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HEALTHCARE


CIGNA DENTAL & VISION PLAN

There are two dental/vision packages to choose from, an HMO plan and an indemnity plan. Both plans are described below. Please refer to the Exploring Your Healthcare Benefits Through LACERA folder for specific details on plans and plan comparison charts.

CIGNA HMO DENTAL/VISION
Retired members and dependents may enroll in the CIGNA HMO Dental/Vision plan whether or not you enroll in any of the LACERA-administered medical plans. You must choose your dentist from a list of CIGNA HMO Dental Network providers.
DENTAL benefits include:
  • No charge for preventive care - exams, routine cleanings and x-rays
  • No annual or lifetime dollar maximums
  • No deductibles
  • No claim forms
VISION benefits include:

CIGNA DENTAL/VISION PLAN
Retired members and dependents may enroll in the CIGNA Dental/Vision plan whether or not you enroll in any LACERA-administered medical plan. This indemnity plan will generally pay 80% of covered charges and you will pay the balance.
DENTAL benefits include:
  • Coverage for preventive care - cleanings, fluoride treatments
  • Coverage for basic services  - amalgam or plastic fillings, crown/inlay repair
  • Coverage for major services - stainless steel crowns, oral surgery, periodontal treatment
  • Choice of any dentist in the United States
  • Annual deductible of $25 per person/$50 per family
  • Annual benefit maximum of $1500 per person
  • Payment of 80% of usual charges after the annual deductible is met
VISION benefits include:

Within your Exploring Your Healthcare Benefits Through LACERA folder you will find a sheet which gives you a detailed breakdown of what is covered on the plans and the percentage or dollar amount that is covered.

Need more information?  Call LACERA for enrollment information and benefit changes. Call the insurance carrier for plan booklets, claim forms, eligibility and billing questions.

2/10/14