It is the Cigna HealthcareSM Dental’s clinical opinion that orthodontic treatment (including, but not limited to oral evaluations, evaluations for tooth decay, periodontal evaluations, diagnostic X-ray imaging and models, imaging scans of the mouth, treatment planning and prescriptions, placement, delivery and/or adjustment of orthodontic appliances, periodic progress assessments, and final assessments with stabilizing measures, and/or orthodontic retention) should be provided under the direct supervision of a licensed dentist/orthodontist throughout the course of treatment. Direct supervision requires that a dentist or orthodontist and their patient be physically present together in the dental office or treatment facility. This enables the provider to personally diagnose the condition being treated, prescribe the necessary orthodontic procedures, and supervise ongoing orthodontic care, including any treatment delivered by dental auxiliaries (such as dental assistants and dental hygienists) when appropriate.
For DPPO and Cigna Dental Care® plans that cover orthodontic treatment, Cigna Healthcare provides benefits for orthodontic treatment when it is provided under the direct supervision of a licensed dentist or orthodontist throughout the course of the treatment plan. Cigna Healthcare dental plans do not cover mail-order, direct-to-consumer, and/or virtual orthodontic care programs as part of orthodontic benefits for our DPPO and Cigna Dental Care® products.
We recommend that all patients consult with a licensed professional to understand the risks, alternatives, and benefits of any appropriate and recommended treatment plan or method, in order to make an informed decision about their individual care.