Local 153 Clerical
Fordham University DHMO Dental Plan Booklet
Dental Benefits for Local 153
For complete descriptions of your benefit options, as well as an explanation of how to make your choices, please see the 2021 Benefits Guide for Local 153.
We offer a stand-alone dental plan that is not a part of the medical plan option you choose.
In-Network
Out-of-Network
Annual Deductible
None
Plan does not provide out-of-network benefits
Preventive and Diagnostic Care
No cost to you for preventive/diagnostic care and basic fillings. You share the cost of other services based on Cigna’s Dental Patient Charge Schedule
Plan does not provide out-of-network benefits
Basic Restorative Care
No cost to you for preventive/diagnostic care and basic fillings. You share the cost of other services based on Cigna’s Dental Patient Charge Schedule
Plan does not provide out-of-network benefits
Major Restorative Care
No cost to you for preventive/diagnostic care and basic fillings. You share the cost of other services based on Cigna’s Dental Patient Charge Schedule
Plan does not provide out-of-network benefits
Orthodontia
No cost to you for preventive/diagnostic care and basic fillings. You share the cost of other services based on Cigna’s Dental Patient Charge Schedule
Plan does not provide out-of-network benefits
Calendar Year Maximum
No maximum plan benefit
No maximum plan benefit