1-800-822-2761 To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. Periodontists specialize in gums and gum disease. 1-800-762-2382 An independent licensee of the Blue Cross and Blue Shield Association. Say "no" when asked if you have additional questions about the determination of a claim. Register Now, Learn more about registering for our web tools. In addition, some sites may require you to agree to their terms of use and privacy policy. Members pay less out-of-pocket and will not be balanced billed. During surges in COVID-19, we've taken significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers. A General Dentist will refer patients to an Oral Pathologist for assistance in Members may enroll in the plan only during specific times of the year. The automated system is available anytime. Exclusive Savings for Dental Network Providers Our Dental Provider Savings Program offers network providers discounts of up to 40% on in-demand products (PPE equipment, scanners), lab services (implants, clear aligners, dentures), and turnkey teledentistry solutions for your office. ---OR---------------------------------------------------------, ---OR-------------------------------------------. 15. Your first stop will usually be a General Dentist. We provide health insurance in Michigan. Find a Blue Distinction Center. Blue Cross and Blue Shield of Illinois (BCBSIL) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. The information on this other site does not replace professional health care. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. TrademarkElite is the U.S. #1 Trademark Search and Registration Service :: BLUE GLOBAL SOLUTIONS is a trademark and brand of Blue Cross and Blue Shield Association, Chicago, IL . Access Your Payment Options. 2023 BlueCare Dental PPO (Small Group) Plans. For more information, see: Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. Blue Cross Blue Shield of Arizona. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. BCBSTX is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as: BCBSTX cannot guarantee the accuracy of any statements made on other websites. Endodontists specialize in the treatment of dental pulp and perform services like root canals, require a referral from a General Dentist prior to scheduling Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. 8:30 a.m. to noon and 1 to 5 p.m. Our plans include BlueCare SM, TennCare Select and CoverKids. Box 69436, Harrisburg, PA 17106-9436. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Providers (doctors, dentists, hospitals or other health care professionals). How do I submit a prior authorization request? If you need additional guidance, read the Dentaquest Dental Manual (PDF). 8 a.m. to 7 p.m. 8:30 a.m. to noon and 1 to 5 p.m. Call our customer service number on the back of your ID card to report information that is wrong. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. 2022 BlueCare Dental PPO (Small Group) Plans. Individuals attempting unauthorized access will be prosecuted. Blue Cross Blue Shield of Michigan Though many General Dentists provide dentures in their offices, patients who have unique Vision providers who can't access their account or need more information can read the Blue Vision Provider Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments Once you have located the . Submit prior authorization requestselectronicallythrough CoverMyMeds. Dental Plans. P.O. Most PDF readers are a free download. Individuals attempting unauthorized access will be prosecuted. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Locate a dentist or dental specialist in the BCBS FEP Dental network. 20500 Civic Center Drive BlueCare TennCare health care plan for many lower income pregnant women, parents or caretaker relatives of minor children, children, seniors and Tennesseans with disabilities See more TennCare Select Polskie, Not sure which region you're in? Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Get access to your online account.Register Now, Not registered? You are entitled to obtain a detailed understanding of additional services or assistance that the If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? BCBS FEP Dental has nearly half a million provider access points nationwide to receive in-network services, a customer service team dedicated to exceeding your expectations, online tools to make your life easier, and a variety of options and benefits to meet your needs. The site may also contain non-Medicare related information. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Providers in the network are not available to provide dental services that are available under medical plans, such as, dental accidents and pediatrics dental services. The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). If your General Dentist feels that you require a specialist, also provide more specialty services, like root canals, extractions, and dentures, Get access to your member portal. Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association NOT FOR DISTRIBUTION TO BENEFICIARIES, MEMBERS, OR PROSPECTS BlueCare Dental Classic Plans 1,2 BlueCare Dental Classic plans cover only one person per policy. Say "date of service" to learn about a different claim. The network providers listed in this directory have agreed to provide you with your health care and dental services. Get access to your agent portal. Adult Dental Services Provider Inquiry Mail Code 0301 Get access to your member portal. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Step 5: Tell the system the date of service. for all dentists in cities starting with "C," enter "C" for the city. Find yours in our list ofphysician organization consultants (PDF). Blue Cross Blue Shield of Michigan Automated information is available anytime. For personal medical guidance, please consult your dentist and/or physician. Returning Shopper? If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Birmingham, AL 35238-0518. For Providers: Contact Us If you're a provider who needs to contact us about one of our Blue Cross Blue Shield of Michigan, Blue Care Network or our Medicare products, start here. Learn more about eligibility and resources for uniformed service members transitioning to retirement. Get access to your online account. London, KY 40742. 2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. 8 a.m. to 5 p.m. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). , view our International Directory. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Monday through Friday Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. , Box 33248 referring those over a certain age to continue their dental care with a General Dentist. NEW CLAIMS SUBMISSION MAILING ADDRESS. More detailed searches are possible by clicking on More Search Options. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. and Prevention (CDC), and state and local public health departments. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage. If your General Just use our online search. The information on this other site may not always state the views of BCBSTX. Southfield, MI 48075. Dentist cannot provide the treatment you need, they may refer you to a specialist. Franais, You'll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. Log In to Availity Don't have an Availity account? Box 68710 Box 7355 Monday through Friday. , takes the health and well-being of our members, providers, our associates and our business partners seriously. When you have a Blue Dental PPO plan, you have coverage from three networks of dental professionals: PPO in-network dentists are contracted to fully accept Blue Dental coverage. Register Now. Need help understanding our plans? This helps us ensure you meet the state requirements for health care. have privileges to provide services in a hospital setting. If you call before 30 days, we may not be able to check your claim through our automated phone system. diagnosing oral abnormalities and disease. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. For details on a provider's in-network status or your own policy's coverage, contact your Local Blue Plan and ask your provider before making an appointment. Do you have questions about dental benefits not answered here? Referrals to the University of Michigan Health System and Henry Ford Health System Referrals to these two health systems require using specialty group NPIs rather than referring to an individual practitioner. 8 a.m. to noon and 1 to 5 p.m. Cigna Dental Insurance Plans* You should not think BCBSTX endorses all views you find on this other site. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. We also offer two Dental PPO benefit structures. Box 68753 The automated system is available anytime. Automated information is available anytime. Employers. Some General Dentists Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Dr. Michael J. Buckley, MD. Detroit, MI 48232-0593, UB-04 claims 1-800-482-5982 Monday through Friday. P.O. Box 310166 The content on the Dental Wellness Center website is provided by go2dental.com . Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. , Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health 1-888-826-8152 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 54. One option is Adobe Reader which has a built-in reader. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. You can register here. Federal Employee Program providers and facilities: 1-800-482-3600 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). This new site may be offered by a vendor or an independent third party. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Hospitals or facilities: 1-800-249-5103 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. 8:30 a.m. to noon and 1 to 5 p.m. Register Now, Not registered? *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. The content on the Dental Wellness Center website is provided by go2dental.com. You can find yours by selecting your region: Not sure which region you're in? Monday through Friday. If your the Blue Cross and Blue Shield of Oklahoma (BCBSOK) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. During this unprecedented time, we're taking action to support our members. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Get access to your agent portal. You can find yours by selecting your region below. Not registered? Blue Cross Blue Shield FEP Dental This new site may be offered by a vendor or an independent third party. Southfield, MI 48075, 1-877-293-2788 Agents. Sun Life Dental Login . Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. It's just one more way that Florida Blue is with you. State and Federal Privacy laws prohibit unauthorized access to Member's private information. This provides a quick, convenient way to get help in case of a dental emergency. Credentialing is a verification process you'll need to pass before you can join our provider network. Behavioral Health Services. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. P.O. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. You are going to a different website. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control State and Federal Privacy laws prohibit unauthorized access to Member's private information. A dentist may refer you P.O. Step 1: Say "claims" when the system asks why you're calling. Providers in the network are not available to provide dental services that are available under medical plans, such as, dental accidents and pediatrics dental services. Gujarati, Blue Cross Blue Shield of Michigan Tagalog, Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . TTY users should call 711. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Box 312599 Grand Rapids, MI 49516-8753, Blue Cross Complete Claims however, available treatment will vary for each provider. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. You'll have access to reward programs that seek to transform health care. Say "claims" when the system asks why you're calling. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. We offer two ways to find patient eligibility information by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. Find in-network dentists, too, in a few short steps. Blue Dental SM PPO Plus 80/60/50 With Vision This plan offers coverage for in- or out-of-network dentists for the entire family, plus adult vision coverage. provider(s) office is able to offer in support of the patient's specific needs under the Federal American We provide health insurance in Michigan. Health Savings Accounts and Health Care Accounts, 2023 BlueCare Dental PPO (Small Group) Plans, 2022 BlueCare Dental PPO Small Group SBCs, savings for employers and their employees, out-of-network claims paid at SMA or usual and customary (U&C). Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. There's no coverage when you see Blue Par Select or out-of-network dentists. Welcome to DNoA Connect, a provider self-service tool where dental offices can conveniently connect to patient information for members serviced by Dental Network of America (DNoA). 8 a.m. to 6 p.m. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Fully Insured Small Group Summary of Dental Benefits. When the plan pays non-PPO dentists at U&C, the employer savings are less, employees are balanced billed and their out-of-pocket costs are slightly higher. Verify patient eligibility and benefits Facility and Special Programs google drive shared folder empty The Blue Cross Blue Shield of Georgia Premier Plus PPO health care plans offer the highest level of benefits available. You'll need to use e-referral for Medicare Plus Blue authorization requests. Blue Cross and Blue Shield of Texas (BCBSTX) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Physicians and professionals: 1-800-344-8525 Hospitals or facilities: 1-800-249-5103 Vision and hearing providers: 1-800-482-4047 Federal Employee Program providers and facilities: 1-800-840-4505 While our automated response system is available to any provider who needs it, we strongly encourage providers to log in or learn how to get an account. 1-800-249-5103 Blue Care Network 20500 Civic Center Dr. Southfield, MI 48076 Group number: 001243160001 Consider a Health Care Flexible Spending Account If you are eligible, you may want to consider enrolling in a pre-tax health care Flexible Spending Account (FSA) to complement your health plan. Keep in mind For services from dentists who are not in the BlueDental PPO (BluePreferred Dental) Network, What You Need to Know About the BlueDental PPO (BluePreferred Dental) Network, Those who purchased ACA plans through HealthCare.gov and need to access out-of-Arizona pediatric dental coverage. Please consider an upgrade or using a different device. Dental Network Listing Augustyn, Mary TARA BOYLE DDS 10040 Woodland Rd Lenexa, KS 66220 (913) 768-6800 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: F Accepting new patients: Y Ayer, Dennis 2301 West 143rd St Leawood, KS 66224 (913) 246-3000 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: M Accepting new . Grand Rapids, MI 49516-8710, BCN Advantage Claims . In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Enter your City and State or Zip Code and desired. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Not Registered? If you don't have an account yet, you can check claims for with our automated system. Because of this, Blue Cross and Blue Shield of Illinois is able to offer dental plans with: Members realize the most savings when care is received from PPO dentists. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Monday through Friday. It is a NON-profit Health Plan -- has been around at least 50 years. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. California Dental Network Provider Login . It links network providers and Blue Cross Blue Shield Plans across the country and around the world. 8 a.m. to 4 p.m. The automated system is available anytime. Monday through Friday, 1-800-431-1059 Orthodontists specialize in tooth and jaw positioning and alignment. Step 6: You will then be transferred to the servicing center for assistance. periodontal services, like deep cleanings (scaling and root planning), they will often refer Just keep in mind you'll need to go through the prompts before you're connected to someone. Many specialists also You can also talk to your provider consultant. as well as treatment services, like fillings and crowns. Blue Cross and Blue Shield of Montana (BCBSMT) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Blue Cross, Blue Shield and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. As an alternative, you may enter a ZIP code. Blue Cross Blue Shield of Michigan Contact the plan for more information. . on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Once you have located the provider, you need to log in to e-referral to submit the referral request using the provider's name or NPI. The full text or spelling is not required for the city and dentist name fields. When you enroll, you'll partner with us to care for a large and diverse membership. 8:30 a.m. to noon and 1 to 5 p.m. Anytime! with orofacial skin. Provider Inquiry is for registered, nonregistered and out-of-state providers. Our web portalpowered by Availitymakes doing business with Anthem even easier. In addition, some sites may require you to agree to their terms of use and privacy policy. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. In addition, some sites may require you to agree to their terms of use and privacy policy. When issuing a referral or outpatient authorization for a hospital, referring providers should enter the facility NPI in the e-referral Servicing Facility ID field. Get access to your employer portal. The network has more than 5,600 locations within AZ and over 350,000 locations . Watch our videos to learn how specialty benefit plans offered by your employer may work for you so you can make informed decisions during open enrollment. Or, you can call 1 (855) 352-1604 for a free quote, Mon-Fri, 8 am - 8 pm, ET When is Cigna Dental Insurance right for you? Just use our online search. The content on the Dental Wellness Center website is provided by go2dental.com . Box 7355 Contact customer service, Heritage Provider service: 1-800-252-2053. Where can I get dental costs and information? The content on the Dental Wellness Center website is provided by go2dental.com . BCBSTX and go2dental.com are separate companies. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Many Periodontists also provide dental implant services. You can write to us by finding your ZIP code with the relevant mailing address. To view this file, you may need to install a PDF reader program. Portugus, We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. P, One option is Adobe Reader which has a built-in reader. P.O. Fep Blue Dental Provider Login . Masshealth Dental Provider Login . Free language assistance to people whose primary language is not English, such as: Calling Blue Cross Blue Shield FEP Dental at 1-855-504-BLUE (2583), dial 711 for TTY relay services. Childers Orthodontics Patient Login . to this type of specialist. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Need more information? 1-800-482-4047 If you are a BCBSTX member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number listed on your BCBSTX member ID card. The content on the Dental Wellness Center website is provided by go2dental.com. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . BCBSMT and go2dental.com are separate companies. Detroit, MI 48226. Questions About Your Benefits? The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Online tools provide you with information and support anytime. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. The BlueCare Dental HMO network includes specialists such as oral surgeons, orthodontists, pediatric dentists, endodontists (specialists in diseases of the nerve within the tooth) and periodontists (specialists in diseases of the gums and tissues). Provider Finder Find a dentist in . Most PDF readers are a free download. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care.
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