Afterhours Care

LIBERTY covers emergency dental care. You can get emergency dental care 24 hours a day, 7 days a week at any in or out of network office. Emergency care can be for pain, bleeding or swelling.

Call: Your Dental Home for instructions on how to proceed. If you cannot reach your Dental Home, call LIBERTY at 1-866-609-0418 (TTY 1-877-855-8039). LIBERTY’s 24 hour on call service will help you.

Coordination of Benefits

If you have other insurance that includes dental benefits, please complete the Coordination of Benefits form.

File a Grievance

To submit a written Grievance, please use the link below to print and mail to LIBERTY Dental Plan, or complete the online form below.

Member Grievance & Appeals Form

Spanish

Language Assistance

If you, or someone you support, have questions about LIBERTY Dental Plan, you have the right to get help and information in your language at no cost. To speak to an interpreter, call 1-888-401-1128.

• Información sobre Asistencia en su Idioma
• 語言協助信息
• معلومات عن خدمات اللغة
• Տեղեկություններ լեզվական աջակցության վերաբերյալ
• اطلاعات کمک زبان
• Enfòmasyon Sou Asistans ak Lang
• Tej Lus Qhia txog Kev Pab Txhais Lus
• 言語サポートのご案内
• ព័ត៌មានជំនួយខាងភាសា
• 무료 통역/번역 서비스 안내
• Informações sobre ajuda com o idioma
• ਭਾਸ਼ਾ ਸਹਾਇਕ ਸੂਚਨਾ
• Информация о языковой поддержке
• Impormasyon Tungkol sa Tulong sa Wika
• Thông tin về trợ giúp ngôn ngữ

Member Rights & Responsibilities

Member Rights and Responsibilities can be found in the Member Handbook you received upon enrollment. You can also view the Member Handbook by clicking on the link below. If you have questions about your rights and responsibilities as a member, please contact LIBERTY’s Member Services Department toll-free at 1-866-609-0418 (TTY 1-877-855-8039). Hours are Monday through Friday from 5:00 am to 5:00 pm PST.

• Member Handbook - English
• Member Handbook - Spanish
• NOA/Your Rights - English
• NOA/Your Rights - Spanish

State Fair Hearing

You or your dental provider have the right to ask for a State Fair Hearing from the Division of Health Care Financing Policy (DHCFP) after you have gone through LIBERTY’s internal appeal process. If you are not satisfied with the resolution to your Appeal, you may contact the Hearings Unit with the DHCFP at 1-775-684-3604 or 1-800-992-0900, extension 43604 to request a State Fair Hearing, or you may submit your request in writing to:

• Nevada Division of Health Care Financing and Policy Hearings
• 1100 East William Street, Suite 101
• Carson City, NV 89701

You, or your dental provider with your written consent, must ask for this hearing within 90 days of receiving the final notice from LIBERTY. You may designate a person to act on your behalf and file a State Fair Hearing in writing.

LIBERTY will continue your dental benefits during the State Fair Hearing process, if the following standards are all met:

• Your appeal is received within 10 days after LIBERTY’s notice of action or the proposed effective date.
• Your appeal is about with the termination, suspension or reduction of previously approved services.
• Your appeal is about services ordered by a LIBERTY dental provider.
• The timeframe for the previously approved services has not expired.
• You specifically requested to have your benefits continued.

LIBERTY will continue your dental benefits during the appeals process, when the criteria above is met, until one of the following has been met:

• You withdraw your appeal
• 10 calendar days have passed since LIBERTY issued the final notice of appeal as unfavorable to you, unless within that time you have requested a State Fair Hearing with continuation of benefits.
• The State Fair Hearing officer makes a decision that is not in your favor.
• The timeframe for the previously authorized services has expired.

Please note that if the outcome of the State Fair Hearing is not in your in favor, you may be responsible for the costs of your continued benefits.

If you need information or help, call the State Medicaid Office at:

• Las Vegas: 702-486-1646 or 1-800-992-0900
• Carson City: 775-684-7200 or 1-800-992-0900

If you need legal assistance, call the Nevada Legal Services Program:

• Clark County: 702-386-0404 or 1-866-432-0404
• Washoe County: 775-284-3491 or 1-800-323-8666

If you need information or help, call us at:

• Toll-Free: 1-866-609-0418
• TTY: 1-877-855-8039

Report Fraud, Waste and Abuse

Fraud, Waste and Abuse Hotline: (888) 704-9833

Member Satisfaction Surveys

LIBERTY Dental Plan is interested in hearing about your experience with the care and services you are receiving. We may call you to complete a satisfaction survey. We hope you will take the time to complete the survey. Your responses help us measure our success in providing the services you deserve along with helping us determine where there are opportunities for improvement.

Update Contact Info

If you move or change your phone number, please contact the Division of Welfare and Supportive Services (DWSS) to let them know.

• Toll Free 1-800-992-0900
• Northern Nevada 1-775-684-7200
• Southern Nevada 1-702-486-1646

If you have internet access, you can go online at https://accessnevada.dwss.nv.gov/public/landing-page and create an account to update your contact information.