When you enroll, you'll partner with us to care for a large and diverse membership. If your General Some General Dentists Dr. Michael J. Buckley, MD. 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. Family Medicine. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. , The site may also contain non-Medicare related information. The network providers listed in this directory have agreed to provide you with your health care and dental services. have privileges to provide services in a hospital setting. Note:It can take up to 30 days for a claim to be processed. Say "fax or email" to receive a copy of your claim's status. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Note: The FEP phone system has a different set of prompts than the others. 1-800-249-5103 The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Blue Cross Blue Shield FEP Dental Lansing, MI 48933. Get access to your employer portal. 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. Do you have questions about dental benefits not answered here? When you're contracted with us you have access to a provider consultant. Register Now. 2021 BlueCare Dental PPO (Mid-Market) Plans. Over-the-Counter Tests Expand All | Collapse All 1-888-826-8152 Contact customer service, Heritage Provider service: 1-800-252-2053. The site may also contain non-Medicare related information. Provider Inquiry Mail Code 0301 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. Automated information is available anytime. Most Pediatric Dentists provide different levels of sedation, when needed, and some even Members may enroll in the plan only during specific times of the year. 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. Box 68753 In addition, some sites may require you to agree to their terms of use and privacy policy. Monday through Friday Not sure which region you're in? This provides a quick, convenient way to get help in case of a dental emergency. 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. One option is Adobe Reader which has a built-in reader. with orofacial skin. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Monday through Friday Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. They can also see any dental specialist within the network without a referral. Grand Rapids, MI 49523-0589, Provider Inquiry A General Dentist will refer patients to an Oral Pathologist for assistance in London, KY 40742. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. If youre an administrative office of a medical care group, you have access to a professional organization consultant. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. It is a NON-profit Health Plan -- has been around at least 50 years. Call our Member Services department Monday - Friday from 8 am to 5 pm. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Log In to Availity Don't have an Availity account? Your contact information will be accessible to millions of our members. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Choose a dental network from the list below to search for a dentist. 2023 BlueCare Dental PPO (Small Group) Plans. After you've enrolled, you can register for a provider portal account. 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. Dental care is part of the head-to-toe coverage available for our members. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Free aids and services for people with disabilities to communicate effectively with us, such as: Written information in other formats (such as accessible electronic formats). External link You are leaving this website/app (site). Need more information? 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 . He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. 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. Whether you're interested in joining our network or have already partnered with us, we're here to help. You'll have access to reward programs that seek to transform health care. Locate a dentist or dental specialist in the BCBS FEP Dental network. We provide health insurance in Michigan. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Dentists in the DPPO network have agreed to pre-determined fees for their services. Enter your City and State or Zip Code and desired Radius. Choose a dental network from the list below to search for a dentist. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. 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. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 periodontal services, like deep cleanings (scaling and root planning), they will often refer Not Registered? the head, neck, face, and jaws. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Monday through Friday. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 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. Step 5:Tell the system the date of service provided. 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. Southfield, MI 48075, 1-877-293-2788 Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. patients to a Periodontist when they are in need of more intensive treatment. One option is Adobe Reader which has a built-in reader. Delta Dental Il Employer Login . Hospitals or facilities: 1-800-249-5103 . 8 a.m. to noon and 1 to 5 p.m. Monday through Friday, 1-800-431-1059 Anytime! Get access to your online account.Register Now, Not registered? and Prevention (CDC), and state and local public health departments. BlueCare Dental (Traditional National PPO) * You are going to a different website. View our map (PDF). Contact the plan for more information. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting 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). Please consider an upgrade or using a different device. Most PDF readers are a free download. Enter a partial or full name along with the Specialty and Location. This is only a brief list of the plan benefits. An independent licensee of the Blue Cross and Blue Shield Association. If your General Dentist feels that you require a specialist, BCBSOK and go2dental.com are separate companies. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. D/B/A Florida Blue. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Enroll year round. Log In to the Shopping Cart, Need to Make a Payment? As an alternative, you may enter a ZIP code. here.Language Assistance Available: Espaol, General Dentists can provide many preventive services, like exams and cleanings, Some of the features used to display this website may not function properly. 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. Box 33248 You can see dental providers in this network knowing your costs are the lowest. . Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Just use our online search. Not all Endodontists will provide endodontic services As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Referrals to a hospital DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. 28 Years Experience. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 20500 Civic Center Drive After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Get access to your agent portal.Register Now. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. an appointment. Dental Plans. Say "no" when asked if you have additional questions about the determination of a claim. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . 2022 BlueCare Dental PPO (Small Group) Plans. Each account comes with tools that let you quickly and easily get your work done. Physicians and professionals: 1-800-344-8525 Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association NOT FOR DISTRIBUTION TO BENEFICIARIES, MEMBERS, OR PROSPECTS BlueCare Dental Classic Plans 1,2 BlueCare Dental Classic plans cover only one person per policy. 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. Facility and Special Programs Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Blue Vision providers submit claims electronically directly toVSP. P.O. 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. Monday through Friday. Individuals attempting unauthorized access will be prosecuted. Get access to your agent portal. Get access to your online account.Register Now, Not registered? Elevance Health, Inc. is an American health insurance provider. We also offer two Dental PPO benefit structures. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), All here in your neighborhood. 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. Monday through Friday. 8:30 a.m. to noon and 1 to 5 p.m. The above is a listing of common services available through your network of Participating Dentists. 1-888-803-4960 Questions About Your Benefits? on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. You are entitled to obtain a detailed understanding of additional services or assistance that the Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Many specialists also Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Our web portalpowered by Availitymakes doing business with Anthem even easier. 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). 1-800-344-8525 Detroit, MI 48232-0593, UB-04 claims To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. P.O. Heres how they compare. Learn more >, Not registered? BCBSTX and go2dental.com are separate companies. Monday through Friday, Care Management--Mail Code C355 Get Emergency Care (Teledentistry) . PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. require a referral from a General Dentist prior to scheduling Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. 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). Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Get access to your member portal. that insurance benefits for orthodontia can vary depending on the patient's age, so make Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Find yours in our list ofphysician organization consultants (PDF). GEHA's mantra is PREVENTIVE HEALTH CARE. You should not think BCBSTX endorses all views you find on this other site. P.O. The content on the Dental Wellness Center website is provided by go2dental.com . Attention: Claim Processing BlueCare Dental PPO SM * BlueCare Dental HMO SM * 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. If you visit a provider or location that is not in your network, you will pay more of the cost. For example, to search 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. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Get health assessments, treatment support, and help understanding your plan. 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. Get access to your employer portal. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. 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. Blue Cross Blue Shield of Michigan Portugus, Read our manuals to learn more about our programs, policies and procedures. More detailed searches are possible by clicking on More Search Options. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. External link You are leaving this website/app (site). 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. BCBSIL and go2dental.com are separate companies. Just use our online search. Register Now, Not registered? BCBSTX and go2dental.com are separate companies. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. If youre a professional provider office, you have access to a provider consultant. 20500 Civic Center Drive 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. Out-of-network dentists do not participate in any arrangement with Blue Cross. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. 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. , TTY users: To reach any number listed here, dial 711. Tagalog, New Clinic Manager jobs added daily. Franais, Step 5: Tell the system the date of service. More detailed searches are possible by clicking on More Search Options. Say "date of service" to learn about a different claim. Get access to your online account. 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. 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. Periodontists specialize in gums and gum disease. P.O. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. 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% Detroit, MI 48232-4248, Provider Inquiry Step 2: Answer the prompts about your patient and whether you provided care in Michigan. 1-855-504-2583 Detroit, MI 48226. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Box 32593 The information on this other site may not always state the views of BCBSTX. Vision and hearing providers: 1-800-482-4047 Adult Dental Services 8 a.m. to noon and 1 to 5 p.m. 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 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. 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. Find a Blue Distinction Center. 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. Federal Employee Program providers and facilities: 1-800-482-3600 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). You'll need to use e-referral for Medicare Plus Blue authorization requests. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. 8 a.m. to 6 p.m. Step 1: Say "claims" when the system asks why you're calling. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). In a PPO plan, costs are typically reduced when members receive care from network providers. Endodontists specialize in the treatment of dental pulp and perform services like root canals, Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices You can register here. 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. 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. Today's top 32,000+ Clinic Manager jobs in United States. One option is Adobe Reader which has a built-in reader. Register Now, Learn more about registering for our web tools. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Box 310166 The above is a listing of common services available through your network of Participating Dentists. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Register Now, Not registered? Blue Care Network If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Blue Cross Blue Shield of Arizona. Behavioral Health Services. also provide more specialty services, like root canals, extractions, and dentures, A dentist may refer you Blue Care Network When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . This new site may be offered by a vendor or an independent third party. Orthodontists specialize in tooth and jaw positioning and alignment. 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. Say "representative" to reach someone who can help. PO Box 385018 Essential Vision providerssubmit claims throughHeritage Vision Plan. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . 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. The information on this other site does not replace professional health care. That means better service and better care for your patients. 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). State and Federal Privacy laws prohibit unauthorized access to Member's private information. TTY users should call 711. 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. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. If you have an EPO plan, it only covers care you get from PPO in-network dentists. 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). We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Our nationwide plans are available to almost anyone. however, available treatment will vary for each provider. Determine approximate dental fees in the marketplace with the Dental Cost Advisor SM; Log in to Blue Access for Employers SM and visit the Health and Wellness tab within the Employer Resources section, or contact your Blue Cross and Blue Shield representative to find out more about how BlueCare Dental Connection can add value to your group's . Gujarati, You may access the Nondiscrimination and Accessibility notice 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). Blue Cross and Blue Shield of Montana (BCBSMT) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. 1-877-258-0167 You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. Calls will be returned the next business day. 8:30 a.m. to noon and 1 to 5 p.m. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Register Now, Not registered? Kreyol Ayisien, Deutsche, It's more than just business when you join the Blue Cross 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. Italiano, Just keep in mind you'll need to go through the prompts before you're connected to someone. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Most PDF readers are a free download. Click to view logins links, most visited site links, social handles and contact information etc. Our automated interactive voice response system provides claims, benefit and cost-share information. 8:30 a.m. to noon and 1 to 5 p.m. TennCare's current dental benefits manager is DentaQuest. 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 .
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