Dental Overview

Dental Overview

Overview

Pearson offers dental coverage through Delta Dental and Cigna DHMO. Both are designed to help you maintain a healthy smile through regular preventive care and to fix any problems as soon as they occur.

  • Delta Dental of MN PPO
  • Cigna DHMO

Note: If you currently live in Puerto Rico, your dental coverage will be provided by Triple-S.

Key Features

  • Free in-network preventive and diagnostic care
  • Affordable coverage that helps you manage the cost of dental treatment
  • Wide network of providers that have agreed to negotiated rates, which helps you save money

Coverage Details

Delta Dental PPO (Premier Network or PPO network) CIGNA DHMO
In-Network Out-Network* In-Network Only
                Deductible                   (Individual / Family) $50/$150 $50/$150 $0/$0
Preventive Services 100% 100% 100%
Basic Services 80% 80% Copays vary by service
Major Services 50% 50% Copays vary by service
Annual Benefit Maximum $2,000 N/A
Orthodontia (Adults and Children) 50% 50% Copays vary by service
Orthodontia Lifetime Maximum $2,500 Maximum benefit of 24 months

                                                                    *up to Reasonable and Customary Limits

For cost details, visit the Pearson Benefits Marketplace website.

Use Your Dental Benefits Wisely

Here’s how to make the most of your dental benefits:

  • Choose a provider: Using a participating dentist in the Delta Dental network will ensure you receive the highest benefits from your plan. To find a provider, go to Delta Dental. You must use a network dentist if you choose the Cigna DHMO. Non-network dental care is not covered under the Cigna DHMO
  • If your service will exceed $300, submit for a pre-treatment estimate. You should always submit a request for a pre-treatment estimate for procedures and services your dentist believes will exceed $300 (procedures such as crowns, inlays, bridges, and periodontics). For more information, call 1-855-237-6421 or visit the Delta Dental or Cigna DHMO website
  • Check your claim status and other information at Delta Dental or Cigna DHMO. You can review Explanation of Benefits (EOB) statements, check if claims have been paid, and more