blue care network dental providers

Monday through Friday. Passive plan options pay out-of-network dental services at U&C. TTY users should call 711. Masshealth Dental Provider Login . Well use the estimated cost of a filling based on prices in Southeast Michigan and a member who has a Blue Dental plan that covers fillings at 50 percent. Just keep in mind you'll need to go through the prompts before you're connected to someone. Providers. 1-888-826-8152 Click to view logins links, most visited site links, social handles and contact information etc. Locate a dentist or dental specialist in the BCBS FEP Dental network. Not all benefits are offered by all Plans mentioned above. More detailed searches are possible by clicking on More Search Options. Keep in mind oral structure or require other specialized denture services may be referred to a Prosthodontist. Endodontists specialize in the treatment of dental pulp and perform services like root canals, It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Get access to your member portal. The automated system is available anytime. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. You are going to a different website. Just keep in mind you'll need to go through the prompts before you're connected to someone. , e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. 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? With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. P.O. Register Now, Not registered? The information on this other site does not replace professional health care. You can write to us by finding your area code with the relevant mailing address. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). patients to a Periodontist when they are in need of more intensive treatment. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. If you're practicing outside Michigan, use these documents to learn how to submit a prior authorization: 1996-2023 Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Cigna Dental Insurance Plans* L07B If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Birmingham, AL 35238-0518. 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. Marquette, MI 49855, Employee Inquiry Blue Cross Blue Shield of Michigan Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Blue Cross Blue Shield of Michigan Find in-network dentists, too, in a few short steps. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Blue Care Network Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Florida Blue and Florida Combined Life Insurance Company, Inc. do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. provider(s) office is able to offer in support of the patient's specific needs under the Federal American When a ZIP code is supplied, the city and state values are ignored. Monday through Friday . After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Learn more >, Not registered? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). for all dentists in cities starting with "C," enter "C" for the city. Vision and hearing providers: 1-800-482-4047. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. As an alternative, you may enter a ZIP code. Step 7:Listen to your claim's status, which includes the following information: Step 8: After listening to the claim's status, you'll have the following choices: The automated system is available anytime. Blue Cross Blue Shield of Michigan 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 as well as treatment services, like fillings and crowns. Federal Employee Program providers and facilities: 1-800-482-3600 Step 5: Tell the system the date of service. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. 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). Online tools provide you with information and support anytime. Our nationwide plans are available to almost anyone. Once you have located the . Elevance Health, Inc. is an American health insurance provider. From April 1 to September 30, on weekends and holidays you may be required to leave a message. . Adult Dental Services They can also see any dental specialist within the network without a referral. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. P.O. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Physicians and professionals: 1-800-344-8525 Delta Dental Il Employer Login . NEW CLAIMS SUBMISSION MAILING ADDRESS. In addition, some sites may require you to agree to their terms of use and privacy policy. 1-800-482-4047 Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Take a class. have privileges to provide services in a hospital setting. P.O. The automated system is available anytime. Think of it like a credit union -- exists to serve its membership - NOT for profit. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Please Select Your State The resources on this page are specific to your state. Blue Care Network During this unprecedented time, we're taking action to support our members. You'll have access to reward programs that seek to transform health care. General Dentistry, Oral & Maxillofacial Surgery. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Not Registered? Step 6: Tell the system the total amount charged. Where can I get dental costs and information? You can also talk to your provider consultant. 8:30 a.m. to noon and 1 to 5 p.m. Detroit, MI 48232-4248, Provider Inquiry We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control 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. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. BlueCare Dental (Traditional National PPO) * Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. For Michigan Providers: Summary of Utilization Management Programs (PDF), Provider Prior Authorization and Precertification Requirements for BCBSM and Medicare Plus Blue, For Michigan Providers: BCN Referral and Prior Authorization Requirements (PDF), For Non-Michigan providers: Referral and Authorization Requirements (PDF), Important Information About MedicarePlans, Your 10-digit national provider identifier, BCBSM PIN or facility code, The members contract number, date of birth, the spelling of their first name and their ZIP code, Member liability, including deductible, coinsurance and copays. Blue Cross Blue Shield of Michigan Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. This other site may have information about: Please note that your health plan may not cover the items found on this other site. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Box 2227 Pediatric Dentists specialize in dental treatment for young and special needs children. Find a Dentist. Box 33248 Provider Inquiry is for registered, nonregistered and out-of-state providers. 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Get access to your agent portal.Register Now. Find a dentist. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Facility and Special Programs Note:It can take up to 30 days for a claim to be processed. Physicians and professionals: 1-800-344-8525 Dr. Michael J. Buckley, MD. If you have a question, please call Customer Service at 1-855-504-BLUE. If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. It's just one more way that Florida Blue is with you. 1-800-762-2382 8 a.m. to noon and 1 to 5 p.m. Monday through Friday, Care Management--Mail Code C355 Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. 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). Blue Vision providers submit claims electronically directly toVSP. 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. Not sure which region you're in? Say "representative" to reach someone who can help. , Blue Cross Blue Shield is part of the Anthem family of brands, which features a vast network of dental providers located all over the U.S. Blue Cross Blue Shield Medicare Advantage (Medicare Part C) plans and Medicare plans from other Anthem brands can often cover a range of dental benefits. 1-844-876-7917 We offer resources to support your practice in serving patients covered by our dental plan. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Most PDF readers are a free download. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Verify patient eligibility and benefits Call our customer service number on the back of your ID card to report information that is wrong. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims The network has more than 5,600 locations within AZ and over 350,000 locations . 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. We provide health insurance in Michigan. Southfield, MI 48075, 1-877-293-2788 HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . 8 a.m. to noon and 1 to 5 p.m. Vision and hearing providers: 1-800-482-4047 Register Now, Not registered? Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Physicians and professionals: 1-800-344-8525 For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. Questions About Your Benefits? General Dentists can provide many preventive services, like exams and cleanings, P.O. Individuals attempting unauthorized access will be prosecuted. Referrals to a hospital For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. Get access to your agent portal. Say "date of service" to learn about a different claim. There's no coverage when you see Blue Par Select or out-of-network dentists. Check ereferrals.bcbsm.com for detailed prior authorization information. 232 S Capitol Ave Though many General Dentists provide dentures in their offices, patients who have unique Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. Determine approximate dental fees in the marketplace with the Dental Cost Advisor SM; Log in to Blue Access for Employers SM and visit the Health and Wellness tab within the Employer Resources section, or contact your Blue Cross and Blue Shield representative to find out more about how BlueCare Dental Connection can add value to your group's . the head, neck, face, and jaws. In addition, some sites may require you to agree to their terms of use and privacy policy. You can register here. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. A General Dentist will refer patients to an Oral Pathologist for assistance in Step 5: Tell the system the date of service provided. Box 68753 It's important to understand your dental plan and what coverage you have as it may impact which dentists you can see and your costs when using them. Many Periodontists also provide dental implant services. . Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. 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). Detroit, MI 48231-2599, Blue Cross Complete claims After you've enrolled, you can register for a provider portal account. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . P, BlueCare Dental Classic Basic3 In Network Out of Network In Network Out of Network In Network Out of Network Monthly Rates for BlueCare Dental Classic 6 Region 1 7 Region 2 8 Region 1 7 Region 2 8 Region 1 7 Region 2 8 Individual Member $59.64 $54.98 $34.76 $31.85 $21.55 $19.27 Diagnostic Evaluations 100% 4100% 80% 80% 100% 4100% view our International Directory. Say "fax or email" to receive a copy of your claim's status. BCBSOK and go2dental.com are separate companies. The above is a listing of common services available through your network of Participating Dentists. If you're not a Blue Vision provider, send claims to: VSP GEHA's mantra is PREVENTIVE HEALTH CARE. Need more information? It can also send you a copy of your claim's status. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Get access to your member portal. If you need more information, you can transfer to a customer service representative during business hours. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). Find a Blue Distinction Center. Monday through Friday. Some of the features used to display this website may not function properly. diagnosing oral abnormalities and disease. We also offer two Dental PPO benefit structures. It's more than just business when you join the Blue Cross network. Register Now, Not registered? Do keep in mind that as most 2021 BlueCare Dental PPO (Mid-Market) Plans. Some General Dentists Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. A dentist may refer you Though General Dentists can often perform some More detailed searches are possible by clicking on More Search Options. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Your first stop will usually be a General Dentist. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Find yours in our list ofphysician organization consultants (PDF). Dental Provider Services Contact our dental team to report changes to your practice or for questions about Blue Cross NC dental contracts, policies and procedures. like alveoplasties or cleft lip/palate surgery. takes the health and well-being of our members, providers, our associates and our business partners seriously. P.O. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. We provide health insurance in Michigan. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Log In to the Shopping Cart, Need to Make a Payment? This new site may be offered by a vendor or an independent third party. Monday through Friday Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. Individuals attempting unauthorized access will be prosecuted. 8 a.m. to 7 p.m. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. 1-800-344-8525 Attention: Claim Processing When you're contracted with us you have access to a provider consultant. referring those over a certain age to continue their dental care with a General Dentist. Detroit, MI 48232-0593, UB-04 claims If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. For example, to search Blue Cross and Blue Shield of Illinois, aDivision of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). For plans with Part D Coverage: You may be able to get Extra Help to pay for your . Blue Cross and Blue Shield of Oklahoma (BCBSOK) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Our web portalpowered by Availitymakes doing business with Anthem even easier. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. they will provide you with a referral. Just keep in mind you'll need to go through the prompts before you're connected to someone. Say "another member" to inquire on another member. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Detroit, MI 48231-0166, Federal Employee Program claims HMO subsidiary Blue Care Network proposes a 6.9. . 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). The content on the Dental Wellness Center website is provided by go2dental.com . 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 . Get access to your online account. 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. Monday through Friday. If your General Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Learn more about eligibility and resources for uniformed service members transitioning to retirement. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Quality Care That's Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find.BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. When you enroll, you'll partner with us to care for a large and diverse membership. Members pay less out-of-pocket and will not be balanced billed. Fully Insured Small Group Summary of Dental Benefits. To get credentialed, you'll need to visit CAQH.org. One option is Adobe Reader which has a built-in reader. 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. Out-of-network dentists do not participate in any arrangement with Blue Cross. Monday through Friday Gujarati, RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . Our plans include BlueCare SM, TennCare Select and CoverKids. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Heres how they compare. Automated information is available anytime. Box 312599 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. Family Medicine. Choose a dental network from the list below to search for a dentist. Not Registered? Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. BlueCare Dental PPO SM * BlueCare Dental HMO SM * Individuals attempting unauthorized access will be prosecuted. London, KY 40742. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Enter your City and State or Zip Code and desired. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. 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. Oral health touches every aspect of our lives but is often taken for granted. Coverage for treatments varies depending on the member's benefit plan. 1-877-258-0167

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