blue care network dental providers

ACCESS MANUALS. here.Language Assistance Available: Espaol, We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Not all Endodontists will provide endodontic services 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. To view this file, you may need to install a PDF reader program. Monday through Friday Detroit, MI 48232-4248, Provider Inquiry In addition, some sites may require you to agree to their terms of use and privacy policy. Box 230589 Hospitals or facilities: 1-800-249-5103. TennCare's current dental benefits manager is DentaQuest. 1-800-482-4047 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. 8:30 a.m. to noon and 1 to 5 p.m. Behavioral Health Services. 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. 8 a.m. to 5 p.m. 1-844-876-7917 As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. 40 Years Experience. however, available treatment will vary for each provider. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Grand Rapids, MI 49523-0589, Provider Inquiry To view this file, you may need to install a PDF reader program. Vision and hearing providers: 1-800-482-4047. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Family Medicine. 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). BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Register Now, Not registered? If you have a question, please call Customer Service at 1-855-504-BLUE. The content on the Dental Wellness Center website is provided by go2dental.com. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Passive plan options pay out-of-network dental services at U&C. 8:30 a.m. to noon and 1 to 5 p.m. Our plans include BlueCare SM, TennCare Select and CoverKids. Within the United States, to search for a dentist by location, supply your city (optional) and state. Detroit, MI 48232-0593, UB-04 claims 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. Dr. Michael David Stout, MD. 8 a.m. to 7 p.m. , 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. After you've enrolled, you can register for a provider portal account. 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. Deutsche, 8:30 a.m. to 4:30 p.m. 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 . You'll have access to reward programs that seek to transform health care. Get access to your member portal. Well use the estimated cost of a filling based on prices in Southeast Michigan and a member who has a Blue Dental plan that covers fillings at 50 percent. The content on the Dental Wellness Center website is provided by go2dental.com . Register Now. 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. Blue Cross Blue Shield of Michigan Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Say "claims" when the system asks why you're calling. 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. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Kreyol Ayisien, Get access to your agent portal.Register Now. HEALTH first - STAR Medicaid: 1-888-672-2277.Dental care If you're a STAR member age 20 and younger, or a CHIP or STAR Kids member, call your dental provider below to find a dentist near you: DentaQuest STAR or STAR Kids members: 1-800-516-0165 CHIP members: 1-800-508-6775 . How do I submit a prior authorization request? 8:30 a.m. to noon and 1 to 5 p.m. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). The site may also contain non-Medicare related information. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Check ereferrals.bcbsm.com for detailed prior authorization information. The full text or spelling is not required for the city and dentist name fields. Blue Cross Blue Shield of Michigan Box 310166 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. Say "another contract" to inquire on another contract. Don't have a secured provider portal account yet? Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. 2022 BlueCare Dental PPO (Small Group) Plans. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Returning Shopper? Note:It can take up to 30 days for a claim to be processed. 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 your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. referring those over a certain age to continue their dental care with a General Dentist. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. You can use our automated system to reach a representative to discuss your claim's outcome. 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. 8 a.m. to noon and 1 to 5 p.m. 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 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. Not all benefits are offered by all Plans mentioned above. Box 312599 Grand Rapids, MI 49516-8753, Blue Cross Complete Claims primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, For personal medical guidance, please consult your dentist and/or physician. One Woodward Avenue, Suite 2020 The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Delta Dental Il Employer Login . State and Federal Privacy laws prohibit unauthorized access to Member's private information. New Clinic Manager jobs added daily. Whether you're interested in joining our network or have already partnered with us, we're here to help. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. view our International Directory. Portugus, Say "representative" to reach someone who can help. Most PDF readers are a free download. Blue Cross Blue Shield of Michigan Monday through Friday. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. If youre a professional provider office, you have access to a provider consultant. Franais, We also offer two Dental PPO benefit structures. D/B/A Florida Blue. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Hospitals or facilities: 1-800-249-5103 How can I learn more about my patients' eligibility? Register Now. We offer resources to support your practice in serving patients covered by our dental plan. P.O. Returning Shopper? Monday through Friday Grand Rapids, MI 49516-8710, BCN Advantage Claims Dental care is part of the head-to-toe coverage available for our members. The content on the Dental Wellness Center website is provided by go2dental.com . Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. To get credentialed, you'll need to visit CAQH.org. Monday through Friday, 1-800-431-1059 PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Monday through Friday. like alveoplasties or cleft lip/palate surgery. Box 7355 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). Cigna Dental Insurance Plans* Box 68753 Out-of-network dentists do not participate in any arrangement with Blue Cross. If you call before 30 days, we may not be able to check your claim through our automated phone system. 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. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Get access to your online account.Register Now, Not registered? Find in-network dentists, too, in a few short steps. 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. Log In to the Shopping Cart, Need to Make a Payment? P.O. 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. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. You can register here. Fep Blue Dental Provider Login . 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. Birmingham, AL 35238-0518. 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. Blue Cross NC Dental Products and Network Overview View our map (PDF). It can also send you a copy of your claim's status. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Dentists in the DPPO network have agreed to pre-determined fees for their services. Box 2227 If you visit a provider or location that is not in your network, you will pay more of the cost. 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. Detroit, MI 48226. Get access to your agent portal. Calls will be returned the next business day. 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. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. You can write to us by finding your area code with the relevant mailing address. 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. Coverage for treatments varies depending on the member's benefit plan. BCBSMT and go2dental.com are separate companies. 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. 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). Your first stop will usually be a General Dentist. A General Dentist will refer patients to an Oral Pathologist for assistance in Not Registered? To report fraud, waste or abuse, call our hotline: 1-800-437-3803 For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association, PDF File is in portable document format (PDF). 8:30 a.m. to 6 p.m. Essential Vision providerssubmit claims throughHeritage Vision Plan. 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. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), 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. P.O. Monday through Friday Quickly find a general dentist or specialist. BlueCare Dental (Traditional National PPO) * 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. Monday through Friday, Care Management--Mail Code C355 Do you have questions about dental benefits not answered here? We provide health insurance in Michigan. Nominate your provider for inclusion in our network! 2021 BlueCare Dental PPO (Mid-Market) Plans. Find a dentist. 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. One option is Adobe Reader which has a built-in reader. The network providers listed in this directory have agreed to provide you with your health care and dental services. Individuals attempting unauthorized access will be prosecuted. Find yours in our list ofphysician organization consultants (PDF). Register Now, Learn more about registering for our web tools. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Call our customer service number on the back of your ID card to report information that is wrong. 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. As an alternative, you may enter a ZIP code. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Register Now, Not registered? External link You are leaving this website/app (site). Enter your City and State or Zip Code and desired Radius. You can see dental providers in this network knowing your costs are the lowest. Monday through Friday 1. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. oral structure or require other specialized denture services may be referred to a Prosthodontist. Please Select Your State The resources on this page are specific to your state. General Dentists can provide many preventive services, like exams and cleanings, Use our search form to find a dentist quickly and easily. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. 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 External link You are leaving this website/app (site). also provide more specialty services, like root canals, extractions, and dentures, The information on this other site does not replace professional health care. Orthodontists specialize in tooth and jaw positioning and alignment. It can also send you a copy of your claim's status. 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. Get access to your employer portal. 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. Register Now, Not registered? Get health assessments, treatment support, and help understanding your plan. Dr. Michael J. Buckley, MD. Heres how they compare. State and Federal Privacy laws prohibit unauthorized access to Member's private information. with orofacial skin.

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