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The CCSD schedule is reviewed regularly and reflects current medical practice. 24
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And a healthy body. Different codes may be used to describe these covered procedures. Programs and Initiatives (CCF, DLP, ISYLP, Career Pathways), DC Government Benefits Enrollment Instructions, UnitedHealthcare Choice Open Access Plan Summary, SmartBenefits Enrollment Application & Change Form, Temporary Continuation of Coverage Benefits Enrollment Form, Health Insurance for Employees Hired Before October 1, 1987, Health Insurance Premiums for Employees Hired on or After October 1, 1987, DCEHBP Temporary Continuation of Coverage (TCC) Premiums, How to Enroll in Your DC Government Benefits, Coronavirus (COVID-19) Resources for DC Government Employees, Electronic District Personnel Manual (eDPM), Electronic-District Personnel Manual (E-DPM), Whistleblower Protections and Obligations, Sexual Harassment Prevention Officer Directory, Human Resource Officer - Advisor Directory, 2023 Cigna Dental HMO Patient Charge Schedule, 2022 Cigna Dental HMO Patient Charge Schedule, 2021 Cigna Dental HMO Patient Charge Schedule. Cigna Dental Care DHMO1 Regular dental care is important for a healthy smile. %%EOF
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Please go toccsd.org.ukto view the schedule and to learn more about the objectives of CCSD. The American Dental Association may periodically change CDT Codes or definitions. H10+U-a`1';vfk@Ze\b hbbd``b`^$AU $,AD6l Rb} $ .e$"h ,@o RHv&FK@#
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Saint-Lgier-La Chisaz has an area, as of 2009, of 15.2 square kilometers (5.9 sq mi).Of this area, 5.16 km 2 (1.99 sq mi) or 34.0% is used for agricultural purposes, while 6.88 km 2 (2.66 sq mi) or 45.4% is forested. However, this may be reviewed in the future and you should regularly check this website for updates. 92249.a - 2 - CIGNA DENTAL CARE PATIENT CHARGE SCHEDULE (G1-09) endstream
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CIGNA DENTAL CARE PATIENT CHARGE SCHEDULE Code Procedure Description Patient Charge Office visit fee (per patient, per office visit in addition to any other applicable patient charges) Office visit fee $5.00 Diagnostic/preventive - oral evaluations are limited to a combined total of 4 of the following . dentist and is calculated based on the network dentist's contracted fee schedule, which is the amount Cigna agrees to pay dentists for their services. 0000047037 00000 n
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than the limitation allows, Cigna Dental will waive the applicable limitation. Of the rest of the land, 2.93 km 2 (1.13 sq mi) or 19.3% is settled (buildings or roads), 0.13 km 2 (32 acres) or 0.9% is either rivers or lakes and 0.14 km 2 (35 acres) or 0. . 0000008806 00000 n
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L1I09 Code Procedure description L1I09 D0364 Cone beam CT capture and interpretation with limited field of view - less than one whole jaw (only covered in conjunction with the surgical placement of an implant; limit of a total of only one D0364, D0365, D0366, or D0367 per Do the new Total Care DHMO plan and the Cigna DHMO plan use the same network? 0000002304 00000 n
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of the charges for services provided and not separately chargeable. With Cigna Dental Care DHMO, you get comprehensive dental coverage that's easy to use. The crucial role of data when supporting clients through COVID-19, Building structural COVID-19 resilience through a fundamental focus on healthier living, Why is it important to implement a health and wellness plan in a small or medium-sized enterprise, Offering family health cover from the sme, first step in providing employees with comprehensive health care. 0000047772 00000 n
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The fee policy means that Delta Dental's payment to participating dentists is based on the lesser of your submitted fee or the maximum fee that Delta Dental approves for a given procedure in a given region of the state for all Delta Dental-covered patients. "u+t&6_I $9mt9yzLHLHLHmQNa-AATQ"YjtNZc ).`xPDLP costly service, the fee listed on the Patient Charge Schedule will not apply. The contracted fee schedules vary by network dentist. "a\[x3A LN 00 +
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How to protect employees mental health during COVID-19 no matter where they are in the world. Cigna Dental considers infection control and/or sterilization to be incidental to and part of the charges for services provided and not separately chargeable. 0000008121 00000 n
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There are no deductibles to pay before coverage begins, no annual dollar maximums on covered services, no claim forms, and no waiting periods. 0000026124 00000 n
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Office visit fee $0.00 Diagnostic/preventive - Oral evaluations are limited to a combined total of 4 of the . 0000002374 00000 n
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SmartBenefits Enrollment Application & Change Form. All patient charges must correspond to the Patient Charge Schedule in effect on the date the procedure is initiated. 0000007192 00000 n
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Cigna Dental Care Patient Charge Schedule 1-06-2-w Code Procedure Description Patient Charge Diagnostic/Preventive D9310 Consultation (normally not the same dentist who provides the treatment) $0.00 D9430 Office Visit for Observation - No Other Services 0000016019 00000 n
This overview shows you a sampling of covered services. hb```a``d`e``f`@ +s,`@_e%4{0G(tlXp=e|8Cwfg{YfMasP"{_EJ[xm!O@GYr%#PXR7JwG>0E'Bgu6A2NPI[Xw=./Q}9nQYCh$%cc4 X(i@e 0000040333 00000 n
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Cigna does not control the linked sites' content or links. 0000006823 00000 n
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When you meet your annual deductible and satisfy any waiting periods, you pay a coinsurance (a portion of covered charges), and the dental plan pays the rest (up to the yearly or lifetime dollar limit of the plan). 0000011811 00000 n
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The American Dental Association may periodically change CDT Codes or definitions. 856631c 11/21 A3O09 . 0000043896 00000 n
Discuss your options and increased financial obligations with your dentist. $hUR7D vHw*d kjL/@V20@ Eh
Office Visit Fee . For premiums to remain affordable, practitioners, private facilities and health insurers need to work together to provide quality private healthcare at a reasonable and affordable price. Log in to our provider portal. Different codes may be used to describe these covered procedures. 136 0 obj
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