RC Risk Manangment Department

303 North Church Street • Murfreesboro, TN 37130 • Phone: (615) 898-7715 • Fax: (615) 867-4602

Contact Us:

303 North Church Street
Murfreesboro, TN 37130
Phone: (615) 898-7715
Fax: (615) 867-4602

Dental Plan

Cigna is the provider of record for the Dental Insurance plan as offered by the Rutherford County Government. For additional information please click on the Dental Summary Plan Descriptions (SPD) below.

The dental plan is a Preferred Provider Organization (PPO) based. Benefit levels are subject to plan guidelines and In-network/Out of Network provider arrangements.

Provider directory can be accessed by utilizing the Cigna Link located on the right side of this website.

Select Dental plan: PPO Plan 

NOTE: When asked to Select Network: On the Drop Down Menu select CORE Network

Contact Information:
Phone: 1-800-244-6224
Website: www.CIGNA.com
               www.myCIGNA.com


Dental Opt. 1 Summary of Benefits               Dental Opt. 1 Buy-Up Summary of Benefits

Dental Opt. 1 Summary Plan Description      Dental Opt. 1 Buy-Up Summary Plan Description

Benefit

In-Network

Out-of-Network

 

Annual Deductible

$50 per individual

up to $150 per family


$100 per individual up to $300 per family


Calendar Year Max

$1,000 per individual


$1,000 per individual

Preventive & Diagnostic

100% No Deductible

80% No Deductible


Basic Restorative

80% After Deductible


60% After Deductible


Major Restorative

50% After Deductible


40% After Deductible


Orthodontia

50% After Separate

$50 Deductible

40% After Separate

$100 Deductible

Orthodontia Lifetime Maximum *


$1,000

*$2,500

Buy-Up option


$1,000

*$2,500

Buy-Up option

* Benefits on the Buy-Up option are reduced by any previously paid claim

  amounts.            

 

Dental Option 2 Summary of Benefits

Dental Option 2 Summary Plan Description

Benefit

In-Network

Out-of-Network


Annual Deductible

$50 per individual

up to $150 per family


Same

Calendar Year Max

$1,000 per individual

Same

Preventive & Diagnostic

100% No Deductible

Same

Basic Restorative

80% After Deductible

Same

Major Restorative

50% After Deductible

Same


Orthodontia

50% After Separate

$50 Deductible


Same

Orthodontia Lifetime Maximum

$1,000

Same



Disclaimer: Major restorative and orthodontia care are subject to a one year waiting period.

Links