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Benefit Provision
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EDS
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CIGNA Dental*
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Delta Dental**
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Type of Plan
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DCO
(Dental Care Organization)
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PPO
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PPO
(but does not use PPO network; see network below.)
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Service Area Where Care
Must be Received
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Maricopa County
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Nationally
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Nationally
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Residency Requirement
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No
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No
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No
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Primary Care Dentist Required
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Yes, all family
members must choose the same dentist
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No
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No
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Referral Required
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No
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No
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No
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Out-of-Network Coverage
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No
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Yes
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Yes
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Network
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EDS Provider
Network
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CIGNA Dental Network
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Delta Premier
Network
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Prior Authorization
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No
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No, predetermination recommended for services over $250
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No, predetermination recommended for services over $250
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| Location of Provider Directory
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www.mydentalplan.net
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www.cigna.com
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www.deltadentalaz.com
Take their Dental Assessment
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*Includes the CIGNA Dental Oral Health Integration Program® that adresses risks to pregnancy, diabetes and cardiovascular disease through improved oral health; includes enhanced dental benefits for pregnant members and members enrolled in disease management programs for diabetes and heart disease; also includes coverage for brush biopsy to screen for oral cancer.
**Includes a third dental cleaning for women in their third trimester of pregnancy or members with diabetes.
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The information and benefits described herein are brief summaries of the County’s official plan documents and contracts that govern the plans. If there is a discrepancy between the information in this booklet and the official documents, the official documents will govern.
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