LIBERTY Dental Plan of New York Metro
LIBERTY Dental Plan of New York Metro

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 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.

How do I receive emergency care?

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 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.

You may visit our website at www.libertydentalplan.com/ny or contact our Member Services Department at 888-401-1128 to find an In Network dentist.

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 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 888-401-1128.

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) 401-1128 Monday through Friday from 5:00am to 5:00pm Pacific Time. You can also contact us by e-mail by clicking here. The hearing and speech impaired may use the New York Relay Service toll-free telephone (TTY) 877-898-5849 to contact the department.