YOUR HEALTH
Dental Plan
A visit to your dentist can help you keep a great smile and prevent many health issues. Powell’s dental plan is administered by Cigna, a leading provider of dental benefits with one of the strongest and largest preferred provider organization (PPO) networks in the nation. Staying in-network, you can benefit from an average savings of up to 30%, however, you may also choose your own out-of-network dentist. To search for a provider near you, visit www.cigna.com/dental.
Please note, you will not receive a Dental ID card. A digital card is available by downloading the mobile app, for more information click here.
Powell Dental Plan
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| Dental PPO Plan Summary | |
| Annual Deductible | Individual $50, Family $150 |
| Annual Maximum Benefit | $2,000 |
| Preventative (cleanings, exam, x-rays) | 100% |
| Basic Dental Services (fillings, basic root canal therapy) | 80% |
| Major Dental Services (extractions, crowns, inlays, onlays bridges) | 50% |
| Orthodontia Services – Adult & Children (pre‑authorization required) | 50% |
| Orthodontia Lifetime Maximum | $1,500 per person |
Employee Monthly Costs
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| Dental Plan Premiums | ||
| Weekly | Semi-Monthly | |
| Employee Only | $1.50 | $3.25 |
| Employee + Spouse | $4.50 | $9.75 |
| Employee + Child(ren) | $4.50 | $9.75 |
| Employee + Family | $6.00 | $13.00 |
Resources
Plan ID: 3344448
1-800-Cigna24
| Dental PPO Plan Summary | |
| Annual Deductible | Individual $50, Family $150 |
| Annual Maximum Benefit | $2,000 |
| Preventative (cleanings, exam, x-rays) | 100% |
| Basic Dental Services (fillings, basic root canal therapy) | 80% |
| Major Dental Services (extractions, crowns, inlays, onlays bridges) | 50% |
| Orthodontia Services – Adult & Children (pre‑authorization required) | 50% after $50 Orthodontia Deductible |
| Orthodontia Lifetime Maximum | $1,500 per person |
| Dental Plan Premiums | ||
| Weekly | Semi-Monthly | |
| Employee Only | $1.50 | $3.25 |
| Employee + Spouse | $4.50 | $9.75 |
| Employee + Child(ren) | $4.50 | $9.75 |
| Employee + Family | $6.00 | $13.00 |