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)
The materials provided to you are guidelines used by this Plan to authorize, modify, or deny care for persons with similar illnesses or conditions. Specific care and treatment may vary depending on individual need and the benefits covered under your contract.
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: