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Blue Care Network Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Say "another contract" to inquire on another contract. Box 7355 Vision and hearing providers: 1-800-482-4047 Where can I get dental costs and information? Dr. Michael J. Buckley, MD. The above is a listing of common services available through your network of Participating Dentists. Portugus, Birmingham, AL 35238-0518. Members may enroll in the plan only during specific times of the year. If youre a professional provider office, you have access to a provider consultant. 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. In addition, some sites may require you to agree to their terms of use and privacy policy. Use our search form to find a dentist quickly and easily. Most PDF readers are a free download. This other site may have information about: Please note that your health plan may not cover the items found on this other site. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 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. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Find a Blue Distinction Center. PO Box 385018 Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. GEHA's mantra is PREVENTIVE HEALTH CARE. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. You can use our automated system to reach a representative to discuss your claim's outcome. Verify patient eligibility and benefits Enter your City and State or Zip Code and desired. 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). Most Pediatric Dentists provide different levels of sedation, when needed, and some even , The full text or spelling is not required for the city and dentist name fields. Blue Cross Blue Shield of Michigan Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. For example, if you have questions about dental care, talk with your dentist. an appointment. Coverage for treatments varies depending on the member's benefit plan. Call our customer service number on the back of your ID card to report information that is wrong. and Prevention (CDC), and state and local public health departments. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). That means better service and better care for your patients. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Say "claims" when the system asks why you're calling. Think of it like a credit union -- exists to serve its membership - NOT for profit. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Monday through Friday. View our map (PDF). When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. View our map (PDF). 1-877-258-0167 8 a.m. to noon and 1 to 5 p.m. 1-800-249-5103 If you're not a Blue Vision provider, send claims to: VSP Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. You can also talk to your provider consultant. . The site may also contain non-Medicare related information. Ask A Dentist Ask licensed dentist questions about dental care. A dentist may refer you view our International Directory. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. You may access the Nondiscrimination and Accessibility notice Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. 8:30 a.m. to noon and 1 to 5 p.m. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). . Step 1: Say "claims" when the system asks why you're calling. Sun Life Dental Login . 1-888-826-8152 Get access to your online account. Get access to your online account.Register Now, Not registered? Fep Blue Dental Provider Login . Not Registered? 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Read our manuals to learn more about our programs, policies and procedures. BCBSTX and go2dental.com are separate companies. Physicians and professionals: 1-800-344-8525 HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Get Emergency Care (Teledentistry) . Just use our online search. Blue Cross Blue Shield of Michigan Automated information is available anytime. Provider Inquiry is for registered, nonregistered and out-of-state providers. 8:30 a.m. to noon and 1 to 5 p.m. In addition, some sites may require you to agree to their terms of use and privacy policy. Fully Insured Small Group Summary of Dental Benefits. Get fast, easy access to everything you need when you log in to the secured provider portal. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. BCBS FEP Dental is here to help you learn more about your oral health. Credentialing is a verification process you'll need to pass before you can join our provider network. Providers. The search results will supply: It's more than just business when you join the Blue Cross network. If youre an administrative office of a medical care group, you have access to a professional organization consultant. BCBSTX and go2dental.com are separate companies. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic This new site may be offered by a vendor or an independent third party. Members. Individuals attempting unauthorized access will be prosecuted. 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. 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. 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. , Box 68753 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). periodontal services, like deep cleanings (scaling and root planning), they will often refer 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). Blue Cross Blue Shield of Arizona. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Quickly find a general dentist or specialist. The information on this other site may not always state the views of BCBSTX. The network is available through contracted general dentists and specialists throughout Arizona. Blue Cross Blue Shield FEP Dental Over-the-Counter Tests Expand All | Collapse All Vision and hearing providers: 1-800-482-4047. Italiano, Register Now, Not registered? Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Box 230589 on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Access Your Payment Options. Find a Dentist. The content on the Dental Wellness Center website is provided by go2dental.com . Deutsche, provider(s) office is able to offer in support of the patient's specific needs under the Federal American With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. Returning Shopper? Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Our plans include BlueCare SM, TennCare Select and CoverKids. 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. 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 . To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Get access to your agent portal. 2022 BlueCare Dental PPO (Small Group) Plans. Agents. During this unprecedented time, we're taking action to support our members. Box 2227 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. Log In to the Shopping Cart, Need to Make a Payment? 8:30 a.m. to noon and 1 to 5 p.m. 8 a.m. to 5 p.m. Periodontists specialize in gums and gum disease. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Dentists in the DPPO network have agreed to pre-determined fees for their services. Get access to your member portal. 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. 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. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. We also offer two Dental PPO benefit structures. like alveoplasties or cleft lip/palate surgery. To view this file, you may need to install a PDF reader program. Just keep in mind you'll need to go through the prompts before you're connected to someone. . Members pay less out-of-pocket and will not be balanced billed. Blue Cross Blue Shield of Michigan Please consider an upgrade or using a different device. BlueCare Dental PPO SM * BlueCare Dental HMO SM * Don't have a secured provider portal account yet? Do you have questions about dental benefits not answered here? *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Box 551, Minneapolis, MN 55440-0551. 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. Access Your Payment Options. 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. Note: The FEP phone system has a different set of prompts than the others. Delta Dental Il Employer Login . 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. 1-855-504-2583 Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Elevance Health, Inc. is an American health insurance provider. 20500 Civic Center Drive Southfield, MI 48075. Box 32593 [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. 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). Get access to your agent portal.Register Now. For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * 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. Southfield, MI 48075, 1-877-293-2788 That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. How do I submit a prior authorization request? Monday through Friday Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 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. Step 5:Tell the system the date of service provided. Some of the features used to display this website may not function properly. You can write to us by finding your area code with the relevant mailing address. 40 Years Experience. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. 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 . 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. Some General Dentists Your contact information will be accessible to millions of our members. 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. Not all benefits are offered by all Plans mentioned above. If you don't have an account yet, you can check claims for with our automated system. Our nationwide plans are available to almost anyone. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. as well as treatment services, like fillings and crowns. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. You can see dental providers in this network knowing your costs are the lowest. Log In to Availity Don't have an Availity account? with orofacial skin. 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 . California Dental Network Provider Login . Essential Vision providerssubmit claims throughHeritage Vision Plan. London, KY 40742. Find in-network dentists, too, in a few short steps. Pediatric Dentists specialize in dental treatment for young and special needs children. Detroit, MI 48232-0593, UB-04 claims This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. 415 S. McClellan Ave. that insurance benefits for orthodontia can vary depending on the patient's age, so make Box 7355 Referrals to a hospital Click to view logins links, most visited site links, social handles and contact information etc. Get access to your member portal. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Take Action. 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. If your General 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). 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. 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. takes the health and well-being of our members, providers, our associates and our business partners seriously. 1-800-482-4047 Learn more >, Not registered? Choose a dental network from the list below to search for a dentist. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. More detailed searches are possible by clicking on More Search Options. 2023 BlueCare Dental PPO (Small Group) Plans. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 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? 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. Step 6:Tell the system the total amount charged. Physicians and professionals: 1-800-344-8525 Ting Vit, More detailed searches are possible by clicking on More Search Options. Box 310166 You can find yours by selecting your region: Not sure which region you're in? It also verifies that you'll provide quality care to our members. Whether you're interested in joining our network or have already partnered with us, we're here to help. We provide health insurance in Michigan. Detroit, MI 48231-0166, Federal Employee Program claims Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . to this type of specialist. BCBSIL and go2dental.com are separate companies. Services from non -participating providers will be subject to the same allowable charges as those from participating . A General Dentist will refer patients to an Oral Pathologist for assistance in 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. 1-877-258-0167 Gujarati, Once you have located the . Blue Cross Blue Shield of Michigan . Automated information is available anytime. Register Now, Not registered? State and Federal Privacy laws prohibit unauthorized access to Member's private information. Locate a dentist or dental specialist in the BCBS FEP Dental network. The content on the Dental Wellness Center website is provided by go2dental.com. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Submit prior authorization requestselectronicallythrough CoverMyMeds. Nominate your provider for inclusion in our network! P.O. The site may also contain non-Medicare related information. Most PDF readers are a free download. Step 4: Say "no" when asked if you have additional questions about the determination of a claim.