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.
Cigna Dental: 800-244-6224
(both indemnity and HMO plans)
Cigna Vision Plan: 877-478-7557
Contact your insurance carrier for plan booklets, claim forms, and billing questions.
Dental Claim Address:
P.O. Box 188037
Chattanooga, TN 37422-8037
Customer Service 800.244.6224
Vision Claim Address:
P.O Box 495918
Cincinnati, OH 45249
FAX: (800) 405-6451
Customer Service: 877.478.7557
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 for the Cigna Dental/Vision HMO and Cigna Dental/Vision PPO plans.
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.