DENTAL PLANS
Ambipar offers two dental coverage options designed to allow you choice in plan options for routine care and beyond. Both plans pay 100% of the cost for in-network preventive care.
- Base Plan
- Buy-Up Plan
Both plans are available through Cigna.
| Base Plan | ||||
|---|---|---|---|---|
| SERVICES | IN-NETWORK ONLY | OUT-OF-NETWORK | ||
| Deductible | $50 individual/$150 family (Waived Preventive Services) | |||
| * Preventive Services | 100% | |||
| Basic Services | 80% | |||
| Major Services | 50% | |||
| Orthodontics | N/A | |||
| Annual Maximum | $1,500 per covered individual | |||
| Balance Billing | N/A | Yes | ||
| *Preventive care does not count towards the annual maximum. | ||||
| Buy-Up Plan | ||||
|---|---|---|---|---|
| SERVICES | IN-NETWORK ONLY | OUT-OF-NETWORK | ||
| Deductible | $50 individual/$150 family (Waived Preventive Services) | |||
| * Preventive Services | 100% | |||
| Basic Services | 90% | |||
| Major Services | 60% | |||
| Orthodontics | 50% for children and adults, lifetime maximum of $1,500 | |||
| Annual Maximum | $2,000 per covered individual | |||
| Balance Billing | N/A | Yes | ||
| *Preventive care does not count towards the annual maximum. | ||||
For further details about the dental plans, click Benefit Summary Dental – Base Plan or Benefit Summary – Dental Buy-Up Plan
| Payroll Deductions | Base Plan | Buy-Up Plan | ||||
|---|---|---|---|---|---|---|
| Monthly | Weekly | Monthly | Weekly | |||
| Employee Only | $13.30 | $3.07 | $15.61 | $3.60 | ||
| Employee + Spouse | $26.99 | $6.23 | $31.69 | $7.31 | ||
| Employee + Child(ren) | $32.91 | $7.60 | $41.08 | $9.48 | ||
| Employee + Family | $49.63 | $11.45 | $61.08 | $14.10 | ||
Use an in-network dentist to receive the maximum benefits available to you and reduce your out-of-pocket costs. To find a network dentist, visit Cigna at hcpdirectory.cigna.com.
No ID card needed! You don’t need an ID card to receive care from network dentists. Simply make your appointment and provide identification (your SSN) to the office staff. They can verify your coverage with Cigna Healthcare. You can also access a digital ID card after your benefits are effective and you have activated your myCigna.com account.
For details on how to search for a dentist, click here.
This Benefits Website provides general information for our benefits-eligible employees; however, more detailed information is available within the plan documents and legal contracts between our company and the insurance providers. In case of any discrepancy between this Benefits Website and the plan documents, the plan documents always govern and determine your exact benefits. In addition, the company reserves the right to modify or terminate any benefit plan at any time. Benefits are not a guarantee of employment.