In addition, some sites may require you to agree to their terms of use and privacy policy. They can also see any dental specialist within the network without a referral. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. For more information, see: Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. 8:30 a.m. to noon and 1 to 5 p.m. Blue Care Network If you visit a provider or location that is not in your network, you will pay more of the cost. the head, neck, face, and jaws. 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% If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. 1-800-482-4047 If you're not a Blue Vision provider, send claims to: VSP Fep Blue Dental Provider Login . Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of . Birmingham, AL 35238-0518. P.O. 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 . 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. To view this file, you may need to install a PDF reader program. Calls will be returned the next business day. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. You can also talk to your provider consultant. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Each account comes with tools that let you quickly and easily get your work done. 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. Keep in mind 2023 BlueCare Dental PPO (Small Group) Plans. 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. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. oral structure or require other specialized denture services may be referred to a Prosthodontist. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Please consider an upgrade or using a different device. 54. 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. Vision and hearing providers: 1-800-482-4047. Detroit, MI 48232-0593, UB-04 claims Members pay less out-of-pocket and will not be balanced billed. as well as treatment services, like fillings and crowns. Just keep in mind you'll need to go through the prompts before you're connected to someone. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . BCBSOK and go2dental.com are separate companies. 2021 BlueCare Dental PPO (Mid-Market) Plans. 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. 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 . P, NEW CLAIMS SUBMISSION MAILING ADDRESS. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Monday through Friday, Care Management--Mail Code C355 Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. , 8 a.m. to 7 p.m. You are going to a different website. Just keep in mind you'll need to go through the prompts before you're connected to someone. The content on the Dental Wellness Center website is provided by go2dental.com . PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 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. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Endodontists specialize in the treatment of dental pulp and perform services like root canals, Get access to your member portal. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Please Select Your State The resources on this page are specific to your state. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. You'll need to use e-referral for Medicare Plus Blue authorization requests. If you call before 30 days, we may not be able to check your claim through our automated phone system. 20500 Civic Center Drive DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer London, KY 40742. How can I learn more about my patients' eligibility? If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Register Now. Grand Rapids, MI 49523-0589, Provider Inquiry Orthodontists specialize in tooth and jaw positioning and alignment. Monday through Friday. The site may also contain non-Medicare related information. 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. Within the United States, to search for a dentist by location, supply your city (optional) and state. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Not all Endodontists will provide endodontic services 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. Register Now, Not registered? P.O. California Dental Network Provider Login . Access Your Payment Options. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. 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. We provide health insurance in Michigan. 8:30 a.m. to noon and 1 to 5 p.m. Ting Vit, 1-855-504-2583 Dental care is part of the head-to-toe coverage available for our members. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. What do I need to know about credentialing? When a ZIP code is supplied, the city and state values are ignored. Use our search form to find a dentist quickly and easily. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). TTY users should call 711. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. View our map (PDF). Though many General Dentists provide dentures in their offices, patients who have unique Step 6: Tell the system the total amount charged. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . The network has more than 5,600 locations within AZ and over 350,000 locations nationally. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * We provide health insurance in Michigan. Most Pediatric Dentists provide different levels of sedation, when needed, and some even If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Get health assessments, treatment support, and help understanding your plan. Federal Employee Program providers and facilities: 1-800-840-4505. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Log In to the Shopping Cart, Need to Make a Payment? 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? 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. 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. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. 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. , Step 6:Tell the system the total amount charged. Box 551, Minneapolis, MN 55440-0551. This is only a brief list of the plan benefits. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. You can write to us by matching your area code with the relevant mailing address. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. 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. Enter a partial or full name along with the Specialty and Location. More detailed searches are possible by clicking on More Search Options. Just use our online search. Register Now, Not registered? The site may also contain non-Medicare related information. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental 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. 40 Years Experience. Masshealth Dental Provider Login . London, KY 40742. Step 5: Tell the system the date of service provided. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. 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). 1-800-249-5103 Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. 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. that insurance benefits for orthodontia can vary depending on the patient's age, so make Box 69436, Harrisburg, PA 17106-9436. Find a Blue Distinction Center. Kreyol Ayisien, Learn more about eligibility and resources for uniformed service members transitioning to retirement. Locate a dentist or dental specialist in the BCBS FEP Dental network. Italiano, *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. 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 This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Detroit, MI 48232-4248, Provider Inquiry Monday through Friday. 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. You can use our automated system to reach a representative to discuss your claim's outcome. This helps us ensure you meet the state requirements for health care. Step 5:Tell the system the date of service provided. Register Now, Not registered? Dentists in the DPPO network have agreed to pre-determined fees for their services. View our map (PDF). There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. 8:30 a.m. to noon and 1 to 5 p.m. Though General Dentists can often perform some 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. Members may enroll in the plan only during specific times of the year. Providers. The automated system is available anytime. For example, to search You can find yours by selecting your region: Not sure which region you're in? If you don't have an account yet, you can check claims for BCBSM patients with our automated system. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Grand Rapids, MI 49516-8710, BCN Advantage Claims 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. 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. Dental Care websites are listed below. Federal Employee Program providers and facilities: 1-800-482-3600 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. Oral health touches every aspect of our lives but is often taken for granted. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Box 68753 Find a dentist. You may access the Nondiscrimination and Accessibility notice When you enroll, you'll partner with us to care for a large and diverse membership. 1. Access Your Payment Options. Detroit, MI 48231-0166, Federal Employee Program claims Get fast, easy access to everything you need when you log in to the secured provider 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. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Dental Network Listing Augustyn, Mary TARA BOYLE DDS 10040 Woodland Rd Lenexa, KS 66220 (913) 768-6800 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: F Accepting new patients: Y Ayer, Dennis 2301 West 143rd St Leawood, KS 66224 (913) 246-3000 Dental - Preferred Care/PPO, Dental - Traditional/Choice Gender: M Accepting new . Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 8 a.m. to noon and 1 to 5 p.m. Delta Dental Il Employer Login . though may also provide dental implants. Box 32593 8:30 a.m. to noon and 1 to 5 p.m. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Provider Inquiry is for registered, nonregistered and out-of-state providers. Box 312599 Monday through Friday If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. Our nationwide plans are available to almost anyone. You can write to us by finding your ZIP code with the relevant mailing address. Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. 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. Leverage your professional network, and get hired. If youre a professional provider office, you have access to a provider consultant. Provider Finder Find a dentist in . 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). DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Register Now, Not registered? 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). Elevance Health, Inc. is an American health insurance provider. You can write to us by finding your area code with the relevant mailing address. 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. This new site may be offered by a vendor or an independent third party. A dentist may refer you However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Behavioral Health Services. PO Box 385018 Take Action. P.O. One Woodward Avenue, Suite 2020 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. How do I submit a prior authorization request? Detroit, MI 48226. Returning Shopper? Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Learn About Virtual Care Florida Blue Centers See a nurse. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Our automated interactive voice response system provides claims, benefit and cost-share information. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. You can see dental providers in this network knowing your costs are the lowest. Periodontists specialize in gums and gum disease. Family Medicine. Heres how they compare. New Clinic Manager jobs added daily. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Pediatric Dentists specialize in dental treatment for young and special needs children. Referrals to a hospital In addition, some sites may require you to agree to their terms of use and privacy policy. 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. P.O. If you have a health plan and a dental plan, keep in mind that dental plans and health plans have different networks and different benefits. . 8 a.m. to noon and 1 to 5 p.m. takes the health and well-being of our members, providers, our associates and our business partners seriously. Detroit, MI 48231-2599, Blue Cross Complete claims Get access to your online account. 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. Choose a dental network from the list below to search for a dentist.
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