Dental Plan Premiums

  • Humble ISD offers three Dental Plans: DMHO, PPO Low, and PPO High:

    Coverage Tier DMHO PPO LOW PPO HIGH
    Employee Only  $14.06 $32.60 $40.36
    Employee + Spouse $28.14 $65.20 $79.36
    Employee + Child(ren) $27.72 $64.12 $80.70
    Employee + Family $41.22 $95.62 $118.36

Dental Plan Options

  • CIGNA DHMO PLAN FEATURES:

    • No deductibles
    • No annual max allowance
    • No claim forms
    • Network general dentist you choose will manage your overall care; pediatric dentists for children 7 and under

    CIGNA BASE PLAN Features:

    • Cigna Dental Wellness Plus
      • Plan Year Maximum: Maximum range is determined by preventive care services used during the particular plan year.
    • Annual Deductible: In/Out of Network = Individual-$50/PP and $150/Family
    • Preventive Care covered at 100%: Cleanings, fluoride, sealants, bitewing X-rays, full mouth X-rays and more.
    • Base Plan covers major services at 50% - Crowns, bridges and dentures, and more.
    • Orthodontia services are covered at 50% up to $1000 lifetime max

    CIGNA DENTAL High Plan Features:

    • Cigna Dental Wellness Plus
      • Plan Year Maximum: Maximum range is determined by preventive care services used during the particular plan year.
    • Annual Deductible: In/Out of Network = Individual-$50/PP and $150/Family
    • Preventive Care covered at 100%: Cleanings, fluoride, sealants, bitewing X-rays, full mouth X-rays and more.
    • Basic care covered at 80%: Fillings, extractions, and more
    • Major services on High Plan are covered at 70%: Crowns, bridges and dentures, and more.
    • Orthodontia services are covered at 50% up to $1000 lifetime