Members pay less out-of-pocket and will not be balanced billed. Physicians and professionals: 1-800-344-8525 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). Box 68710 BCBS FEP Dental is here to help you learn more about your oral health. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Call our Member Services department Monday - Friday from 8 am to 5 pm. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). , Blue Cross Blue Shield of Michigan Ting Vit, To get credentialed, you'll need to visit CAQH.org. The network is available through contracted general dentists and specialists throughout Arizona. It can also send you a copy of your claim's status. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Register Now, Not registered? Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues 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. Some General Dentists 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. You can use our automated system to reach a representative to discuss your claim's outcome. Box 551, Minneapolis, MN 55440-0551. Click to view logins links, most visited site links, social handles and contact information etc. General Dentists who don't provide denture services in their clinics may also refer patients Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Blue Dental Personal plans for individuals and families, Important Information About Medicare Plans. 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. 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. Individuals attempting unauthorized access will be prosecuted. Access Your Payment Options. This new site may be offered by a vendor or an independent third party. Access Your Payment Options. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. What do I need to know about credentialing? Learn more about eligibility and resources for uniformed service members transitioning to retirement. Box 230589 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. Though General Dentists can often perform some Dentists in the DPPO network have agreed to pre-determined fees for their services. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. The above is a listing of common services available through your network of Participating Dentists. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Box 310166 We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. It's just one more way that Florida Blue is with you. Quickly find a general dentist or specialist. Think of it like a credit union -- exists to serve its membership - NOT for profit. Essential Vision providerssubmit claims throughHeritage Vision Plan. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. You are going to a different website. When you enroll, you'll partner with us to care for a large and diverse membership. Our nationwide plans are available to almost anyone. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Provider Inquiry is for registered, nonregistered and out-of-state providers. 1-800-249-5103 As an alternative, you may enter a ZIP code. Whether you're interested in joining our network or have already partnered with us, we're here to help. 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? Facility and Special Programs 8 a.m. to 5 p.m. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California, [2 . Box 2227 Monday through Friday, Care Management--Mail Code C355 Dental Care websites are listed below. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . 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. Monday through Friday. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Find yours in our list ofphysician organization consultants (PDF). Adult Dental Services 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). Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. periodontal services, like deep cleanings (scaling and root planning), they will often refer Federal Employee Program providers and facilities: 1-800-840-4505. External link You are leaving this website/app (site). The automated system is available anytime. 28 Years Experience. It is a NON-profit Health Plan -- has been around at least 50 years. 1-800-762-2382 Box 32593 State and Federal Privacy laws prohibit unauthorized access to Member's private information. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Learn About Virtual Care Florida Blue Centers See a nurse. A dentist may refer you Provider Inquiry Mail Code 0301 MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. takes the health and well-being of our members, providers, our associates and our business partners seriously. 1-877-258-0167 Box 69436, Harrisburg, PA 17106-9436. Step 6: Tell the system the total amount charged. General Dentistry, Oral & Maxillofacial Surgery. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. BCBSTX assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center website; go2dental.com issolely responsible for the content and any advice given on its website. Referrals to a hospital Monday through Friday That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. 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). We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control Note:It can take up to 30 days for a claim to be processed. Find a Blue Distinction Center. Free aids and services for people with disabilities to communicate effectively with us, such as: Written information in other formats (such as accessible electronic formats). on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. 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. Masshealth Dental Provider Login . In a PPO plan, costs are typically reduced when members receive care from network providers. with orofacial skin. We provide health insurance in Michigan. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Get access to your online account.Register Now, Not registered? Where can I get dental costs and information? 15. Monday through Friday Coverage for treatments varies depending on the member's benefit plan. 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. The automated system is available anytime. London, KY 40742. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Detroit, MI 48232-4248, Provider Inquiry Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Each account comes with tools that let you quickly and easily get your work done. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Childers Orthodontics Patient Login . BCBSMT and go2dental.com are separate companies. Monday through Friday. 8:30 a.m. to noon and 1 to 5 p.m. Get Emergency Care (Teledentistry) . In addition, some sites may require you to agree to their terms of use and privacy policy. To view this file, you may need to install a PDF reader program. Many Periodontists also provide dental implant services. BCBSTX and go2dental.com are separate companies. 8 a.m. to 7 p.m. 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. Say "representative" to reach someone who can help. Attention: Claim Processing . During this unprecedented time, we're taking action to support our members. 415 S. McClellan Ave. Blue Care Network Not all Endodontists will provide endodontic services Provider Finder Find a dentist in . Many specialists also Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. ACCESS MANUALS. Birmingham, AL 35238-0518. This provides a quick, convenient way to get help in case of a dental emergency. 1. Register Now, Learn more about registering for our web tools. The site may also contain non-Medicare related information. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Log In to the Shopping Cart, Need to Make a Payment? HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Get access to your online account. Questions About Your Benefits? One option is Adobe Reader which has a built-in reader. Automated information is available anytime. Passive plan options pay out-of-network dental services at U&C. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Dr. Michael David Stout, MD. Get access to your member portal. Automated information is available anytime. Calls will be returned the next business day. Our web portalpowered by Availitymakes doing business with Anthem even easier. 2021 BlueCare Dental PPO (Mid-Market) Plans. In addition, some sites may require you to agree to their terms of use and privacy policy. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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% 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. The site may also contain non-Medicare related information. Note: The FEP phone system has a different set of prompts than the others. Log In to Availity Don't have an Availity account? 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. 8 a.m. to noon and 1 to 5 p.m. 20500 Civic Center Drive BCBSOK and go2dental.com are separate companies. You can see dental providers in this network knowing your costs are the lowest. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Learn more >, Not registered? Services from non -participating providers will be subject to the same allowable charges as those from participating . If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. 1-800-344-8525 Detroit, MI 48231-2599, Blue Cross Complete claims 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. Register Now, Learn more about registering for our web tools. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. For personal medical guidance, please consult your dentist and/or physician. Enter your City and State or Zip Code and desired Radius. 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 Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. We provide dental claim and network administration services for Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas, as well as . Get fast, easy access to everything you need when you log in to the secured provider portal. P.O. Get access to your online account. The search results will supply: The search may also provide their website, address and office hours. that insurance benefits for orthodontia can vary depending on the patient's age, so make GEHA's mantra is PREVENTIVE HEALTH CARE. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Box 68753 Over-the-Counter Tests Expand All | Collapse All Submit prior authorization requestselectronicallythrough CoverMyMeds. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . 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. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Blue Cross Blue Shield of Michigan Find a dentist. The automated system is available anytime. To view this file, you may need to install a PDF reader program. All here in your neighborhood. When a ZIP code is supplied, the city and state values are ignored. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Today's top 32,000+ Clinic Manager jobs in United States. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Most PDF readers are a free download. External link You are leaving this website/app (site). Blue Cross Blue Shield FEP Dental For plans with Part D Coverage: You may be able to get Extra Help to pay for your . Get access to your member portal. You can find yours by selecting your region: 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 . The content on the Dental Wellness Center website is provided by go2dental.com. Take Action. TTY users: To reach any number listed here, dial 711. You can write to us by finding your ZIP code with the relevant mailing address. You may access the Nondiscrimination and Accessibility notice One option is Adobe Reader which has a built-in reader. Register Now. P.O. , It also verifies that you'll provide quality care to our members. however, available treatment will vary for each provider. Register Now. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. BCBSIL and go2dental.com are separate companies. 8:30 a.m. to noon and 1 to 5 p.m. patients to a Periodontist when they are in need of more intensive treatment. If your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. 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 Looking for a specific dentist or clinic? Oral health touches every aspect of our lives but is often taken for granted. 8:30 a.m. to noon and 1 to 5 p.m. Find a Dentist. View our map (PDF). 40 Years Experience. Get access to your agent portal. Family Medicine. Individuals attempting unauthorized access will be prosecuted. Physicians and professionals: 1-800-344-8525 BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. 8:30 a.m. to noon and 1 to 5 p.m. Individuals attempting unauthorized access will be prosecuted. Need more information? 1-800-482-4047 BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. If you call before 30 days, we may not be able to check your claim through our automated phone system. Blue Vision providers submit claims electronically directly toVSP. Contact customer service, Heritage Provider service: 1-800-252-2053. 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. Enter your City and State or Zip Code and desired. Choose a dental network from the list below to search for a dentist. This trademark application was filed with the USPTO (United States Patent and Trademark Office) under the trademark classification: Medical, Beauty & Agricultural Services ; Insurance & Financial Services; The BLUE . 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. 1996-document.write(new Date().getFullYear()); Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association. Providers. Don't have a secured provider portal account yet? 8:30 a.m. to noon and 1 to 5 p.m. 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. Find in-network dentists, too, in a few short steps. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans An independent licensee of the Blue Cross and Blue Shield Association. If you need more information, you can transfer to a customer service representative during business hours. provider(s) office is able to offer in support of the patient's specific needs under the Federal American You can write to us by finding your area code with the relevant mailing address. One Woodward Avenue, Suite 2020 We also offer two Dental PPO benefit structures. The network providers listed in this directory have agreed to provide you with your health care and dental services. 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. 54. Not sure which region you're in? P.O. Most PDF readers are a free download. Blue Cross Blue Shield of Arizona. 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). With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Kreyol Ayisien, More detailed searches are possible by clicking on More Search Options. A General Dentist will refer patients to an Oral Pathologist for assistance in Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. The content on the Dental Wellness Center website is provided by go2dental.com. State and Federal Privacy laws prohibit unauthorized access to Member's private information. an appointment. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. 8:30 a.m. to 4:30 p.m. Take a class. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Locate a dentist or dental specialist in the BCBS FEP Dental network. oral structure or require other specialized denture services may be referred to a Prosthodontist. The site may also contain non-Medicare related information. 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). Employers. We provide health insurance in Michigan. 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. Not all benefits are offered by all Plans mentioned above. Register Now, Not registered? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Ask A Dentist Ask licensed dentist questions about dental care. 1-855-504-2583 If youre an administrative office of a medical care group, you have access to a professional organization consultant. TTY users should call 711. Hospitals or facilities: 1-800-249-5103 Get access to your employer portal. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. 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. Register Now, Not registered? Box 7355 If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Say "fax or email" to receive a copy of your claim's status. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. You are entitled to obtain a detailed understanding of additional services or assistance that the Dental Plans. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Physicians and professionals: 1-800-344-8525 The content on the Dental Wellness Center website is provided by go2dental.com . Youll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. 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). When you're contracted with us you have access to a provider consultant.
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