Frequently Asked Questions

When does my plan become effective?

Effective dates may vary due to enrollment date, plan type, group, health carrier or employer submission. Please contact the LIBERTY Dental Plan Member Services Department to inquire about your effective date.

How do I receive care?

For LIBERTY 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.

For LIBERTY 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 PPO plans, you should use a LIBERTY network general practice or specialty care provider to receive your benefits. Using a non-network dental office will result in a higher out of pocket member coinsurance amount for you or your family member.

Do I need an ID card to visit the dentist?

If you are member of LIBERTY EPO or PPO coverage, you do not need an ID card. When visiting an In Network dentist, simply provide your social security or identification number. The dental office can use that information to verify your eligibility and benefits.

If you are a member of the HMO LIBERTY plan you may be requested to provide your ID card to your assigned Primary Care Dentist to obtain care.

How do I receive emergency care?

For LIBERTY HMO members, if you are experiencing pain, bleeding or swelling, contact your LIBERTY 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.

LIBERTY EPO or PPO members may use any network provider to receive emergency care. PPO members seeking emergency services from a non-network provider may result in a higher member out of pocket cost.

How do I change my dentist?

LIBERTY HMO Plan members that are assigned to a Primary Care Dentist may change their assignment by calling our Member Services Department (888-700-1667). Requests received by the 20th day of any month will be effective the first day of the following month.

LIBERTY EPO or 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. For EPO members, there are no benefits when seeking care outside of the network.

Are there waiting periods to be met?

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

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 bring your Evidence of Coverage and Schedule of Benefits booklet with you when you go for your appointment to determine your out of pocket costs.

Are my cleanings covered?

Please refer to your Evidence of Coverage booklet for plan specifics. There may be occasions in which your dentist may recommend alternative treatment rather than a "routine" cleaning.

What treatment does my plan cover?

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

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 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 will calculate its payment based on your current eligibility, amount remaining in your annual maximum and any deductible requirements.

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.

How will I know what my co-payment will be?

Refer to your Evidence of Coverage. The Evidence of Coverage lists applicable copayments for dental treatment by procedure code. If you have any questions, ask your dentist before you receive services and/or call LIBERTY Dental Member Services Department at 888-700-1667.

Who do I call if I have a question?

Please contact our Member Services Department to speak to friendly knowledgeable representatives who can assist you with your inquiry. Our Member Service Department can be contacted toll-free at (888) 703-6999 Monday through Friday from 8:00am to 5:00pm Pacific Time. You can also contact us by e-mail by clicking here. The hearing and speech impaired may use the California Relay Service's toll-free telephone 1-888-877-5378 (TTY) to contact the department.