The information you will be accessing is provided by another organization or vendor. Search Criteria . Eligibility Verification By phone: 1-888-352-7924 On line: www.libertydentalplan.com Claims Electronic/Provider Portal: www.libertydentalplan.com Third Party Clearinghouse: LDP Payor ID CX083 Paper: Standard ADA Claim Form standards. We are not only one of the nation's largest Medicare Advantage partners but are also unique in the industry for our experience, having partnered with Medicare Advantage Health Plans for over ten years. Yes, I'm a memberNo, I'm looking for a plan. We can help. Preventive and Comprehensive Dental Services Preventive and comprehensive dental benefits are included with our plans with no additional monthly premium. Please review your plan's Evidence of Coverage (EOC) to ensure you fully understand the dental benefits offered with your specific plan. If you are looking for urgent dental care outside of your state, please call our Member Services line at 888-352-7809. . we make it easier for you to quickly identify the most informative profiles on Doctor.com. website and services to function. From reporting to operations, audits, CMS
ProfilePoints measure the overall completeness of a Need a new dental office home? Top 10 Liberty Dental Plan Provider Specialties in Virginia: Dentist (2 providers) Optometrist (Eye & Vision Specialist) (2 providers) Gastroenterologist (Stomach & Bowel Specialist) (1 providers) Obstetrician / Gynecologist (OBGYN) (1 providers) States with the most Liberty Dental Plan Doctors: Texas New Jersey Michigan California New York Please answer a few questions to find your plans network. These programs are administered through MCNA Dental and available throughout the state of Texas. For Medicaid Members, Need a new dental office home? If you would like to find out more information about Government Medicare programs, please visit the official US Government site. For assistance with finding a network dentist, please contact Member Services Monday through Friday. Download our free mobile app available at: LIBERTY Dental Plan is accredited and certified by: Learn more about our network and DMR plans Search other providers Need a provider directory? . Costs for Anthem MediBlue PPO plans vary, but depending on where you live, plans may be . For more information on becoming a Liberty Medicare Advantage contracted provider, please contact Network Operations at 1-844-854-6884 (TTY 711) or via email at Credentialing@LibertyMedicareAdvantage.com. Box 31370 Tampa, FL 33631 Please address legal matters to the Plan at: ATTN: Legal Department Centene Plaza 7700 Forsyth Boulevard St. Louis, MO 63105 Please address lien and subrogation requests to the Plan at: The Rawlings Company Post Office Box 2000 La Grange, KY 40031 Return to top Global Headquarters Centene Plaza Our unique care management model and progressive technology enables us to care for both children and adult members, including pregnant women and those with special needs. nations largest Medicare Advantage partners but are also unique in the industry for our experience, having
The complete list of Liberty Medicare providers: Medicare Providers, Individual Health Providers, Supplemental Providers, and Dental Providers. provider's profile, including items like having a photo, a biography, Frequently Asked Questions (FAQs). At Wellcare, we help put you on the road to better health care. By calling us (877-657-7477), you'll be directed to a licensed sales agent. Aetna Better Health. About the Transportation Benefit. Medicare Advantage plans can help you save money. Find a Dentist. Health Plans, after routinely failing audits and then sanctioned by CMS, have been referred to us for assistance in
We are not only one of the
LIBERTY Dental Plan welcomes you to our Florida Medicaid site. Members will receive a plan booklet from DeltaCare DHMO with defined copayments for covered services. Please refer to your Evidence of Coverage for information on your Liberty Dental member cost-sharing and benefits. You may also notify LIBERTY about provider . Our Medicare Blog. If English is not your preferred language and you need help communicating in your preferred language, you may call 888-703-6999 to ask what language services are available to you. We offer a Medicare Advantage network in all 50 states. For a faster response, please call us directly at 888-666-8135. A full breakdown of points can be seen Every year, Medicare evaluates plans . 99% passing year over year. Out-of-network Dr. Deborah Simmers, DMD 56 mi Dentist 807 Spring Forest Rd, Ste 600, Raleigh, NC 27609 5.00 1 verified review Dr. Deborah Simmers is a graduate of the East Carolina University (ECU) School of Dental Medicine and is a member of the American Dental Association, North Carolina Dental Society, and Old North State Dental Society. She treats all her patients like family members. With 5 million members nationwide, Liberty Dental prides itself on having an extensive nationwide network.
We have made it easy for you to receive quotes. Talk with an adviser. Find a doctor, pharmacy, or other healthcare provider. Liberty Dental Plan offers Medicaid dental plans in Florida and Nevada. Aetna handles premium payments through InstaMed, a trusted payment service. Our Medicare Advantage Dental Director oversees our Quality and Utilization Management
Transportation to plan-approved health care providers (mileage limits apply) Advance notice required to schedule appointments Its MediCal dental plans include free transportation for its PHP members. The Appointment of Representative form is on CMS.gov. Our
Request an Office Transfer Select the Provider Directory below to view it: Independent Health Child Health Plus Independent Health Medicare Advantage Plans Read our Google + Business and Local Pages. California: (888) 703-6999 8AM - 5PM PT Florida: (833) 276-0850 8AM - 5PM PT Florida Healthy Kids: (877) 550-4436 7:30AM - 7:30PM ET Nevada: (888) 401-1128 5AM - 5PM PT NY & NJ: (888) 442-6395 5AM - 5PM PT All Other States: (888) 700-1246 Prominence Medicare Members Find a Network Dentist. Unused balances will carry over from quarter to quarter. This position is responsible for developing proposal content for government (Medicaid and Medicare Advantage) and commercial request for proposals (RFPs) within submission deadlines. Just fill out our Medicare Quotes form. 2023 LIBERTY Dental Plan, All Rights Reserved. President
information about Medicare and services related to Medicare. Site Map, We are a licensed
LIBERTY makes certain language assistance services available to you at no cost. Health Plan to draft CMS PBP fillings, annual SAE submissions and EOC and collateral development. We utilize nationwide trends and regional market analysis and partner with each Health Plan to develop fully
NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. For complete details on the scope of this review, visit, LIBERTY Dental Plan Language Needs Survey, Clinical Criteria Guidelines & Practice Parameters, Americans with Disabilities Act (ADA) Survey, Third Party Clearinghouse: LDP Payer ID CX083. Select your plan type to start searching for Medicare dentists. Enrollment in Liberty Medicare Advantage depends on contract renewal. State. You may also contact us with your Medicare Questions, or give us a call at 877-657-7477. No Scheduled Events. Eligibility Verification By phone: 1-888-352-7924 On line: www.libertydentalplan.com Claims provider's profile, including items like having a photo, a biography, Multiple Medicare plans from the leading US insurance companies. LIBERTY Dental Plan contracts with quality dental professionals to provide services to you and. DOWNLOAD US - The free LIBERTY Dental mobile app gives you access to all our self-service tools 24/7. We're currently processing your request and we'll be in touch soon. CSF certification. Click here to request an office transfer. Liberty Medicare is located at 262 Tomkenn Road, Suite 100, Wynnewood, PA 19096. Liberty Medicare. Create your LIBERTY Dental account to access our online tools. It also offers MediCal dental in California. Click here to request an office transfer. Doctor.com has profiles for millions of doctors and other health providers in the United States, including those who take Liberty Dental Plan insurance. Our dedicated Account Management team works collaboratively with each
Providers cannot request to alter or remove reviews. available in all 50 states. Our online Find a Dentist tool will show you a list of dentists and specialists who provide services covered by your plan. partnered with Medicare Advantage Health Plans for over ten years. 91 35. . We leverage our deep dental industry experience to provide a turnkey
You can get care from any licensed dentist in the U.S. DMR plans offer an annual allowance to use for covered services. Did you find information that you think may need to be updated in our provider directories? This site has been prepared to assist you and your staff. For the best dentist around the area of Sundale, please don't hesitate to call us at (510) 230-0202 to make an appointment with Liberty Dental today. Visit the Delta Dental website to find a dentist or for more information about your benefits 2023 Dental For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039. Understanding Medicare Basics; Each Health Plan partner has access to our experienced Medicare
All Rights Reserved. LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. This website is a private website and is not associated, endorsed or
authorized by the Social Security Administration, the Department of Health and Human
Most of the questions you may have are listed in the. We maintain a network of CMS validated providers to serve our Medicare Advantage members,
Depending on your family income, your child may be eligible for either Medicaid . Includes PPO, HMO, HMO-POS medical plans with or without drugs. As an independent insurance agency, we will provide you with the benefits of objectivity in reviewing multiple plans. 1 For the Dental Benefit, the DHMO (Liberty Dental Plan Health Maintenance Organization) provides services on the Memorial Hermann Medicare Advantage HMO Plan from a specific group of dentists within a service area. Liberty Dental Plan is a relative newcomer to the field, providing dental benefits for a little over 10 years. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. more information about Government Medicare programs, please visit the official, Liberty Medicare is located at 262 Tomkenn Road, Suite 100, Wynnewood, PA 19096. ProfilePoints measure the overall completeness of a Our experience has driven our 99% passing audit statistics,
Dental Insurance Providers represented by Liberty Medicare. This site contains basic information about Medicare and services related to Medicare. By showing providers with higher ProfilePoints first, . Through our numerous Health Plan validation audits, our network credentialing audit scores average
We offer an established, comprehensive, and high-quality Medicare Advantage network in all 50 states. Dual Eligible Special Needs Plans (D-SNP). Monthly premiums as low as $0. Were bringing you to our trusted partner to help process your payments. Download a claims form to get started, then send it to us along with the receipt from your visit and well reimburse you up to your plans allowance. Select a state below to update coverage details. Blue Cross NC Dental Products and Network Overview What is DeltaCare DHMO? Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. by providers with Doctor.com accounts when editing their profile on Doctor.com. Distance (miles) * The City Search displays only providers located within city limits. We use cookies and limited processing of your personal information for our We use cookies and limited processing of your personal information for our Open University units. Medicaid and CHIP participants. For complete details on the scope of this review, visit. If you do not intend to leave our site, close this message. Aetna handles premium payments through Payer Express, a trusted payment service. and compliant solution. focus is to continuously monitor and validate our network to ensure compliance with CMS regulations and access
Your Payer Express log in may be different from your Aetna secure member site log in. For a faster response, please call us directly at 888-666-8135. Medicare Advantage Member Tools Coming Soon! LIBERTY Dental Plan is committed to providing Prominence Medicare members with the highest quality of dental benefits. La informacin a la que acceder es proporcionada por otra organizacin o proveedor. This site has been prepared to assist you and your staff. Your dentist must be part of the Delta Dental Plan network. HOME; GETTING STARTED. March 30, 2022 6:23 AM EDT. streamlined CMS reporting packages, up-to-date regulatory information, and live webinar interaction. 2023 LIBERTY Dental Plan, All Rights Reserved. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. We're currently processing your request and we'll be in touch soon. LIBERTY received HITRUST CSF v8.1 certified status for its Health Solutions Plus core application and supporting systems as of 11/20/17. Contact Customer Service at (855) 645-8448 Dental benefits under the Memorial Hermann Medicare Advantage Plans are provided by Liberty Dental Plan. Zip Code. LIBERTY provides benefits administration, customer service, processes dental claims and maintains the dental provider network. Type in your email and will send you more
Making a decision regarding your Medicare coverage can be overwhelming, but it doesn't have to be! Liberty Medicare Advantage is an HMO with a Medicare contract. Download our free mobile app available at: LIBERTY Dental Plan is accredited and certified by: NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. For complete details on the scope of this review, visit, LIBERTY Dental Plan Language Needs Survey, Clinical Criteria Guidelines & Practice Parameters, Americans with Disabilities Act (ADA) Survey, LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Winter Storms in 13 Counties, LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Winter Storms, LIBERTY Dental Plan Establishes a Dedicated Toll-Free Number for Members Impacted by Humboldt County Earthquake. Most Medicare Advantage plans pay on a PPO fee schedule, even when the Medical ID card says HMO. Preventive services such as cleanings, oral exams and X-rays are covered at 100 percent on most plans. For questions concerning your dental assistance in locating a participating provider, or assistance in scheduling an appointment, please contact our member service representatives at: 866-544-4350, TTY users: 877-855-8039 We integrate our product offering with each
Call a licensed agent at ${dynamicPhone} (TTY: 711),${hours}. LIBERTY Dental Plan of Nevada Provider Relations and Provider Contracting Phone: (888) 700-0643 Email: prinquiries@libertydentalplan.com . She is gentle, caring and compassionate. LIBERTY administers a full array of dental benefits and services to over 2.7 million Medicaid managed care members. information. Why choose ${company} Medicare Solutions? Get your LIBERTY Dental mobile app The LIBERTY Dental mobile app offers a quick and easy way to access your member account information and puts our most popular online features at your fingertips. Find a licensed dentist in the Aetna network. LIBERTY Dental Plan Irvine, CA Director Quality Management - Medicaid / Medicare / Managed Healthcare LIBERTY Dental Plan Irvine, CA Does Medicare Cover Dental And Vision? For complete details on the scope of this review, visit. insurance, payment options, etc. also
Total number of Providers on Doctor.com who Accept Liberty Dental Plan: Most popular medical specialty of providers who accept Liberty Dental Plan: Liberty Dental Plan providers listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers who take Liberty Dental Plan: Average Overall User Rating for providers who take Liberty Dental Plan. Alignment Health Plan selects its providers with care and has developed a great provider network for our members to choose from. Want to see options for a different location? If you need a printed copy, you can request one. by AttestHealth Care Advisors, LLC, an NCQA certified audit group. Health insurance Exchange dental plans are available from Liberty Dental Plan in California, Florida, Missouri, and Nevada. We at LIBERTY Dental Plan are proud to be the administrator for your dental benefits. we make it easier for you to quickly identify the most informative profiles on Doctor.com, Doctor.com can help you find a doctor who accepts Liberty Dental Plan insurance in Virginia. Box 26110 Santa Ana, CA 92799-6110 (888) 352-7924 Send an Email LIBERTY Dental Plan welcomes you to our New Jersey site. Liberty Medicare. Request a Dental Quote (available on both the Medicare Quotes form and the Individual Health Quotes form). Liberty Family Dental is proud to be one the dental providers in the Liberty, Texas area that accepts medicare payment for dental work. And we believe Liberty Medicare Advantage providers deserve the same. Our plan selection pages will be down for maintenance starting Friday, April 16, at 9 p.m. and returning by 1 p.m. Saturday, April 17. Advantage team, led by Dave Meadows, our Medicare Advantage
By showing providers with higher ProfilePoints first, Talk with an adviser. 877-657-7477. If English is not your preferred language and you need help communicating in your preferred language, you may call 888-703-6999 to ask what language services are available to you. LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. Click here to request an office transfer. If youre covered through a former employer, union, trust or other retirement system, then you have a dental network plan and are covered by the Aetna Dental PPO network. Welcome Memorial Hermann Medicare Members We at LIBERTY Dental Plan are proud to be the administrator for your dental benefits. LIBERTY Dental Plan of New Jersey P.O. LIBERTY is one of the nation's premier dental insurers for government programs. Providers; Contract With Us; Join Our Network; Provider Portal Registration; Value-Based Program (VBP) Secure Email Portal; Provider Resource Library; Directory Information Validation (DIV) Provider TeleDentistry Resources; Provider COVID-19 Resources; Clinical Criteria . Questions? As a LIBERTY enrollee (including enrollees with disabilities), you have full and equal access to covered services as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Expand all | Collapse all Out-of-Network Policy for HMO Members Alignment Health Plan HMO members must receive care from a network provider. For plan year 2023 we have an expanded network with our new dental provider Liberty Dental. Regular eye exams and teeth cleanings can help you stay healthy by catching issues and illnesses early, before complications develop. We offer the following customized Medicare Advantage dental plans: With over a decade of comprehensive Medicare Advantage experience and a dedicated team of compliance
2022. . Liberty Dental Plan providers in Virginia listed on Doctor.com have been practicing for an average of: Average ProfilePoints score for Providers in Virginia who take Liberty Dental Plan: Average Overall User Rating for Providers in Virginia who take Liberty Dental Plan. This site has been prepared to assist you and your staff. If you would like to find out
Our services are offered to you free of cost. Liberty Dental Plan | Find a Dentist Find a Dentist For Medicaid Members, Need a new dental office home? In the HMO plan, a member must designate a dentist. Privacy Policy |
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HOME; programs. Interested in a dental plan?LIBERTY has a wide variety of plans and options to choose from. supported by dedicated Account Management and
Based on. . It may be different from your Aetna secure member site log in. If youre unsure, start from the beginning and select Not sure. Click here to let us know so we can fix it. by providers with Doctor.com accounts when editing their profile on Doctor.com. Request an Office Transfer. Im turning 65 or just starting to explore Medicare. To view the form just select Continue. Health Plans mission and goals. LIBERTY offices are located in Irvine, CA/Las Vegas, NV/Oklahoma City, OK/Tampa, FL/Uniondale, NY. Select your network to find a Medicare dentist. Medicare coverage for the whole you body, mind and spirit, Discover coverage that takes a total approach to health, See how we help you get the right resources and care, Take full advantage of everything your plan offers you. If you do not intend to leave our site, close this message. As a LIBERTY enrollee (including enrollees with disabilities), you have full and equal access to covered services as required under the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. independent insurance agency assisting individuals within the following states: Delaware, Illinois, Maryland, New Jersey, New York, Ohio, Pennsylvania, and Virginia. Download the Provider and Pharmacy Directory Next Steps Compliance resources. Select your state below to continue. LIBERTY is one of the nations premier dental insurers for government programs. You can find a network provider by logging in as a member and going to our provider directory. Please refer to your Evidence of Coverage prior to contacting a Specialist if you are unsure, or call Member Services. Aetna members have access to contact information and resources specific to their plans. This site contains basic
It's simple, secure and free. Services, or the Center for Medicare and Medical Services. Wellcare Health Plans P.O. Contact Customer Service at (855) 645-8448 Welcome to Memorial Hermann Advantage HMO Making a decision regarding your Medicare coverage can feel overwhelming, but it doesn't have to be! Here is how the Optional Supplemental Comprehensive Dental Benefit works: No annual deductible. LIBERTY Dental Mobile App; Medi-Cal; Member - Contact Us; Providers. Alabama Arkansas Arizona California Colorado Delaware Florida Georgia Illinois Indiana Iowa Kansas This means you pay nothing out of pocket if you stay in network. 2023 LIBERTY Dental Plan. Highly recommended Tanya Rajdev, DDS Dentist Raleigh, NC 5.00 ( 5 reviews) If you believe a recipient's private insurance or Medicare Replacement records are incorrect, please contact Health Management Systems, Inc. (HMS) at: Mailing Address: LIBERTY Dental Plan welcomes you to our Florida Medicaid site. NCQA has reviewed and accredited LIBERTYs Credentialing and Utilization Management functions only. You can now access your dental claims and other dental information through your Blue Connect Portal. Disclaimers. Total number of Providers in Virginia on Doctor.com who Accept Liberty Dental Plan: Most popular medical specialty of providers who acceptLiberty Dental Plan in Virginia. Learn more about our network and DMR plans. Did you find information that you think may need to be updated in our provider directories. Currently, Devoted Health serves only selected counties in Alabama, Arizona, Colorado, Florida, Hawaii, Illinois, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, and Texas. You may also notify LIBERTY about provider directory updates by calling 888-703-6999. Read our, ACA Plans (Individual Major Medical Plans), Liberty Medicare, Individual Comprehensive Major Medical Providers, Dental Insurance Providers (including discount plans). By calling us (877-657-7477), you'll be directed to a licensed sales agent. 877-657-7477. Liberty Medicare represents many well-known Dental Providers in Delaware, Illinois, Maryland, New Jersey, New York, Ohio, Pennsylvania, and Virginia. Liberty Dental: 1-888-352-7924 Dental claim submissions Providers can submit anesthesia claims for emergency dental procedures to Amerigroup Community Care, as well as inpatient dental facility charges, outpatient dental facility charges and ambulatory surgical center charges for dental services, as part of the Amerigroup coverage. LIBERTY Dental Plan Language Needs Survey, Clinical Criteria Guidelines & Practice Parameters, Americans with Disabilities Act (ADA) Survey, Third Party Clearinghouse: LDP Payor ID CX083. Organizations. Top 10 Liberty Dental Plan Provider Specialties: Dentist (141 providers) Orthopedic Surgeon (49 providers) Internist (37 providers) Cardiologist (Heart Specialist) (20 providers) Podiatrist (Foot Specialist) (20 providers) Family Doctor (17 providers) Pediatrician (Kids / Children Specialist) (17 providers) Chiropractor (15 providers) LIBERTY Dental Plan is committed to providing Blue Cross NC members with the highest quality of dental benefits. HOME; GETTING STARTED. LIBERTY Dental Plan welcomes you to ourNew Jersey site. regaining compliance. Plus HMO CALIFORNIA SAN FRANCISCO, CALIFORNIA SAN FRANCISCO - Plus - HMO, CALIFORNIA SAN FRANCISCO COUNTY - Plus - HMO, CALIFORNIA State SAN FRANCISCO County - Plus Plan - HMO, Plus - HMO CALIFORNIA SAN FRANCISCO - , Estado de CALIFORNIA, condado de SAN FRANCISCO - Plan Plus - HMO, Search our additional Spanish directories, Estado ng CALIFORNIA County ng SAN FRANCISCO - Plus Plan - HMO, CALIFORNIA Tiu bang SAN FRANCISCO Qun - Plus Chng trnh - HMO. LIBERTY Dental Plan is committed to providing Memorial Hermann Medicare members with the highest quality of dental benefits. That is why Non-Emergency Medical Transportation (NEMT) as an extra benefit in many of our plans. Si tu intencin no era salir del sitio web, cierra este mensaje. Our Medicare Blog. LIBERTY Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. Dr. Vivi Dang-Roberts, DDS VIDEO VISIT Dentist 4.74 19 verified reviews Dr Vivi Dang -Roberts graduated from Loma Linda School of dentistry in1994. 855-949-3319 (TTY: 711) 7 days a week, 8 a.m. to 8 p.m. Home Medicare Dental & Vision Coverage New to Medicare? Independent Health is a Medicare Advantage organization with a Medicare contract offering HMO, HMO-SNP, HMO-POS and PPO plans. Works closely with executive, account management, operations . "Dr Vivi" has a great love for dentistry and enjoys going to work and seeing patients every day. single point of contact. Directory of Dentists Treating Members with Intellectual . Find a Dentist As a participating member, you have access to our wide network of providers. Your plan may only provide benefits if you obtain a referral from your General Dentist prior to receiving treatment from a Specialist. website and services to function. Please join our exclusive network of contracted providers currently expanding across the United States. Our commitment to quality and security is evident through our fully URAC accredited certification and HITRUST
customized Medicare Advantage benefit options for our partners. Since you may decide to receive care in network or out of network with an Anthem MediBlue PPO, some costs, such as deductibles, coinsurance, or copays may vary within the plan. LIBERTY makes certain language assistance services available to you at no cost. You are leaving our Medicare website and going to our non-Medicare website. We serve over 1.2 million Medicare Advantage members and over 20 Medicare Advantage Health Plan
Check back soon for our updated schedule! CONTACT US Find a Dentist State Dental Plan Distance (Miles) Zip Code Show Advanced Search Criteria Print Dentists Resources Evidence of Coverage Terms and Conditions Survey of Cost Without Insurance About Us Privacy Statement About LIBERTY Careers Grievance Form Dental Plans California Plans Florida Plans Get Connected 2023 LIBERTY Dental Plan. By using our site, you agree to our use of cookies and our, Pediatrician (Kids / Children Specialist), Otolaryngologist (Ear, Nose & Throat - ENT), Gastroenterologist (Stomach & Bowel Specialist), Physiatrist (Physical Medicine & Rehabilitation), Plastic, Reconstructive, and Cosmetic Surgeon, Rheumatologist (Joints & Arthritis Specialist), Thoracic Surgeon (Cardiothoracic Vascular Surgeon). Dental network Direct Member Reimbursement (DMR) Not sure If you're covered through a former employer, union, trust or other retirement system, then you have a dental network plan and are covered by the Aetna Dental PPO network.