Your Dental Plan Choices
You have two dental plan choices:
Diversified Dental PPO Plan
Diversified Dental is the largest dental preferred provider organization (PPO) network in your area. This plan gives you the flexibility to see any dental provider, but you save money when you use in-network providers.
LIBERTY DHMO-EPO (Benefit Plan NV-400)
LIBERTY Dental Plan is a dental health maintenance organization (DHMO). LIBERTY Dental Plan contracts with a wide network of private dental offices to provide benefits under this plan. With this plan, you can choose any LIBERTY Dental Plan-contracted dentist; however, there is no coverage outside of this network. This plan has no annual maximums, no deductibles, and $0 to low out-of-pocket costs.
Dental Plan Comparison Chart
Benefit
Diversified Dental PPO Plan
In-Network Coverage
• Routine annual exam and X-rays
• Routine cleaning twice a year
• $1,200 lifetime maximum
LIBERTY Dental DHMO-EPO Plan
(Benefit Plan NV-400)
In-Network Required
• Routine annual exam and X-rays
• Routine cleaning twice a year
How to Find a Dental Plan Provider
Diversified Dental PPO Plan
Visit ddsppo.com, select Find a Dentist, and follow the instructions.
LIBERTY Dental DHMO-EPO Plan (Benefit Plan NV-400)
See the provider list in your enrollment packet, or visit libertydentalplan.com, and select the Find a Dentist tab. Put in the provider specialty and your address before selecting NV-100 through NV-700 from the Benefit Plan drop-down menu to begin your search. You may also call LIBERTY Dental Plan at 888-401-1128.
Here’s How Dental PPO Providers Save You Money
Diversified Dental PPO providers have agreed to charge discounted, pre-negotiated rates for covered services. When you see a PPO dentist, your share of the cost—your coinsurance—is 20% of this special rate. For example, if your bill is $250, you pay $50 and the plan pays the rest.
If you receive out-of-network dental care, your coinsurance remains 20%. However, the amount charged by out-of-network providers is not pre-negotiated, so it will likely be higher. Plus, if the provider charges more than what the Fund considers to be the allowable expense for that service, you’ll have to pay the difference, too.
Here’s an example:
- The allowable expense for your dental services is $250, but the out-of-network provider charges $300.
- You pay 20% coinsurance on the allowable expense, which is $50.
- You are ALSO responsible for the difference between the provider’s charge and the allowable expense ($300 – $250 = $50).
- So your total cost for the visit is $100.