P.O. If you have an EPO plan, it only covers care you get from PPO in-network dentists. Fep Blue Dental Provider Login . 1-800-482-5982 Box 2227 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% Hospitals or facilities: 1-800-249-5103 Step 6:Tell the system the total amount charged. Sun Life Dental Login . 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. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Our plans include BlueCare SM, TennCare Select and CoverKids. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic We have several tools and resources available to help you make informed decisions about your plan and make the most of your BCBS FEP Dental coverage. Members may enroll in the plan only during specific times of the year. You can use our automated system to reach a representative to discuss your claim's outcome. Think of it like a credit union -- exists to serve its membership - NOT for profit. P.O. The content on the Dental Wellness Center website is provided by go2dental.com. If you need additional guidance, read the Dentaquest Dental Manual (PDF). 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. The automated system is available anytime. Monday through Friday. It's more than just business when you join the Blue Cross network. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Register Now, Not registered? This helps us ensure you meet the state requirements for health care. 232 S Capitol Ave For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. The automated system is available anytime. Learn more >, Not registered? Out-of-network dentists do not participate in any arrangement with Blue Cross. This is only a brief list of the plan benefits. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. with orofacial skin. Step 5:Tell the system the date of service provided. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 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. Deutsche, 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. Hospitals or facilities: 1-800-249-5103 DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. You should not think BCBSTX endorses all views you find on this other site. 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. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Blue Dental PPO Plans , 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). Enter a partial or full name along with the Specialty and Location. Not sure which region you're in? Monday through Friday. That means better service and better care for your patients. as well as treatment services, like fillings and crowns. The search results will supply: Box 69436, Harrisburg, PA 17106-9436. 8:30 a.m. to noon and 1 to 5 p.m. Automated information is available anytime. Many specialists also Step 5: Tell the system the date of service. You are entitled to obtain a detailed understanding of additional services or assistance that the How can I learn more about my patients' eligibility? Call DentaQuest (toll free) at 1-855-418-1622. 8:30 a.m. to noon and 1 to 5 p.m. Monday through Friday Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Click to view logins links, most visited site links, social handles and contact information etc. Nominate your provider for inclusion in our network! Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. The network is available through contracted general dentists and specialists throughout Arizona. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Some General Dentists A dentist may refer you 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. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Physicians and professionals: 1-800-344-8525 Keep in mind 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. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Need more information? 15. Some of the features used to display this website may not function properly. Childers Orthodontics Patient Login . Our web portalpowered by Availitymakes doing business with Anthem even easier. P.O. If you are a member with either employer-offered dental benefits or employer-offered medical and dental benefits, you can go to BlueCare Dental Connection by logging in to Blue Access for MembersSM. 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. Many Periodontists also provide dental implant services. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. 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. 1-800-822-2761 The automated system is available anytime. Whether you're interested in joining our network or have already partnered with us, we're here to help. Provider Inquiry Mail Code 0301 This new site may be offered by a vendor or an independent third party. Just use our online search. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. The above is a listing of common services available through your network of Participating Dentists. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of . Do not select the 'Remember Username' checkbox if you are using a public or shared computer. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Oral health touches every aspect of our lives but is often taken for granted. 8 a.m. to noon and 1 to 5 p.m. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Box 32593 Verify patient eligibility and benefits If you call before 30 days, we may not be able to check your claim through our automated phone system. This new site may be offered by a vendor or an independent third party. Note:It can take up to 30 days for a claim to be processed. After you've enrolled, you can register for a provider portal account. Grand Rapids, MI 49523-0589, Provider Inquiry Southfield, MI 48075, 1-877-293-2788 . 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. You can see dental providers in this network knowing your costs are the lowest. 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. Log In to the Shopping Cart, Need to Make a Payment? Get access to your agent portal. Blue Cross Blue Shield of Arizona. 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. Say "claims" when the system asks why you're calling. Monday through Friday. Most PDF readers are a free download. 1-800-482-4047 The automated system is available anytime. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Monday through Friday Box 68710 8:30 a.m. to 4:30 p.m. 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. Southfield, MI 48075. Blue Care Network 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. 8 a.m. to 5 p.m. Contact the plan for more information. Anytime! To report fraud, waste or abuse, call our hotline: 1-800-437-3803 For plans with Part D Coverage: You may be able to get Extra Help to pay for your . In addition, some sites may require you to agree to their terms of use and privacy policy. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 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). Register Now, Learn more about registering for our web tools. 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. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Do you have questions about dental benefits not answered here? We provide health insurance in Michigan. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Get access to your online account.Register Now, Not registered? Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan that insurance benefits for orthodontia can vary depending on the patient's age, so make Blue Cross Blue Shield FEP Dental BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. State and Federal Privacy laws prohibit unauthorized access to Member's private information. As an alternative, you may enter a ZIP code. 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 . Dental Care websites are listed below. BCBS FEP Dental is here to help you learn more about your oral health. Our automated interactive voice response system provides claims, benefit and cost-share information. Your first stop will usually be a General Dentist. 20500 Civic Center Drive View our map (PDF). The site may also contain non-Medicare related information. Questions About Your Benefits? Detroit, MI 48231-2599, Blue Cross Complete claims Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. GEHA's mantra is PREVENTIVE HEALTH CARE. BCBSMT and go2dental.com are separate companies. 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 access to your agent portal.Register Now. 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. require a referral from a General Dentist prior to scheduling If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. 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. Fully Insured Small Group Summary of Dental Benefits. During this unprecedented time, we're taking action to support our members. Enter your City and State or Zip Code and desired Radius. 8:30 a.m. to 6 p.m. 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. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. D/B/A Florida Blue. An independent licensee of the Blue Cross and Blue Shield Association. Blue Cross Blue Shield of Michigan You can write to us by matching your area code with the relevant mailing address. diagnosing oral abnormalities and disease. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Note: The FEP phone system has a different set of prompts than the others. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Get access to your online account. 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. Individuals attempting unauthorized access will be prosecuted. Detroit, MI 48232-4248, Provider Inquiry Vision and hearing providers: 1-800-482-4047. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 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. Box 68753 The site may also contain non-Medicare related information. Say "date of service" to learn about a different claim. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Your contact information will be accessible to millions of our members. Once you have located the . Monday through Friday. Tagalog, We offer resources to support your practice in serving patients covered by our dental plan. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims 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 . Choose a dental network from the list below to search for a dentist. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. P, London, KY 40742. The site may also contain non-Medicare related information. 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. Monday through Friday, 1-800-431-1059 Read our manuals to learn more about our programs, policies and procedures. 1-844-876-7917 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. Locate a dentist or dental specialist in the BCBS FEP Dental network. 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. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. To view this file, you may need to install a PDF reader program. 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. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. General Dentistry, Oral & Maxillofacial Surgery. For example, if you have questions about dental care, talk with your dentist. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Providers | BlueCare Tennessee As a BlueCare Tennessee network provider dedicated to the health of your patients and our members, you'll find what you need here for your office or facility. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). General Dentists can provide many preventive services, like exams and cleanings, Not Registered? Register Now, Not registered? Cigna Dental Insurance Plans* Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. California Dental Network Provider Login . 8:30 a.m. to noon and 1 to 5 p.m. Are you unable to find your provider in the search results? Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Enter your City and State or Zip Code and desired. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? 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. 28 Years Experience. Register Now, Not registered? Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues If you don't have an account yet, you can check claims for BCBSM patients with our automated system. 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. Choose a dental network from the list below to search for a dentist. When you enroll, you'll partner with us to care for a large and diverse membership. Most PDF readers are a free download. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * 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. 8 a.m. to noon and 1 to 5 p.m. , DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Enroll year round. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims In a PPO plan, costs are typically reduced when members receive care from network providers. Essential Vision providerssubmit claims throughHeritage Vision Plan. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Physicians and professionals: 1-800-344-8525 It's just one more way that Florida Blue is with you. 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. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. 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. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. It can also send you a copy of your claim's status. 1. This provides a quick, convenient way to get help in case of a dental emergency. 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. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Though General Dentists can often perform some *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Their online platform allows you to sign up in just a few clicks, find the right coach or therapist for your needs, and quickly book an appointment via live video or in-person. also provide more specialty services, like root canals, extractions, and dentures, You'll have access to reward programs that seek to transform health care. A General Dentist will refer patients to an Oral Pathologist for assistance in P.O. Blue Cross Blue Shield of Michigan 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Members pay less out-of-pocket and will not be balanced billed.
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