Dental Insurance Information

Did you know?

1. Employees who work at least 75 percent of full time are eligible.
2. Dental benefits start the 1st of the month following date of employment.
3. The university shares the cost of dental insurance premiums with the employee.
4. Employees have the following options with CIGNA:
   Dental Maintenance Organization (DHMO)
   Preferred Provider Organization Dental Plan (PPO)
5. The employee premium rates are not online. You need to call Human Resources for the dollar amounts.
6. Dental coverage is provided through CIGNA.

Dental Claim Form

1. 1. For in-network services show your CIGNA Dental ID (or give the information found in Section 1, answers 1-4) and the provider will complete and submit the paperwork. If you used out-of-network services, you or the provider will need to file a paper claim. Allow approximately three weeks from the time the claim form is mailed to receive an Explanation of Benefits identifying the costs covered by your plan and the charges you must pay.
2. To file a claim:
3. Important Filing Tips
   1. Download and print a ready-to-use dental claim form with instructions that will guide you through the steps required to help ensure your claim is processed correctly.
   2. Mail your completed claim form(s), with original itemized bill(s) attached, to the CIGNA Dental Claims Office printed on your CIGNA Dental ID card. That address is CIGNA DENTAL, PO Box 188037, Chattanooga, TN 37422-8037
4. Important Filing Tips
   1. Type or print in black ink.
   2. Use a separate form for each participating family member each time you submit a claim. For example, don't include your spouse's dental receipts on the same claim form with yours.
   3. Please don't submit canceled checks or cash receipts as proof of payment. They don't contain the information needed to properly process your claim.
   4. Always use original claim forms because they scan better than photocopied versions.
5. Before you submit your claim...
   1. Verify that printing is legible.
   2. Be sure that all required fields are completed.
   3. Make photocopies of all receipts and completed claim forms. Receipts will not be returned to you.
   4. Write your CIGNA Dental ID number from your member ID card (or Social Security number) on all paperwork or bills you submit.
6. If you have questions about filling out the form you can call CIGNA Customer Service 1-800-244-6224 or go to http://www.mycigna.com/.