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2017
HITRUST Certified

LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17
 
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2020
HEDIS NCQA Certified

 LIBERTY Dental Plan was presented with a
2020 NCQA-Certified HEDIS® Compliance Audit™
by AttestHealth Care Advisors, LLC, an NCQA certified audit group.
 
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NCQA has reviewed and accredited LIBERTY’s Credentialing and Utilization Management functions only. For complete details on the scope of this review, visit www.ncqa.org.

Where can I get help to understand the dental procedures?

Dental procedures can be hard to understand.  The American Dental Association (ADA) makes it easy with their award-winning consumer website MouthHealthy.org.  Find helpful dental information using A-Z topics and find answers to your questions about virtually any dental-related topic, treatment or condition, such as: Dentures, Root Canals, Extractions, Crowns, Bridges, and more!

How do I receive care?

For LIBERTY Dental Plan EPO plans, you must use a LIBERTY network general practice or specialty care provider to receive your benefits. There are no benefits outside of the network.

For LIBERTY Dental Plan PPO plans, you have access to a large network of general dentists and specialists. While this plan may allow you to you go to any licensed dentist, out of pocket costs will be reduced by using a participating network provider. Refer to your Summary Plan Description for complete  benefit details.

For LIBERTY Dental Plan HMO plans, you must select a Primary Care Dentist when enrolling in the Plan. Your Primary Care Dentist will be responsible for providing dental care for you and your eligible dependents. There are occasions your Primary Care Dentist may recommend treatment from a specialist. LIBERTY Dental Plan will coordinate specialty services through a referral process.

How do I make an appointment?

Once you are eligible under the Plan, you may call your Primary Care Dentist to schedule an appointment. Be sure to identify yourself as a member of LIBERTY Dental Plan when you call. We also suggest you take your Evidence of Coverage/Summary Plan Description with you when you go for your appointment. This will assist in determining your out-of-pocket costs.

Do I need an ID card to visit the dentist?

If you are a member of LIBERTY Dental Plan EPO or PPO coverage, you do not need an ID card. When visiting an In-Network dentist, simply provide your Member ID # (this can be a Social Security #, Identification #, Alternate ID, etc.) The dental office can use that information to verify your eligibility and benefits.
If you are a member of the LIBERTY Dental Plan HMO plan you may be asked to provide your ID card to your assigned Primary Care Dentist to obtain care.

How can I get a copy of my ID Card?

  • Contacting Member Services at 888-703-6999; or
  • Logging into LIBERTY’s web portal through iTransact to print a copy of your ID card; or
  • Visiting LIBERTY’s mobile app where you can access your digital ID card or request a printed card to be sent.

  • Google Play App Store

What treatment does my plan cover?

LIBERTY Dental Plan is committed to offering affordable dental care. Please refer to your Evidence of Coverage booklet/Summary Plan Description for specific details of your plan.

Are there waiting periods to be met?

Most Plans do not have waiting periods. Refer to your Evidence of Coverage booklet for plan specifics.

What if I have a pre-existing condition?

Typically, pre-existing conditions are not excluded. You may consult your Primary Care Dentist to determine if you have a pre-existing condition.

When should I obtain a pre-treatment estimate?

If your dental care will be extensive, you may ask your Primary Care Provider to complete a pre-treatment estimate. This will allow you to know in advance what procedures are covered, the amount LIBERTY Dental Plan will pay toward treatment and your financial responsibility. A pre-treatment estimate is not a guarantee of payment. When the services are complete and a claim is received for payment, LIBERTY Dental Plan will calculate its payment based on your eligibility status and benefits at the time services were rendered.

How do I receive emergency care?

For LIBERTY Dental Plan EPO members, if you are experiencing pain, bleeding or swelling and cannot be seen by a network provider, you may use any provider to receive emergency care. LIBERTY Dental Plan will reimburse you for emergency dental treatment expenses up to a maximum of $75.00 per year, less applicable co-payments.

For LIBERTY Dental Plan PPO members, if you are experiencing pain, bleeding or swelling you may use any provider to receive emergency care. PPO members seeking emergency services from a non-network provider may result in a higher member out of pocket costs. Please refer to your Summary Plan Description for plan details.

For LIBERTY Dental Plan HMO members, if you are experiencing pain, bleeding or swelling, contact your LIBERTY Dental Plan Primary Care Dentist for an appointment. If your Primary Care Dentist is not available you may receive emergency dental treatment at any dental office. LIBERTY Dental Plan will reimburse you for emergency dental treatment expenses up to a maximum of $75.00 per year, less applicable co-payments.

How do I change my dentist?

LIBERTY Dental Plan EPO members are not assigned to a specific Primary Care Dentist. You are free to access dental benefits from the network provider of your choice. There are no benefits when seeking care outside of the network.

LIBERTY Dental Plan PPO members are not assigned to a specific Primary Care Dentist. You are free to access dental benefits from the network provider of your choice.

LIBERTY Dental Plan HMO Plan members that are assigned to a Primary Care Dentist may change their assignment by visiting LIBERTY’s mobile app where Members may search, select and make a transfer to a new dental office. Members may also contact Member Services Department at (888)703-6999. Requests received by the 20th day of any month will be effective the first day of the following month.

Google Play App Store

What if I cannot find a dentist in my area?

If you are unable to locate a contracted LIBERTY dentist within a reasonable distance from your home or work, please contact LIBERTY at (888) 703-6999 and a Member Services Representative will assist you. If a contracted dentist cannot be located, LIBERTY will arrange for your covered dental services to be provided by dentist in your area.

How do I receive medication?

There may be situations where you require medication as a result of a dental procedure or due to a dental condition. Your health plan coverage may include access to medication. Medication coverage is not a benefit through LIBERTY Dental Plan.

Who do I call if I have questions?

Please click on the following link. Contact Us

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Members

Where can I get help to understand the dental procedures?

Dental procedures can be hard to understand.  The American Dental Association (ADA) makes it easy with their award-winning consumer website MouthHealthy.org.  Find helpful dental information using A-Z topics and find answers to your questions about virtually any dental-related topic, treatment or condition, such as: Dentures, Root Canals, Extractions, Crowns, Bridges, and more!

How do I receive care?

For LIBERTY Dental Plan EPO plans, you must use a LIBERTY network general practice or specialty care provider to receive your benefits. There are no benefits outside of the network.

For LIBERTY Dental Plan PPO plans, you have access to a large network of general dentists and specialists. While this plan may allow you to you go to any licensed dentist, out of pocket costs will be reduced by using a participating network provider. Refer to your Summary Plan Description for complete  benefit details.

For LIBERTY Dental Plan HMO plans, you must select a Primary Care Dentist when enrolling in the Plan. Your Primary Care Dentist will be responsible for providing dental care for you and your eligible dependents. There are occasions your Primary Care Dentist may recommend treatment from a specialist. LIBERTY Dental Plan will coordinate specialty services through a referral process.

How do I make an appointment?

Once you are eligible under the Plan, you may call your Primary Care Dentist to schedule an appointment. Be sure to identify yourself as a member of LIBERTY Dental Plan when you call. We also suggest you take your Evidence of Coverage/Summary Plan Description with you when you go for your appointment. This will assist in determining your out-of-pocket costs.

Do I need an ID card to visit the dentist?

If you are a member of LIBERTY Dental Plan EPO or PPO coverage, you do not need an ID card. When visiting an In-Network dentist, simply provide your Member ID # (this can be a Social Security #, Identification #, Alternate ID, etc.) The dental office can use that information to verify your eligibility and benefits.
If you are a member of the LIBERTY Dental Plan HMO plan you may be asked to provide your ID card to your assigned Primary Care Dentist to obtain care.

How can I get a copy of my ID Card?

  • Contacting Member Services at 888-703-6999; or
  • Logging into LIBERTY’s web portal through iTransact to print a copy of your ID card; or
  • Visiting LIBERTY’s mobile app where you can access your digital ID card or request a printed card to be sent.

  • Google Play App Store

What treatment does my plan cover?

LIBERTY Dental Plan is committed to offering affordable dental care. Please refer to your Evidence of Coverage booklet/Summary Plan Description for specific details of your plan.

Are there waiting periods to be met?

Most Plans do not have waiting periods. Refer to your Evidence of Coverage booklet for plan specifics.

What if I have a pre-existing condition?

Typically, pre-existing conditions are not excluded. You may consult your Primary Care Dentist to determine if you have a pre-existing condition.

When should I obtain a pre-treatment estimate?

If your dental care will be extensive, you may ask your Primary Care Provider to complete a pre-treatment estimate. This will allow you to know in advance what procedures are covered, the amount LIBERTY Dental Plan will pay toward treatment and your financial responsibility. A pre-treatment estimate is not a guarantee of payment. When the services are complete and a claim is received for payment, LIBERTY Dental Plan will calculate its payment based on your eligibility status and benefits at the time services were rendered.

How do I receive emergency care?

For LIBERTY Dental Plan EPO members, if you are experiencing pain, bleeding or swelling and cannot be seen by a network provider, you may use any provider to receive emergency care. LIBERTY Dental Plan will reimburse you for emergency dental treatment expenses up to a maximum of $75.00 per year, less applicable co-payments.

For LIBERTY Dental Plan PPO members, if you are experiencing pain, bleeding or swelling you may use any provider to receive emergency care. PPO members seeking emergency services from a non-network provider may result in a higher member out of pocket costs. Please refer to your Summary Plan Description for plan details.

For LIBERTY Dental Plan HMO members, if you are experiencing pain, bleeding or swelling, contact your LIBERTY Dental Plan Primary Care Dentist for an appointment. If your Primary Care Dentist is not available you may receive emergency dental treatment at any dental office. LIBERTY Dental Plan will reimburse you for emergency dental treatment expenses up to a maximum of $75.00 per year, less applicable co-payments.

How do I change my dentist?

LIBERTY Dental Plan EPO members are not assigned to a specific Primary Care Dentist. You are free to access dental benefits from the network provider of your choice. There are no benefits when seeking care outside of the network.

LIBERTY Dental Plan PPO members are not assigned to a specific Primary Care Dentist. You are free to access dental benefits from the network provider of your choice.

LIBERTY Dental Plan HMO Plan members that are assigned to a Primary Care Dentist may change their assignment by visiting LIBERTY’s mobile app where Members may search, select and make a transfer to a new dental office. Members may also contact Member Services Department at (888)703-6999. Requests received by the 20th day of any month will be effective the first day of the following month.

Google Play App Store

What if I cannot find a dentist in my area?

If you are unable to locate a contracted LIBERTY dentist within a reasonable distance from your home or work, please contact LIBERTY at (888) 703-6999 and a Member Services Representative will assist you. If a contracted dentist cannot be located, LIBERTY will arrange for your covered dental services to be provided by dentist in your area.

How do I receive medication?

There may be situations where you require medication as a result of a dental procedure or due to a dental condition. Your health plan coverage may include access to medication. Medication coverage is not a benefit through LIBERTY Dental Plan.

Who do I call if I have questions?

Please click on the following link. Contact Us