RTAL DENTAL INFORMATION

2019 RTAL Dental Plan Fee Schedule


Above, you'll find the 2019 RTAL Dental Plan Fee Schedule.
Below, you'll find a video explaining the RTAL Dental Plan as well as other important information available for download.


Please watch the above video first.
This is a recording of the RTAL dental information meeting that took place on Wednesday, May 29th, 2019.


Make the most of your dental plan.

A brochure of programs and services that can help.




Dental Enrollment Form

Use this form to enroll in the program.




Current DHMO Payment Schedule

This Patient Charge Schedule lists the benefits of the Dental Plan including covered procedures and patient charges.




New DHMO Payment Schedule

This Patient Charge Schedule lists the benefits of the Dental Plan including covered procedures and patient charges.




DHMO P100 PCS Benefit Brochure

This matrix is intended to be used to help you compare coverage benefits and is a summary only.




DHMO How it Works Brochure

This information will help you learn more about the Cigna Dental Care plan. Like what’s included, how it works and how to enroll. Review your plan materials so you can get the most from your benefits.




DHMO Provider Nomination Form

If you would like your dentist to join the CIGNA Dental Care (DHMO1) network, we encourage you to speak with him/her about us. For more information about CIGNA Dental please have your dentist call us at 1.800.CIGNA24 (1.800.244.6224).




Current DPPO Benefit Summary

This material is for informational purposes only and is designed to highlight some of the benefits available under this plan. Consult the plan documents to determine specific terms of coverage relating to your plan. Terms include covered procedures, applicable waiting periods, exclusions and limitations.




New DPPO Benefit Summary

Effective Date July 1, 2019 This is a summary of benefits for your dental plan.
All deductibles, plan maximums, and service specific maximums (dollar and occurrence) cross accumulate between in and out of network.




DPPO Enrollees ONLY Out of Network Cigna claim-form





DPPO Enrollees ONLY Plan Q & A Sheet





DPPO Finding a Network Dentist Customer Brochure

Finding a Total Cigna Dental PPO (DPPO) network dentist or specialist is quick and easy – whether you opt to search online or speak to a customer service representative. Let us show you how.




DPPO How the Plan Works Brochure

Routine dental care does more than just brighten your smile.




DPPO Provider Nomination Form

If you would like your dentist to join the CIGNA Dental PPO (DPPO1) network, we encourage you to speak with him/her about us. For more information about CIGNA Dental please have your dentist call us at 1.800.CIGNA24 (1.800.244.6224).