Dental/Vision Plans

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Healthcare Plans

  1. Anthem Blue Cross of CA
  2. CIGNA
  3. Kaiser Permanente
  4. SCAN
  5. United Healthcare
  6. Dental/Vision Plans
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Retired members and eligible dependents may enroll in the LACERA-administered Cigna Indemnity Dental/Vision plan or Cigna HMO Dental/Vision plan whether or not you enrolled in a LACERA-administered medical plan, and regardless of the medical plan you select.

See the dental and vision benefits below.

Contact Information

CIGNA Dental: 800-244-6224
(both indemnity and HMO plans)
CIGNA Vision Plan: 877-478-7557
www.mycigna.com
 
Contact your insurance carrier for plan booklets, claim forms, and billing questions.

Cigna Dental Benefits

Indemnity Plan Features

The Cigna indemnity plan allows you to choose any dentist, but you will have out-of-pocket costs for deductibles, copayments, and coinsurance. In-network and out-of-network benefits differ substantially. See Summary of Dental Benefits and Coverage Matrix for maximums, deductibles, and coverage examples.

HMO Plan Features

Under the Cigna HMO plan, your dentist must be a Cigna HMO Dental Network provider. Other basic features under the plan:

  • Dentist must be a Cigna HMO Dental Network provider
  • Your Cigna HMO Network dentist should refer you to specialists
  • No charge for preventive care (exams, routine cleanings, X-rays)
  • No annual or lifetime dollar maximums
  • No deductible
  • No claim forms

For covered procedures and patient charges under the Cigna Dental HMO Plan (DHMO), see the Patient Charge Schedule.

Cigna Vision Benefits

For vision coverage and benefits, see the Summary of Benefits chart. Please note that in-network and out-of-network benefits differ substantially.

Evidence of Coverage

For full details of the services, coverage, and costs of care provided by your specific medical plan, review your latest Evidence of Coverage below.

Cigna Dental Preferred
Cigna Dental HMO
Cigna Vision

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800-786-6464

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Pasadena, CA 91109-7060

Phone 626-564-6000

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