Dental
Citi offers two dental coverage options, which are the following:
2 American Dental Association; Dentists: 'Doctors of Oral Health', American Dental Association, Chicago, IL. 3 Based on internal analysis by MetLife. Negotiated fees refers to the fees that in-network dentists have agreed to accept as payment in full for covered services, subject to any copayments, deductibles, cost sharing and benefit maximums. MetLife Dental Copay Plan covers two preventive care check-ups each year separated by six months, you pay a copay amount. You and your family members do not have to meet an annual deductible if you use an in-network dentist. Your out-of-pocket expenses for covered preventive, basic and major services are determined by the ZIP code of your PDP. The MetLife Dental Copay Plan is a dental plan in which you make a copay based on a fee schedule, called the Procedure Charge Schedule. The Procedure Charge Schedule is based on the ZIP code where your dentist’s office is located. Each time you need care, you can visit any licensed dentist you choose.
- MetLife Preferred Dentist Program (MetLife PDP)
- Cigna Dental HMO (dental health maintenance organization)
The MetLife PDP costs you more per paycheck than the Cigna Dental HMO. However, the MetLife PDP gives you the flexibility to see any dentist you choose. When you visit an in-network dentist, you will pay a discounted fee.
While the premiums for the Cigna Dental HMO are lower than the MetLife PDP, you must use a Cigna Dental HMO provider to receive a benefit under this option, except in very limited circumstances.
MetLife PDP: Let the dentist know that you participate in the MetLife PDP. Your Citi GEID is your MetLife member ID. Be sure to provide your Citi GEID when calling MetLife or submitting claims.
Cigna Dental HMO: Call the dental office that you have selected or to which you've been assigned. Provide the ID number on your Cigna Dental HMO ID card, sent to you in the mail and also available on the Cigna website and myCigna® app.
Benefits-at-a-glance
| MetLife PDP | Cigna DHMO | |
|---|---|---|
| Annual Deductible | ||
| Individual | $50 | None |
| Family maximum | $150 | None |
| Preventive and diagnostic services | 100% paid; no deductible to meet (Includes annual check-ups, x-rays and cleanings) | Most services are paid at 100% when you use your network dentist |
| Basic services (such as fillings, root canals, periodontal services, and oral surgery) | 80% after deductible | Copay when you use your network dentist.* |
| Major restorative services (such as crowns, inlays/onlays, bridges and dentures) | 50% after deductible | Copay when you use your network dentist.* |
| Orthodontia | 50% after deductible | Copay when you use your network dentist.* |
| Lifetime orthodontia limit for children and adults | $3,000 per person | Coverage limited to 24 months of treatment |
| Annual maximum | $3,000 per person | None |
If you enroll in the Healthy Pregnancy Program through Anthem or Aetna, or Citi’s Diabetes/Disease Management programs, you can have access to three cleanings per calendar year if you are enrolled in the MetLife PDP.
Complete this form and submit via FAX:
Note: The Plan features (deductibles, coinsurance and annual and lifetime maximums) will be the same whether or not your dentist is a PDP provider.
To find out if your dentist is in the MetLife PDP network:
- Visit the MetLife MyBenefits website through My Total Compensation and Benefits.
- Call
1 (888) 830-7380 for a provider directory.
To find out if your dentist is in the Cigna DHMO network, you can:
My Metlife Dental
- Request a list of network dental offices in your area by calling Cigna Dental at
1 (800) Cigna24 (1 (800) 244-6224 ). - Find a provider on the Cigna website.