Please note that short-term or very short-term employees, short-term consultants, and trainees/students are not eligible for the dental benefits.

The maximum that the Plan will pay is up to $2,000 per calendar year for the dental expenses of each covered person.

To find a dentist in Cigna's network outside the United States, log in to your Cigna Personal Webpage. For instructions on creating a Cigna Personal Webpage, please click here. To find a dentist in the United States, please use the Cigna PPO in-network provider.

You can minimize your out-of-pocket dental expenses by using providers that are in Cigna’s network outside the United States and Cigna’s PPO network in the United States. In the United States, both in- and out-of-network providers submit the claims for their expenses directly to Cigna, so you can avoid paperwork by using them. However, you should always use in-network providers because they will save you time and money.

Please note that the Plan will pay a percentage of what Cigna determines to be the reasonable charge for each dental expense. The reasonable charge for a service or supply is the lower of the dentist’s usual charge for furnishing it, and the charge Cigna determines to be the prevailing charge level made for it in the geographic area where it is furnished. If your dentist bills for more than the reasonable charge, you are financially responsible for the excess charge. If you use a dentist in the Cigna PPO network, the total charge will never exceed the reasonable charge.

For information on submitting dental claims to Cigna, please refer to the claim procedure.

The following table provides a listing of the dental procedures that are covered and the respective co-insurance percentage.

Dental Care	Care Received Outside of U.S.	Care Received in U.S.
Active Employee/Bridging	Any Provider	CIGNA PPO Network (In-Network)	CIGNA Non-PPO Network (Out-of-Network)
Annual Maximum	$2,000 per year per individual
Deductible	None
Preventative Care	100%	100%	90%
Limitations	oral exams: 2 per year cleanings: 2 per year fluoride application: 1 per year – children only dental sealants on permanent molars: 1 every 3 years - children only bitewings: 1 set per year full mouth x-rays: 1 set every 3 years
Basic Restorative Care	80%	80%	70%
Limitations	amalgam silicate cement plastic & composite restorations synthetic restorations oral surgery endodontics periodontics space maintainers
Major Restorative Care	60%	60%	50%
Limitations	inlays and crowns: replacement every 5 years complete & partial dentures: replacement every 5 years dental implants, one piece casting, including pontics bridges: replacement every 5 years night guards for treatment of bruxism periodontal surgery
Treatment of Temporomandibular Joint Disorder	Not covered
Cosmetic Dentistry	Not covered
Orthodontics	Covered at 50% of expenses up to lifetime maximum of $1,500 up to age 18.

This section provides you with answers to the most frequently asked questions about the Dental Plan.

What types of procedures are covered under the dental benefit?
The Plan covers most common dental procedures that are needed to establish and maintain the health of your teeth and gums. This includes preventive procedures such as cleanings and X-rays; basic procedures such as fillings, root canals, and oral surgery; and major procedures such as crowns, bridges, and dentures. Refer to the dental coverage for a listing of dental procedures that are covered and not covered as well as maximums and limits.

What percentage of dental expenses does the Plan cover?
In general, the Plan pays 100% of expenses for preventive procedures, 80% for basic procedures, and 60% for major procedures.

For care received in the United States, these percentages only apply if you use a dentist who participates in Cigna’s Preferred Provider Organization (PPO) network of dentists. If you use a U.S. dentist who is not in Cigna’s preferred network, the Plan will pay 90% for preventive procedures, 70% for basic procedures, and 50% for major procedures.

What is the maximum the Plan will pay for dental services?
The Plan will pay up to $2,000 per calendar year for the dental expenses of each covered person.

How can I find a dentist?
You will find a list of providers through your Cigna Personal Webpage account. Please refer to the instructions for creating an account. To find a dentist in the United States, please use the Cigna PPO in-network providers.

Why should I use a dentist in the list of network providers?
You should use a provider in the network to save time and money. You can minimize your out-of-pocket dental expenses by using providers that are in Cigna’s network outside the United States and Cigna’s PPO network in the United States. Both in- and out-of-network providers within the United States submit the claims for their expenses directly to Cigna, so you can avoid paperwork by using them.

Are there limits on what the Plan will pay to the dentists?
Yes, the Plan will pay a percentage of what Cigna determines to be the reasonable charge for each dental expense. The reasonable charge for a service or supply is the lower of the dentist’s usual charge for furnishing it, and the charge Cigna determines to be the prevailing charge level made for it in the geographic area where it is furnished. If your dentist bills for more than the reasonable charge, you are financially responsible for the excess charge. If you use a dentist in the Cigna PPO network, the total charge will never exceed the reasonable charge.

Are there limits on the number of dental services performed?
Yes, each participant is limited to two oral exams and cleanings per year unless your dentist submits a valid reason for more frequent services. Bitewing X-rays are limited to one set each year, and full mouth X-rays are limited to one set each three years. Replacement of dentures, a fixed bridge, and crown is limited to once every five years.

What types of dental expenses are not covered under the Dental Plan?
The Plan does not cover the following dental expenses:

• cosmetic dentistry or treatment of temporomandibular joint syndrome (TMJ)
• dental appliances that are lost or stolen
• dental care that is determined by Cigna to be unnecessary or experimental
• charges that are covered by the Medical Plan, such as dental treatment due to an accidental injury

Please refer to the IARC Medical Plan Brochure for a more comprehensive description of covered versus non-covered dental expenses.