Enter your City and State or Zip Code and desired Radius. Southfield, MI 48075. Not Registered? Oral health touches every aspect of our lives but is often taken for granted. 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. 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 Detroit, MI 48231-0166, Federal Employee Program claims Step 6: Tell the system the total amount charged. 20500 Civic Center Drive Members may enroll in the plan only during specific times of the year. For personal medical guidance, please consult your dentist and/or physician. 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. 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. If you call before 30 days, we may not be able to check your claim through our automated phone system. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Register Now, Not registered? When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. In a PPO plan, costs are typically reduced when members receive care from network providers. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. D/B/A Florida Blue. Blue Cross Blue Shield of Michigan 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. You'll need to use e-referral for Medicare Plus Blue authorization requests. Call our customer service number on the back of your ID card to report information that is wrong. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Although every dentist will accept Blue Dental PPO plans, your coverage may vary based on their network participation with PPO in-network dentists providing the most savings, Blue Par Select dentist providing some savings and out-of-network dentist providing the least savings for you as a member. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. For services from dentists who are not in the BlueDental PPO (BluePreferred Dental) Network, What You Need to Know About the BlueDental PPO (BluePreferred Dental) Network, Those who purchased ACA plans through HealthCare.gov and need to access out-of-Arizona pediatric dental coverage. During this unprecedented time, we're taking action to support our members. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Behavioral Health Services. Get access to your online account. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Polskie, Enter your City and State or Zip Code and desired. It's just one more way that Florida Blue is with you. You can see dental providers in this network knowing your costs are the lowest. In addition, some sites may require you to agree to their terms of use and privacy policy. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. 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. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Log In to Availity Don't have an Availity account? There's no coverage when you see Blue Par Select or out-of-network 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. The search results will supply: 8 a.m. to 7 p.m. 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. Agents. Get access to your agent portal.Register Now. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Individuals attempting unauthorized access will be prosecuted. 1-888-826-8152 If you're not a Blue Vision provider, send claims to: VSP Most PDF readers are a free download. 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. Ask A Dentist Ask licensed dentist questions about dental care. Heres how they compare. 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. TennCare's current dental benefits manager is DentaQuest. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Say "date of service" to learn about a different claim. P.O. Family Medicine. 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. If youre a professional provider office, you have access to a provider consultant. and Prevention (CDC), and state and local public health departments. Most Pediatric Dentists provide different levels of sedation, when needed, and some even London, KY 40742. Learn more about Blue Dental plans by calling the number on the back of your member ID card. 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 . You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Check to see if your dentist is in our network or choose from our many providers. P.O. Monday through Friday Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Provider Finder Find a dentist in . Quickly find a general dentist or specialist. 8 a.m. to 5 p.m. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. How do I submit a prior authorization request? With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Detroit, MI 48232-0593, UB-04 claims The automated system is available anytime. 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. Need help understanding our plans? 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. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. All here in your neighborhood. Step 5:Tell the system the date of service provided. Your first stop will usually be a General Dentist. Find a Blue Distinction Center. One Woodward Avenue, Suite 2020 We also offer two Dental PPO benefit structures. It can also send you a copy of your claim's status. BlueCare Dental PPO offers an expansive local network of dentists with more than 13,000 access points in Illinois, and more than 378,000 nationwide. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Say "another contract" to inquire on another contract. The network is available through contracted general dentists and specialists throughout Arizona. Nominate your provider for inclusion in our network! Think of it like a credit union -- exists to serve its membership - NOT for profit. 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. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, View our map (PDF). It also verifies that you'll provide quality care to our members. Choose a dental network from the list below to search for a dentist. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. If you are a BCBSTX member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number listed on your BCBSTX member ID card. 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. , If you have a question, please call Customer Service at 1-855-504-BLUE. 2021 BlueCare Dental PPO (Mid-Market) Plans. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. P.O. Monday through Friday. You may access the Nondiscrimination and Accessibility notice BCBSTX and go2dental.com are separate companies. Within the United States, to search for a dentist by location, supply your city (optional) and state. Though many General Dentists provide dentures in their offices, patients who have unique sure to check your benefits before scheduling treatment. 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. here.Language Assistance Available: Espaol, Our plans include BlueCare SM, TennCare Select and CoverKids. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. 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). If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. Physicians and professionals: 1-800-344-8525 If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. To get credentialed, you'll need to visit CAQH.org. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Learn more >, Not registered? This new site may be offered by a vendor or an independent third party. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Monday through Friday 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. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. To view this file, you may need to install a PDF reader program. 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. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. It is a NON-profit Health Plan -- has been around at least 50 years. Lansing, MI 48933. BlueCare Dental (Traditional National PPO) * P.O. One option is Adobe Reader which has a built-in reader. Kreyol Ayisien, Blue Cross Blue Shield of Michigan DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. One option is Adobe Reader which has a built-in reader. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. You can write to us by matching your area code with the relevant mailing address. Blue Cross NC Dental Products and Network Overview Monday through Friday State and Federal Privacy laws prohibit unauthorized access to Member's private information. the head, neck, face, and jaws. BlueCare Dental PPO SM * BlueCare Dental HMO SM * California Dental Network Provider Login . Automated information is available anytime. Box 33248 Learn About Virtual Care Florida Blue Centers See a nurse. Important Information About Medicare Plans, whether the dentist offers evening or weekend hours, what languages are spoken by the dentist and staff, what experience they've had with physical or developmental disabilities, and more. You can write to us by finding your area code with the relevant mailing address. Dental care is part of the head-to-toe coverage available for our members. Italiano, Automated information is available anytime. 1. 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. 1-800-344-8525 Learn more about eligibility and resources for uniformed service members transitioning to retirement. The above is a listing of common services available through your network of Participating Dentists. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Provider Inquiry Mail Code 0301 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. 1-855-504-2583 Marquette, MI 49855, Employee Inquiry 8:30 a.m. to noon and 1 to 5 p.m. 8:30 a.m. to noon and 1 to 5 p.m. Blue Cross Blue Shield of Michigan Dentists in the DPPO network have agreed to pre-determined fees for their services. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Federal Employee Program providers and facilities: 1-800-840-4505. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. 1-800-822-2761 Box 551, Minneapolis, MN 55440-0551. TTY users: To reach any number listed here, dial 711. 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. Returning Shopper? Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. 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. , You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. Once you have located the . General Dentists can provide many preventive services, like exams and cleanings, 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. Each account comes with tools that let you quickly and easily get your work done. 2022 BlueCare Dental PPO (Small Group) Plans. Box 310166 Find in-network dentists, too, in a few short steps. Endodontists specialize in the treatment of dental pulp and perform services like root canals, L07B To view this file, you may need to install a PDF reader program. 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. 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. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Fully Insured Small Group Summary of Dental Benefits. Your contact information will be accessible to millions of our members. 40 Years Experience. You can also talk to your provider consultant. Coverage for treatments varies depending on the member's benefit plan. The automated system is available anytime. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. 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. Automated information is available anytime. Dental Plans. ---OR---------------------------------------------------------, ---OR-------------------------------------------. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, 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. The site may also contain non-Medicare related information. that insurance benefits for orthodontia can vary depending on the patient's age, so make 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. Are you unable to find your provider in the search results? You can find yours by selecting your region: Not sure which region you're in? Pediatric Dentists specialize in dental treatment for young and special needs children. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Choose a dental network from the list below to search for a dentist. they will provide you with a referral. Get access to your member portal. 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. The site may also contain non-Medicare related information. Where can I get dental costs and 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). TTY users should call 711. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. We offer resources to support your practice in serving patients covered by our dental plan. 20500 Civic Center Drive Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic 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. Contact customer service, Heritage Provider service: 1-800-252-2053. Dr. Michael J. Buckley, MD. A dentist may refer you Verify patient eligibility and benefits Most PDF readers are a free download. Passive plan options pay out-of-network dental services at U&C. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Monday through Friday. You are going to a different website. Take a class. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Blue Dental PPO Plans BCBSTX and go2dental.com are separate companies. 8:30 a.m. to noon and 1 to 5 p.m. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Hospitals or facilities: 1-800-249-5103 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. DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer You'll have access to reward programs that seek to transform health care. Questions About Your Benefits? Monday through Friday. 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. 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. Blue Cross Blue Shield of Arizona. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. The content on the Dental Wellness Center website is provided by go2dental.com . Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. The information on this other site may not always state the views of BCBSTX. 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. 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). If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. 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. Detroit, MI 48226. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Sun Life Dental Login . Dr. Michael David Stout, MD. Individuals attempting unauthorized access will be prosecuted. Get access to your agent portal. Services from non -participating providers will be subject to the same allowable charges as those from participating . The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Childers Orthodontics Patient Login . This plan helps complete your health coverage with PPO in-network preventive dental care covered at 100 percent, and adult vision care with copays as low as $10. 1-800-762-2382 Register Now, Not registered? 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. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. You are entitled to obtain a detailed understanding of additional services or assistance that the . In addition, some sites may require you to agree to their terms of use and privacy policy. Get access to your agent portal.Register Now. with orofacial skin. Southfield, MI 48075, 1-877-293-2788 Get access to your online account.Register Now, Not registered? Deutsche, Returning Shopper? Referrals to a hospital HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. General Dentistry, Oral & Maxillofacial Surgery. Federal Employee Program providers and facilities: 1-800-482-3600 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. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . More detailed searches are possible by clicking on More Search Options. Box 7355 In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. 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? Provider Inquiry is for registered, nonregistered and out-of-state providers.
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