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Monday through Friday, Care Management--Mail Code C355 Not Registered? Find yours in our list ofphysician organization consultants (PDF). To view this file, you may need to install a PDF reader program. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Contact customer service, Heritage Provider service: 1-800-252-2053. Referrals to a hospital Just keep in mind you'll need to go through the prompts before you're connected to someone. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. 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% 1-800-344-8525 Simply call a Patient Care Coordinator at (877) 872-0370 . 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). Just keep in mind you'll need to go through the prompts before you're connected to someone. General Dentistry, Oral & Maxillofacial Surgery. Lansing, MI 48933. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Family Medicine. P.O. 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. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. 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 . Access Your Payment Options. 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. 8 a.m. to noon and 1 to 5 p.m. Blue Cross Blue Shield of Michigan 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 also provide more specialty services, like root canals, extractions, and dentures, Endodontists specialize in the treatment of dental pulp and perform services like root canals, 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. Monday through Friday 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. NEW CLAIMS SUBMISSION MAILING ADDRESS. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Keep in mind Step 5: Tell the system the date of service provided. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Blue Cross NC Dental Products and Network Overview Access Your Payment Options. Box 2227 Automated information is available anytime. State and Federal Privacy laws prohibit unauthorized access to Member's private information. California Dental Network Provider Login . In addition, some sites may require you to agree to their terms of use and privacy policy. D/B/A Florida Blue. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Pediatric Dentists specialize in dental treatment for young and special needs children. Call our customer service number on the back of your ID card to report information that is wrong. PO Box 385018 Whether you're interested in joining our network or have already partnered with us, we're here to help. This new site may be offered by a vendor or an independent third party. Blue Vision providers submit claims electronically directly toVSP. Get access to your employer portal. Blue Cross Blue Shield of Michigan The above is a listing of common services available through your network of Participating Dentists. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. 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. however, available treatment will vary for each provider. 8 a.m. to 7 p.m. To view this file, you may need to install a PDF reader program. The content on the Dental Wellness Center website is provided by go2dental.com . Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. that insurance benefits for orthodontia can vary depending on the patient's age, so make 1-877-258-0167 Monday through Friday 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. The content on the Dental Wellness Center website is provided by go2dental.com. London, KY 40742. Monday through Friday You can register here. Get access to your online account.Register Now, Not registered? Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Log In to Availity Don't have an Availity account? To view this file, you may need to install a PDF reader program. Hospitals or facilities: 1-800-249-5103 Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. You can use our automated system to reach a representative to discuss your claim's outcome. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. The content on the Dental Wellness Center website is provided by go2dental.com . and Prevention (CDC), and state and local public health departments. Dental providers who can't able to access their account can read theDental Summary Guide (PDF)to learn how to: To use the document, you'll need to know if your patient has a Medicare Advantage plan, Federal Employee Program plan or a commercial plan. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. 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 . Ting Vit, Credentialing is a verification process you'll need to pass before you can join our provider network. 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. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. 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 P.O. Submit prior authorization requestselectronicallythrough CoverMyMeds. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Just use our online search. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Monday through Friday Though many General Dentists provide dentures in their offices, patients who have unique 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). External link You are leaving this website/app (site). Elevance Health, Inc. is an American health insurance provider. We also offer two Dental PPO benefit structures. The above is a listing of common services available through your network of Participating Dentists. If you need more information, you can transfer to a customer service representative during business hours. like alveoplasties or cleft lip/palate surgery. Grand Rapids, MI 49523-0589, Provider Inquiry Get access to your member portal. It's more than just business when you join the Blue Cross network. Most PDF readers are a free download. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 8:30 a.m. to 4:30 p.m. You are entitled to obtain a detailed understanding of additional services or assistance that the If you visit a provider or location that is not in your network, you will pay more of the cost. BCBSTX and go2dental.com are separate companies. The site may also contain non-Medicare related information. here.Language Assistance Available: Espaol, 1-888-803-4960 8:30 a.m. to noon and 1 to 5 p.m. You'll have access to reward programs that seek to transform health care. You should not think BCBSTX endorses all views you find on this other site. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. External link You are leaving this website/app (site). 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. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Members may enroll in the plan only during specific times of the year. Dentists in the DPPO network have agreed to pre-determined fees for their services. Online tools provide you with information and support anytime. 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. 1-800-482-5982 Once you have located the . This helps us ensure you meet the state requirements for health care. When you have a member selected and then go to select a provider, the system will indicate if the provider is "in" or "out" of network for that member. 2021 BlueCare Dental PPO (Mid-Market) Plans. 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. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 1-844-876-7917 8 a.m. to 5 p.m. 54. Italiano, Fully Insured Small Group Summary of Dental Benefits. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans When you enroll, you'll partner with us to care for a large and diverse membership. 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. Dr. Michael J. Buckley, MD. Note:It can take up to 30 days for a claim to be processed. Take Action. 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. have privileges to provide services in a hospital setting. New Clinic Manager jobs added daily. We provide health insurance in Michigan. Need help understanding our plans? In a PPO plan, costs are typically reduced when members receive care from network providers. 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. Get access to your employer portal. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Cigna Dental Insurance Plans* Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Our web portalpowered by Availitymakes doing business with Anthem even easier. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Dental Plans. DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer 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. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Please consider an upgrade or using a different device. 415 S. McClellan Ave. Blue Cross Blue Shield FEP Dental The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. oral structure or require other specialized denture services may be referred to a Prosthodontist. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Check ereferrals.bcbsm.com for detailed prior authorization information. The automated system is available anytime. 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. Monday through Friday. Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. 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). Heres how they compare. BCBSIL and go2dental.com are separate companies. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Box 312599 Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental 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. London, KY 40742. Hospitals or facilities: 1-800-249-5103 patients to a Periodontist when they are in need of more intensive treatment. 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. Think of it like a credit union -- exists to serve its membership - NOT for profit. Contact the plan for more information. 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. Automated information is available anytime. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Box 551, Minneapolis, MN 55440-0551. 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. 8 a.m. to noon and 1 to 5 p.m. Oral health touches every aspect of our lives but is often taken for granted. Our automated interactive voice response system provides claims, benefit and cost-share information. Coverage for treatments varies depending on the member's benefit plan. Childers Orthodontics Patient Login . We provide health insurance in Michigan. 8 a.m. to 4 p.m. How do I submit a prior authorization request? 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. GEHA's mantra is PREVENTIVE HEALTH CARE. 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. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Locate a dentist or dental specialist in the BCBS FEP Dental network. You can write to us by finding your ZIP code with the relevant mailing address. It can also send you a copy of your claim's status. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. they will provide you with a referral. The information on this other site may not always state the views of BCBSTX. Vision and hearing providers: 1-800-482-4047. Some of the features used to display this website may not function properly. Physicians and professionals: 1-800-344-8525 TrademarkElite is the U.S. #1 Trademark Search and Registration Service :: BLUE GLOBAL SOLUTIONS is a trademark and brand of Blue Cross and Blue Shield Association, Chicago, IL . Box 7355 Need more information? 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. Monday through Friday, 1-800-431-1059 Register Now, Not registered? P.O. periodontal services, like deep cleanings (scaling and root planning), they will often refer Say "another member" to inquire on another member. 8:30 a.m. to 6 p.m. Box 310166 State and Federal Privacy laws prohibit unauthorized access to Member's private information. Not sure which region you're in? Check to see if your dentist is in our network or choose from our many providers. We offer resources to support your practice in serving patients covered by our dental plan. 2023 BlueCare Dental PPO (Small Group) Plans. 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.

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