LIBERTY Dental Plan


888-273-2997
Ext: 258 or 134
FAX 949-270-0119

Understanding Your Co-Payment Schedule

 

To view your complete coverage in an Adobe PDF file, click on one of the Plans below. You will find 7 pages of billing coded procedures for each plan. Each billing coded procedure lists your co-payment to a General Dentist (GD) or a Specialist (Spec). If the procedure is assigned an NPB (Not a Plan Benefit) , it is not a covered procedure, you would pay the Dentist the full amount of that procedure.

 

GD = General Dentist
Spec = Specialist
NPB = Not a Plan Benefit

 

CA50 Plan “The Premier Plan”

Schedule of Benefits

The most comprehensive coverage of  all our Individual Plans. Should you be faced with major dental care needs, you can be assured , you’ll have the very best coverage we have to offer. There are no monthly payments and no waiting periods for any covered procedure. The CA50 has the lowest copayments of all three plans. You must choose your Primary Care Dentist  and you must notify Liberty Dental if you need to change your dentist.

 

CA80 Plan “The Value Plan”

Schedule of Benefits

The CA80 Plan is comprehensive in it’s coverage and yet  it ‘s annual premium fits within the average families budget.  With Free Cleanings as a part of this plan, a family of 3 saves almost  $500 * on 2 cleanings per year per person.  After paying  for the premium you still  save almost $200.  Prevention has never been so affordable. There are no monthly payments and no waiting periods for any  major covered procedures. You may visit any  Network Dentist in the state of California and receive the same quality coverage.

 

CA90 Plan “The Basic Plan”

Schedule of Benefits

For Individuals and Families  that want Basic Dental Care Benefits and need a plan that will reduce the out of pocket expense for  Cleanings, Fillings, and Diagnostic Care.  You may visit any  Network Dentist in the state of California and receive the same quality coverage. There are no monthly payments and no waiting periods for any  major covered procedures.

 

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