Cigna Dental & Root Canal Coverage — Sunnyvale Endodontist
Cigna dental PPO is common among tech companies and large employers in the Bay Area. Silicon Valley Endodontics is out-of-network with Cigna, but Cigna PPO plans reimburse out-of-network specialists based on the plan's Maximum Reimbursable Charge (MRC), which in the Bay Area is generally close to the actual specialist fee.
How It Works
We verify your Cigna benefits before treatment, provide a written estimate, and submit the claim electronically after treatment. Cigna processes most claims within 2–4 weeks and sends payment to you or directly to our office if you assign benefits.
Typical Coverage
Cigna dental PPO plans typically cover endodontic treatment at 50–80% of the plan's MRC. Most plans classify root canals and apicoectomy as 'Major' services with a 50% coinsurance.
Tips for Cigna Dental Patients
- Confirm your plan is Cigna dental PPO (not DHMO — DHMO does not cover out-of-network care)
- Ask Cigna for the Maximum Reimbursable Charge (MRC) for ADA codes D3310-D3330 in your zip code
Frequently Asked Questions
- Does Cigna cover root canals at an out-of-network endodontist?
- Yes. Cigna dental PPO covers root canals at out-of-network specialists. Reimbursement is based on the Maximum Reimbursable Charge (MRC) for your area. We file the claim for you and give you a written estimate before treatment.
Silicon Valley Endodontics & Microsurgery · 1565 Hollenbeck Ave, Suite 106, Sunnyvale, CA 94087 · (669) 234-2354