More detailed searches are possible by clicking on More Search Options. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Some General Dentists Southfield, MI 48075, 1-877-293-2788 8 a.m. to noon and 1 to 5 p.m. The content on the Dental Wellness Center website is provided by go2dental.com. 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. Hospitals or facilities: 1-800-249-5103 Anytime! BlueCare Dental PPO SM * BlueCare Dental HMO SM * P.O. Think of it like a credit union -- exists to serve its membership - NOT for profit. Just use our online search. D/B/A Florida Blue. If you visit a provider or location that is not in your network, you will pay more of the cost. If you have a health plan and a dental plan, keep in mind that dental plans and health plans have different networks and different benefits. You can find yours by selecting your region below. If you're not a Blue Vision provider, send claims to: VSP 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. 8 a.m. to noon and 1 to 5 p.m. Gujarati, State and Federal Privacy laws prohibit unauthorized access to Member's private information. London, KY 40742. 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 . images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting You can write to us by finding your ZIP code with the relevant mailing address. Get access to your employer portal. Hospitals or facilities: 1-800-249-5103 To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 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. TennCare's current dental benefits manager is DentaQuest. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. to this type of specialist. This provides a quick, convenient way to get help in case of a dental emergency. Many specialists also Find yours in our list ofphysician organization consultants (PDF). Monday through Friday. 1-800-762-2382 Step 4: Say "no" when asked if you have additional questions about the determination of a claim. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. When you enroll, you'll partner with us to care for a large and diverse membership. Access Your Payment Options. Blue Care Network 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. When you're contracted with us you have access to a provider consultant. 20500 Civic Center Drive oral structure or require other specialized denture services may be referred to a Prosthodontist. We offer resources to support your practice in serving patients covered by our dental plan. patients to a Periodontist when they are in need of more intensive treatment. This helps us ensure you meet the state requirements for health care. Oral health touches every aspect of our lives but is often taken for granted. 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. Attention: Claim Processing *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Franais, Need help understanding our plans? Step 6:Tell the system the total amount charged. GEHA's mantra is PREVENTIVE HEALTH CARE. Blue Cross Blue Shield of Michigan 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. Get access to your online account. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Say "representative" to reach someone who can help. Vision and hearing providers: 1-800-482-4047. A General Dentist will refer patients to an Oral Pathologist for assistance in 2021 BlueCare Dental PPO (Mid-Market) Plans. Get health assessments, treatment support, and help understanding your plan. You should not think BCBSTX endorses all views you find on this other site. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. 1-800-482-4047 Blue Cross Blue Shield of Michigan 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. BCBS FEP Dental is here to help you learn more about your oral health. 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). Endodontists specialize in the treatment of dental pulp and perform services like root canals, Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. The network providers listed in this directory have agreed to provide you with your health care and dental services. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. You can write to us by matching your area code with the relevant mailing address. For personal medical guidance, please consult your dentist and/or physician. 15. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Box 68753 Lansing, MI 48933. Please Select Your State The resources on this page are specific to your state. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Birmingham, AL 35238-0518. 8:30 a.m. to noon and 1 to 5 p.m. Register Now, Not registered? Automated information is available anytime. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Choose a dental network from the list below to search for a dentist. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . 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. diagnosing oral abnormalities and disease. Our plans include BlueCare SM, TennCare Select and CoverKids. Get access to your online account.Register Now, Not registered? here.Language Assistance Available: Espaol, 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? Locate a dentist or dental specialist in the BCBS FEP Dental network. For example, if you have questions about dental care, talk with your dentist. Most Pediatric Dentists provide different levels of sedation, when needed, and some even 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. 8 a.m. to 5 p.m. Whether you're interested in joining our network or have already partnered with us, we're here to help. that insurance benefits for orthodontia can vary depending on the patient's age, so make Provider Inquiry is for registered, nonregistered and out-of-state providers. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Grand Rapids, MI 49516-8753, Blue Cross Complete Claims You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Pediatric Dentists specialize in dental treatment for young and special needs children. 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. Use our search form to find a dentist quickly and easily. 415 S. McClellan Ave. 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. A dentist may refer you Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Box 551, Minneapolis, MN 55440-0551. Childers Orthodontics Patient Login . This other site may have information about: Please note that your health plan may not cover the items found on this other site. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). 4202 S University Ave, Little Rock, AR 72204 1.14 miles. L07B 8:30 a.m. to noon and 1 to 5 p.m. 1. Get access to your online account.Register Now, Not registered? He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Marquette, MI 49855, Employee Inquiry Detroit, MI 48232-0593, UB-04 claims Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. If your General The network is available through contracted general dentists and specialists throughout Arizona. One option is Adobe Reader which has a built-in reader. Blue Vision providers submit claims electronically directly toVSP. You can find yours by selecting your region: Not sure which region you're in? 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. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Members pay less out-of-pocket and will not be balanced billed. Oral Surgeon / Oral & Maxillofacial Surgeon, Standard and High Option Plan Benefits and Premiums, Benefits when traveling outside the service area, Transferring care if your dentist is no longer part of the network. Just keep in mind you'll need to go through the prompts before you're connected to someone. To view this file, you may need to install a PDF reader program. Not sure which region you're in? 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. Monday through Friday, Care Management--Mail Code C355 Just use our online search. 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. also provide more specialty services, like root canals, extractions, and dentures, Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Box 32593 Are you unable to find your provider in the search results? Employers. The site may also contain non-Medicare related information. You may access the Nondiscrimination and Accessibility notice To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Box 230589 If you have an EPO plan, it only covers care you get from PPO in-network dentists. Access Your Payment Options. 8:30 a.m. to noon and 1 to 5 p.m. 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 Automated information is available anytime. Not all benefits are offered by all Plans mentioned above. There's no coverage when you see Blue Par Select or out-of-network dentists. Leverage your professional network, and get hired. 1-800-249-5103 Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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). Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Note:It can take up to 30 days for a claim to be processed. Detroit, MI 48232-4248, Provider Inquiry Individuals attempting unauthorized access will be prosecuted. Find a dentist. Dr. Michael J. Buckley, MD. have privileges to provide services in a hospital setting. Monday through Friday, Care Management--Mail Code C355 Services from non -participating providers will be subject to the same allowable charges as those from participating . 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). Family Medicine. Get fast, easy access to everything you need when you log in to the secured provider portal. Our automated interactive voice response system provides claims, benefit and cost-share information. Blue Cross Blue Shield FEP Dental The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. 54. Check ereferrals.bcbsm.com for detailed prior authorization information. You can register here. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, 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. We provide health insurance in Michigan. They can also see any dental specialist within the network without a referral. The content on the Dental Wellness Center website is provided by go2dental.com . This new site may be offered by a vendor or an independent third party. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Ting Vit, London, KY 40742. Get access to your online account. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. . 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. Step 6: Tell the system the total amount charged. 1-888-803-4960 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. Step 5: Tell the system the date of service. Within the United States, to search for a dentist by location, supply your city (optional) and state. Individuals attempting unauthorized access will be prosecuted. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Monday through Friday. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. though may also provide dental implants. Just keep in mind you'll need to go through the prompts before you're connected to someone. 2022 BlueCare Dental PPO (Small Group) Plans. Blue Cross Blue Shield of Michigan What do I need to know about credentialing? It is a NON-profit Health Plan -- has been around at least 50 years. Credentialing is a verification process you'll need to pass before you can join our provider network. Dentist cannot provide the treatment you need, they may refer you to a specialist. 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% The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. P.O. The search results will supply: The search may also provide their website, address and office hours. P.O. 2023 BlueCare Dental PPO (Small Group) Plans. Box 7355 This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. External link You are leaving this website/app (site). The information on this other site does not replace professional health care. Box 7355 Register Now. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. referring those over a certain age to continue their dental care with a General Dentist. Once you have located the . General Dentists who don't provide denture services in their clinics may also refer patients Detroit, MI 48226. Get access to your agent portal.Register Now. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. In addition, some sites may require you to agree to their terms of use and privacy policy. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. 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). Today's top 32,000+ Clinic Manager jobs in United States. You can see dental providers in this network knowing your costs are the lowest. 8:30 a.m. to 4:30 p.m. Nominate your provider for inclusion in our network! Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. One option is Adobe Reader which has a built-in reader. Find in-network dentists, too, in a few short steps. Register Now, Learn more about registering for our web tools. Enter your City and State or Zip Code and desired Radius. The content on the Dental Wellness Center website is provided by go2dental.com . Each account comes with tools that let you quickly and easily get your work done. It also verifies that you'll provide quality care to our members. TTY users should call 711. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Monday through Friday Agents. Federal Employee Program providers and facilities: 1-800-482-3600 With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Choose a dental network from the list below to search for a dentist. Monday through Friday Vision and hearing providers: 1-800-482-4047 Get access to your agent portal. Blue Cross Blue Shield of Michigan Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . The site may also contain non-Medicare related information. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . The automated system is available anytime. If you need more information, you can transfer to a customer service representative during business hours. Contact customer service, Heritage Provider service: 1-800-252-2053. 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. 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. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Submit prior authorization requestselectronicallythrough CoverMyMeds. General Dentistry, Oral & Maxillofacial Surgery. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. One Woodward Avenue, Suite 2020 Find a Blue Distinction Center. 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. Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. , Over-the-Counter Tests Expand All | Collapse All 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. Don't have a secured provider portal account yet? HEALTH first - STAR Medicaid: 1-888-672-2277.Dental care If you're a STAR member age 20 and younger, or a CHIP or STAR Kids member, call your dental provider below to find a dentist near you: DentaQuest STAR or STAR Kids members: 1-800-516-0165 CHIP members: 1-800-508-6775 . State and Federal Privacy laws prohibit unauthorized access to Member's private information. Masshealth Dental Provider Login . The full text or spelling is not required for the city and dentist name fields. Periodontists specialize in gums and gum disease. To get credentialed, you'll need to visit CAQH.org. Automated information is available anytime. Box 68710 External link You are leaving this website/app (site). To view this file, you may need to install a PDF reader program. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Verify patient eligibility and benefits provider(s) office is able to offer in support of the patient's specific needs under the Federal American Log In to Availity Don't have an Availity account? If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. 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. they will provide you with a referral. Facility and Special Programs . Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Most PDF readers are a free download. You'll have access to reward programs that seek to transform health care. In addition, some sites may require you to agree to their terms of use and privacy policy. You are entitled to obtain a detailed understanding of additional services or assistance that the Learn About Virtual Care Florida Blue Centers See a nurse. Blue Cross NC Dental Products and Network Overview Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. You'll need to use e-referral for Medicare Plus Blue authorization requests. 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. Get access to your agent portal.Register Now. Not all Endodontists will provide endodontic services Get Emergency Care (Teledentistry) . 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. P.O. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. 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. an appointment. Questions About Your Benefits? Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Cigna Dental Insurance Plans* P.O. 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. Learn more about eligibility and resources for uniformed service members transitioning to retirement. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, BCBSTX and go2dental.com are separate companies. HMO subsidiary Blue Care Network proposes a 6.9. . Monday through Friday, 1-800-431-1059 Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. If your General Dentist feels that you require a specialist, the head, neck, face, and jaws. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. It can also send you a copy of your claim's status. Tagalog, Both benefit plan options pay network dentist at SMA; however, one plan pays out-of-network dentists at SMA and the other pays at U&C. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist.
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