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Language Assistance Information | 語言協助信息 | Información sobre Asistencia en su Idioma

For additional information, please call a LIBERTY Dental Representative at 1-888-703-6999.


LIBERTY Dental Forms

(All forms available for download in PDF format)

Evidence of Coverage (EOC)

Medi-Cal

Beginning on July 1, 2017, you will be required to use your dental plan’s appeal procedures before you will be able to file for a state fair hearing. Federal law has changed and now requires this new process. You are not losing your right to a state fair hearing.

Other Languages:
Other Languages:

Grievance Forms