P.O. Box 3907
Gardena, CA 90247-7599
Call toll-free:
1-888-293-4903 Option 2 |
Since 1999, the Dental Service Center has offered the Member Select Dental and Vision Care plans - plans designed for employed and retired credit union members who do not have access to employer group plans.
You are eligible to enroll in a dental and/or vision care plan option beginning April 15 through June 7, 2013, for a full
plan year that begins July 1, 2013. Subsequent partial plan year enrollment is available with enrollment required not less than 15 days prior to the
beginning of the following month's coverage.
Call the Dental and Vision Care Service Center
toll-free for an Enrollment Kit or questions at
1-888-293-4903 Option 2 and be sure to let us know the name of your California credit union..
The hours are 8am to 4pm Pacific, Monday through Friday, or leave a message to be called back on the next business day.
NOTE: These plans are designed for members of credit unions that belong to the California and Nevada Credit Union League.
Download and Print the ENROLLMENT KIT
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Your spouse and dependent children up to age 26 are also eligible for dental coverage under these programs.

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Minimize out-of-pocket expenses with theCIGNA Dental HMO, a managed care dental program
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No deductible, no maximums, and no claim forms to file.
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No charge for most diagnostic and
preventative services.
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For other services, the sample Patient
Charge Schedule in your enrollment kit lists your fixed co-payments
for covered procedures. The complete list is mailed upon enrollment
in the Dental HMO plan.
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Orthodontic coverage is available for
children up to age 19 and adults.
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Finding a CIGNA Dental Care HMO network
dentist near your home is easy. Visit the dental office locator at
www.cigna.com, or call a
representative at 1-800-244-6224.
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Out-of-network benefits are not
available with the CIGNA Dental HMO.
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There are
no CIGNA HMO offices in the following states:
AK, DE, HI, ID, ME, MT, ND, NH,
NM, PR, RI, SD, VT, WV, WY |
Payment
Options |
|
Quarterly |
Annual |
|
Member Only |
73.32 |
293.28 |
|
Member + One |
138.09 |
552.36 |
|
Member + Family |
193.47 |
773.88 |
These rates are in effect for the plan
year July 1, 2013 through June 30, 2014. Rates are subject to change
for each new plan year. If you enroll for coverage to begin on
October 1 or January 1, your annual rate will be prorated.

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Save on out-of-pocket expenses for treatment when you visit general dentists or specialists in our large national CIGNA Dental PPO network - more than 87,500 dentists nationwide.
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Or use out-of-network benefits when you visit any dentist you choose. Your out-of-pocket expenses will be higher when you visit an out-of-network dentist.
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In-network or not, you'll be reimbursed
for all or part of the costs for covered procedures up to your
annual dollar maximum, after meeting your deductible.
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No referral is required to see a
specialist.
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Fast, accurate convenient claims
processing. Most CIGNA network dentists file claim forms for you;
you must file claims for out-of-network care.
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Finding a CIGNA Dental PPO Core network
dentist near your home is easy. Visit the dental office locator at
www.cigna.com, or call a
representative at 1-800-244-6224.
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Available
in All States |
Payment
Options |
|
Quarterly |
Annual |
|
Member Only |
132.00 |
528.00 |
|
Member + One |
228.93 |
915.72 |
|
Member + Family |
370.53 |
1482.12 |
These rates are in effect for the plan
year July 1, 2013 through June 30, 2014. Rates are subject to change
for each new plan year. If you enroll for coverage to begin on
October 1 or January 1, your annual rate will be prorated.

This coverage, provided by Vision Service Plan (VSP), the largest vision care provider in the United States, has over 29,000 participating doctor locations.
To locate a vision expert in the VSP Choice
network, visit
www.vsp.com or call 1-800-877-7195.
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Eye exam once every 12 months
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Prescription glasses single vision,
lined bifocal, lined trifocal, and standard progressive lenses once every 12 months
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Frames covered up to $150.00 plus 20%
off any out-of-pocket cost once every 24 months
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Contacts in lieu of glasses your $150
allowance applies to the cost
|
Your Coverage |
Your Co-pays |
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When visiting a VSP
network doctor, you'll receive: |
|
|
Exam |
every 12 months |
$20.00 |
|
Prescription
Glasses |
|
$25.00 |
|
Lenses |
every 12 months |
|
|
Single vision, lined
bifocal, lined trifocal, and standard progressive lenses |
|
|
Frames |
every 24 months |
|
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Frame of your choice
covered up to $150, plus, 20% off any out-of-pocket costs |
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|
or |
|
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Contacts |
every 12 months |
No co-pay applies |
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Available
in All States |
Payment
Options |
|
Quarterly |
Annual |
|
Member Only |
33.33 |
133.32 |
|
Member + One |
50.52 |
202.08 |
|
Member + Family |
72.09 |
288.36 |
These rates are in effect for the plan year July 1, 2013 through June 30, 2014. Rates are subject to change for each new plan year. If you enroll for coverage to begin on October 1 or January 1, your annual rate will be prorated.
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