimated average costs for dental implants, cleanings, porcelain crowns, X-rays, and more.
  • See what dental procedures are covered by your Cigna plan. 
  • Check Cigna dental claims and statements.

Cigna online booking

Our online booking system works by processing secure online reservations made through our website. The data is then passed to front disk dental receptionists who manage our dental appointments.

BOOK your Cigna dental appointment ONLINE!

Manage your Cigna Insurance plans and access to dental health resources. PPO Dental provides the freedom to visit any licensed dentist or save more by visiting one of over 50,000 Cigna Preferred Dentist Program dentist locations nationwide.

How to purchase Cigna dental Insurance for implant coverage

Did you know you can purchase Cigna dental insurance even if you do not have medical insurance with Cigna? Cigna Dental center offers a variety of dental preferred provider organization plans to people who want their own separate Cigna dental insurance.

If you are already enrolled in a Cigna Individual or Family medical plan, you can easily add dental coverage and manage all of your oral health care needs in one place.

Cigna insurance offers a wide range of covered dental services, a large national network of dentists, and 24/7 customer support.

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