Benefit Provision		*	**
Type of Plan	DHMO (Dental Health Maintenance Organization)	PPO	PPO
Service Area Where Care Must be Received	Arizona	Nationally	Nationally
Residency Requirement	No	No	No
Primary Care Dentist Required	Yes, all family members must choose the same dentist	No	No
Out-of-Network coverage	No, except emergency services. (See plan summary)	Yes	Yes
ID Card	EDS ID Card	Cigna Dental ID Card	Delta Subscriber Login
Location of Provider Directory	EDS Directory Search	CIGNA Dental Directory	Delta Provider search
Plan Summaries	EDS Coverage Guide	CIGNA Dental Summary	Delta Dental Summary
Summary Plan Descriptions		2010 CIGNA Dental Summary Plan Description Summary Plan Description for Mississippi Residents Summary Plan Description for Texas Residents	2012 Delta Dental Summary Plan Description
Features	EDS Coverage Booklet	Progressive/Regressive Feature Orthodontics In Progress	Dental Disease Risk Assessment Oral Health Guide
Enhancements	Vision Care Discounts and Savings Prescription Discount Additional Prescription Discount	Oral Health Integration Dental Program Cavity and Periodontal Disease Risk AssessmentTool Dental Treatment Cost Estimator Oral Health Integration Program Reimbursement Form	Third Cleaning
Disclosures	EDS Disclosure Form	CIGNA Disclosure Form CIGNA Disclosure Form: Amendment	Delta Dental Disclosure Form
Contact Information	602-248-8912 800-722-9772 P.O. Box 36600 Tuscon, AZ 85740 www.mydentalplan.net	888-336-8258 P.O. Box 188037 Chattanooga, TN 37422 www.mycigna.com	602-938-3131 800-352-6132 P.O. Box 43000 Phoenix, AZ 85080 www.deltadentalaz.com

*Includes the CIGNA Dental Oral Health Integration Program® that addresses risks to pregnancy, diabetes and cardiovascular disease through improved oral health; includes enhanced dental benefits for pregnant members and members enrolled in disease management programs for diabetes and heart disease; also includes coverage for brush biopsy to screen for oral cancer.

**Includes a third dental cleaning for women in their third trimester of pregnancy or members with diabetes.

The information and benefits described herein are brief summaries of the County’s official plan documents and contracts that govern the plans. If there is a discrepancy between the information on this website and the official documents, the official documents will govern.

Some links in this site will require Internet access to view the page. Some of these documents will require that you have Adobe Acrobat Reader installed. Consult your department's help desk for more information.

Employee Benefits Division   301 W. Jefferson St., Suite 3200   Phoenix AZ   602.506.1010   BenefitsService@mail.maricopa.gov  HIPAA Notice / HIPAA Policy