Please fill out the form below to make a payment for your Healthcare Exchange dental coverage through LIBERTY Dental Plan. You also have the option to click here to print the form and mail your payment for 2018 coverage. Please note that checks should be made payable to LIBERTY Dental Plan.
For subsequent payments: Please visit https://libertydentalplan.ixt.com to set up an account to view and pay your invoices. You can also make your payment using our automated payment system at (877) 484-4345.
Click here to print the form and mail your 2017 Special Enrollment Period Late Payment. Checks should be made payable to LIBERTY Dental Plan.
Does your dental plan have a subsidy?
The name and address entered must match the name and address on file with your bank or credit card account.
Due to new billing functionality that will be made available for 2018 plans, LIBERTY is no longer accepting requests to setup recurring payments. All 2017 recurring payment plans will expire as of November 10th, 2017.
To verify you are not a robot, please type the phrase below.
I authorize LIBERTY Dental Plan to charge the Total Amount Owed to the payment method selected above.
I understand that eligibility will begin on the proposed effective date, pending enrollment confirmation from Federal Exchange NV and successful payment processing.