SoonerSelect member frequently asked questions (FAQ)
For Liberty Dental Plan 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 Dental Plan PPO plans, you have access to a large network of general dentists and specialists. While this plan may allow you to you go to any licensed dentist, out of pocket costs will be reduced by using a participating network provider. Refer to your Summary Plan Description for complete benefit details.
For Liberty Dental Plan 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.
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 take your Evidence of Coverage/Summary Plan Description with you when you go for your appointment. This will assist in determining your out-of-pocket costs.
If you are a member of Liberty Dental Plan EPO or PPO coverage, you do not need an ID card. When visiting an in-network dentist, simply provide your member ID number (this can be a Social Security number, Identification number, Alternate ID, etc.) The dental office can use that information to verify your eligibility and benefits. If you are a member of the Liberty Dental Plan HMO plan you may be asked to provide your ID card to your assigned primary care dentist to obtain care.
Contacting Member Services at 888-703-6999; or logging into Liberty’s web member portal to print a copy of your ID card; or visiting Liberty’s mobile app where you can access your digital ID card or request a printed card to be sent.
Liberty Dental Plan is committed to offering affordable dental care. Please refer to your Evidence of Coverage booklet/Summary Plan Description for specific details of your plan.
Most Plans do not have waiting periods. Refer to your Evidence of Coverage booklet for plan specifics.
Typically, preexisting conditions are not excluded. You may consult your primary care dentist to determine if you have a preexisting condition.
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 Dental Plan 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 Dental Plan will calculate its payment based on your eligibility status and benefits at the time services were rendered.
For Liberty Dental Plan EPO members, if you are experiencing pain, bleeding or swelling and cannot be seen by a network provider, you may use any provider to receive emergency care. Liberty Dental Plan will reimburse you for emergency dental treatment expenses up to a maximum of $75 per year, less applicable copays.
For Liberty Dental Plan PPO members, if you are experiencing pain, bleeding or swelling you may use any provider to receive emergency care. PPO members seeking emergency services from a non-network provider may result in a higher member out of pocket costs. Please refer to your Summary Plan Description for plan details.
For Liberty Dental Plan HMO members, if you are experiencing pain, bleeding or swelling, contact your Liberty Dental Plan 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 per year, less applicable copays.
Liberty Dental Plan EPO members are not assigned to a specific primary care dentist. You are free to access dental benefits from the network provider of your choice. There are no benefits when seeking care outside of the network.
Liberty Dental Plan 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.
Liberty Dental Plan HMO Plan members that are assigned to a primary care dentist may change their assignment by visiting Liberty’s mobile app where members may search, select and make a transfer to a new dental office. Members may also contact Member Services Department at 888-703-6999. Requests received by the 20th day of any month will be effective the first day of the following month.
If you are unable to locate a contracted Liberty dentist within a reasonable distance from your home or work, please contact Liberty at 888-703-6999 and a Member Services Representative will assist you. If a contracted dentist cannot be located, Liberty will arrange for your covered dental services to be provided by dentist in your area.
There may be situations where you require medication as a result of a dental procedure or due to a dental condition. Your health plan coverage may include access to medication. Medication coverage is not a benefit through Liberty Dental Plan.
Please contact us.
Liberty will help you find a dentist that speaks your language, please call us at 888-700-1093 (TTY: 877-855-8039). You can also go online and look for a dentist in our provider directory at Liberty Dental Plan: Find A Dentist and select “Advanced Search Criteria” or you can call and ask us to mail you one.
Liberty will provide you an interpreter and translation services for at no cost. Please call us at 888-700-1093 (TTY: 877-855-8039) at least 48 hours before your appointment to set up services.
Liberty will provide you with written materials in other formats, such as large font, braille, and audio. Please call us at 888-700-1093 (TTY: 877-855-8039).
You can ask Liberty for an appeal. An appeal is a request for us to review our first decision. You can file an appeal over the phone, in writing or online. We will have another dentist, who was not a part of the first decision, review your appeal. After the review, we will provide you with our decision in writing. If you would like to submit your appeal over the phone, please call us at 888-700-1093 (TTY: 877-855-8039). You can follow this link to submit your appeal online File a Grievance or Appeal - Liberty Dental Plan or you can submit your appeal in writing to the following address:
Liberty Dental Plan
Grievances and Appeals Department
P.O. Box 26110
Santa Ana, CA 92799-6110
If you are not happy with the services or care you received from your dentist, dental office or Liberty you can file a complaint, also called a grievance. You can file a complaint over the phone, in writing or online. We will review your grievance and let you know of our findings and decision in writing. If you would like to submit a complaint over the phone, please call us at 888-700-1093 (TTY: 877-855-8039). You can follow this link to submit your complaint online File a Grievance or Appeal - Liberty Dental Plan or you can submit your complaint in writing to the following address:
Liberty Dental Plan
Grievances and Appeals Department
P.O. Box 26110
Santa Ana, CA 92799-6110
Yes, if you do not agree with the treatment recommended by your dentist, you can ask Liberty for a second opinion with another dentist. We will help find a dentist for you at no cost, please call us at 888-700-1093 (TTY: 877-855-8039).
If you think your dentist or dental office staff has committed fraud, such as changing dental records, or billing for services not completed, please report this to Liberty as soon as possible. Please give Liberty as much information as you can about the actions, including the name of the persons involved, dates, and what took place. You can call our Fraud, Waste, and Abuse Hotline at 888-704-9833 or you can write to us at:
Liberty Dental Plan
Grievances and Appeals Department
P.O. Box 26110
Santa Ana, CA 92799-6110
An authorized representative is a person who you trust to speak and act on your behalf. This could be a friend, relative, or doctor. If you want someone act on your behalf, you and that person must sign and date a statement that gives the person the legal right to act as your authorized representative.
EPSDT is for children and youth under the age of 21 on Medicaid. EPSDT does not apply to adults ages 21 and over. EPSDT allows additional dental benefits in cases when there is a need to treat or correct a child’s documented medical condition. If the child qualifies for EPSDT, your dentist should submit a request to Liberty will all documentation supporting the necessary treatment and medical condition.
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