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2017 Stantec
Benefits Guide
Dental and Vision Benefits
Dental Care
Dental coverage provided through Cigna lets you choose your dental plan based on what’s
important to you. Whether you are just looking for regular cleanings or have a dependent
who needs braces, our dental plans offer cost-effective options. You can go to a dentist of
your choice, but you will receive the greatest benefit if you select an in-network provider. To
locate a provider,
visit
www.cigna.com ,click Find a Doctor, and
select the plan network
Cigna
Dental PPO or EPO
.
Dental Plan Benefit Highlights
Base Dental Plan
Buy-up Dental Plan
Plan year deductible
$75 per person
$225 per family
$50 per person
$150 per family
Preventative and diagnostic care
(includes adult and child fluoride, oral
cancer screening, and preventative visits
two times per year)
Plan pays 90%;
you pay 10%
(deductible and plan year
maximum are waived)
Plan pays 100%
(deductible and plan year
maximum are waived)
Basic care
(fillings, including porcelain; simple
extractions; oral surgery; periodontics;
and endodontics)*
Plan pays 70%;
you pay 30% (after deductible)
Plan pays 80%;
you pay 20% (after deductible)
Major care
(bridgework, inlays and onlays, crowns,
dentures, implants, and night guards)*
Plan pays 50%;
you pay 50% (after deductible)
Plan pays 50%;
you pay 50% (after deductible)
Plan year maximum per individual
(not including orthodontia)
$1,500
$2,000
Orthodontia
(adult and child)
Lifetime maximum per individual
Not covered
Plan pays 50%;
you pay 50% of the allowed
amount (deductible is waived)
$2500
* See plan document for coverage details.
Know what’s covered before you get dental care
Before you get dental care, work with your dental provider to get a “predetermination of benefits”
from Cigna. This ensures that you and your dental provider understand what costs will be
covered by the Stantec dental plan and what costs will be your responsibility.