blue care network dental providers

Sun Life Dental Login . NEW CLAIMS SUBMISSION MAILING ADDRESS. 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. If you call before 30 days, we may not be able to check your claim through our automated phone system. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Enter your City and State or Zip Code and desired. 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. Get access to your agent portal. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. 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 Care Network 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). Dental Plans. also provide more specialty services, like root canals, extractions, and dentures, Though many General Dentists provide dentures in their offices, patients who have unique Some of the features used to display this website may not function properly. The information on this other site may not always state the views of BCBSTX. P.O. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. You can write to us by matching your area code with the relevant mailing address. 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. 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. Individuals attempting unauthorized access will be prosecuted. Get access to your agent portal. You can also talk to your provider consultant. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Step 6: Tell the system the total amount charged. P, Enroll today and your coverage can start as soon as next month. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting 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. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Vision and hearing providers: 1-800-482-4047. Locate a dentist or dental specialist in the BCBS FEP Dental network. Monday through Friday If your General 54. 8:30 a.m. to noon and 1 to 5 p.m. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. 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. 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. Dr. Michael J. Buckley, MD. 1-855-504-2583 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. 1-800-822-2761 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. We also offer two Dental PPO benefit structures. The above is a listing of common services available through your network of Participating Dentists. 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 . Dr. Michael David Stout, MD. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. D/B/A Florida Blue. 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. Most PDF readers are a free download. 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 . A dentist may refer you If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Monday through Friday Most PDF readers are a free download. External link You are leaving this website/app (site). During this unprecedented time, we're taking action to support our members. Need help understanding our plans? The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Delta Dental Il Employer Login . BlueCare Dental PPO SM * BlueCare Dental HMO SM * TennCare's current dental benefits manager is DentaQuest. External link You are leaving this website/app (site). The automated system is available anytime. 8:30 a.m. to 4:30 p.m. 1-844-876-7917 Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. P.O. Enter your City and State or Zip Code and desired Radius. 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. Detroit, MI 48232-0593, UB-04 claims Blue Care Network Coverage for treatments varies depending on the member's benefit 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. Click to view logins links, most visited site links, social handles and contact information etc. Box 69436, Harrisburg, PA 17106-9436. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. P.O. One option is Adobe Reader which has a built-in reader. BCBSIL and go2dental.com are separate companies. Birmingham, AL 35238-0518. You'll have access to reward programs that seek to transform health care. Essential Vision providerssubmit claims throughHeritage Vision 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. To view this file, you may need to install a PDF reader program. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 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 Monday through Friday. General Dentists who don't provide denture services in their clinics may also refer patients Dental Provider Services Contact our dental team to report changes to your practice or for questions about Blue Cross NC dental contracts, policies and procedures. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Use our search form to find a dentist quickly and easily. Monday through Friday, Care Management--Mail Code C355 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. Exclusive Savings for Dental Network Providers Our Dental Provider Savings Program offers network providers discounts of up to 40% on in-demand products (PPE equipment, scanners), lab services (implants, clear aligners, dentures), and turnkey teledentistry solutions for your office. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. The network is available through contracted general dentists and specialists throughout Arizona. Cigna Dental Insurance Plans* Register Now, Not registered? Take a class. State and Federal Privacy laws prohibit unauthorized access to Member's private information. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. 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. As an alternative, you may enter a ZIP code. Step 5: Tell the system the date of service provided. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. 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% For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Get access to your employer portal. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 2022 BlueCare Dental PPO (Small Group) Plans. Step 2: Answer the 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. One Woodward Avenue, Suite 2020 Blue Cross Blue Shield of Michigan In addition, some sites may require you to agree to their terms of use and privacy policy. Blue Dental PPO Plans Vision and hearing providers: 1-800-482-4047 Get health assessments, treatment support, and help understanding your plan. 1-888-803-4960 Orthodontists specialize in tooth and jaw positioning and alignment. here.Language Assistance Available: Espaol, to this type of specialist. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Access Your Payment Options. Contact customer service, Heritage Provider service: 1-800-252-2053. Portugus, Say "no" when asked if you have additional questions about the determination of a claim. Masshealth Dental Provider Login . Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Call our customer service number on the back of your ID card to report information that is wrong. You are entitled to obtain a detailed understanding of additional services or assistance that the Looking for a specific dentist or clinic? 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. 1-877-258-0167 Physicians and professionals: 1-800-344-8525 Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Box 32593 Southfield, MI 48075. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. This provides a quick, convenient way to get help in case of a dental emergency. 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. Register Now. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Find a Blue Distinction Center. We offer resources to support your practice in serving patients covered by our dental plan. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . Detroit, MI 48232-4248, Provider Inquiry 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. We provide health insurance in Michigan. State and Federal Privacy laws prohibit unauthorized access to Member's private information. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. , To get credentialed, you'll need to visit CAQH.org. You can register here. the head, neck, face, and jaws. Not all benefits are offered by all Plans mentioned above. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Our plans include BlueCare SM, TennCare Select and CoverKids. L07B P.O. 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. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Oral health touches every aspect of our lives but is often taken for granted. Blue Cross Blue Shield of Michigan Most Pediatric Dentists provide different levels of sedation, when needed, and some even As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. This helps us ensure you meet the state requirements for health care. Think of it like a credit union -- exists to serve its membership - NOT for profit. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. To view this file, you may need to install a PDF reader program. Contact the plan for more information. Note: The FEP phone system has a different set of prompts than the others. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. 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. as well as treatment services, like fillings and crowns. 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. It is a NON-profit Health Plan -- has been around at least 50 years. 8 a.m. to noon and 1 to 5 p.m. If you don't have an account yet, you can check claims for with our automated system. 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. Blue Cross, Blue Shield and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. The information on this other site does not replace professional health care. . Employers. Referrals to a hospital Our web portalpowered by Availitymakes doing business with Anthem even easier. The full text or spelling is not required for the city and dentist name fields. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Automated information is available anytime. 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. Enroll year round. Franais, Dental care is part of the head-to-toe coverage available for our members. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues New Clinic Manager jobs added daily. One option is Adobe Reader which has a built-in reader. This other site may have information about: Please note that your health plan may not cover the items found on this other site. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. view our International Directory. Returning Shopper? In a PPO plan, costs are typically reduced when members receive care from network providers. ACCESS MANUALS. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. they will provide you with a referral. 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. General Dentists can provide many preventive services, like exams and cleanings, After you've enrolled, you can register for a provider portal account. Step 6:Tell the system the total amount charged. 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). We provide health insurance in Michigan. Do you have questions about dental benefits not answered here? Hospitals or facilities: 1-800-249-5103. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). More detailed searches are possible by clicking on More Search Options. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. Physicians and professionals: 1-800-344-8525 , Step 5: Tell the system the date of service. 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. Where can I get dental costs and information? This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Check to see if your dentist is in our network or choose from our many providers. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Are you unable to find your provider in the search results? 8:30 a.m. to 6 p.m. Call our Member Services department Monday - Friday from 8 am to 5 pm. For example, if you have questions about dental care, talk with your dentist. 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. Get access to your member portal. Adult Dental Services BCBSTX assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center website; go2dental.com issolely responsible for the content and any advice given on its website. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Pediatric Dentists specialize in dental treatment for young and special needs children. Passive plan options pay out-of-network dental services at U&C. 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). Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Not registered? TTY users: To reach any number listed here, dial 711. Family Medicine. Access Your Payment Options. . 8:30 a.m. to noon and 1 to 5 p.m. Heres how they compare. Register Now, Learn more about registering for our web tools. Monday through Friday. sure to check your benefits before scheduling treatment. 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. Don't have a secured provider portal account yet? 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. patients to a Periodontist when they are in need of more intensive treatment. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. 232 S Capitol Ave 1-800-482-4047 Hospitals or facilities: 1-800-249-5103 More detailed searches are possible by clicking on More Search Options. Automated information is available anytime. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. You can find yours by selecting your region: Not sure which region you're in? 8 a.m. to 7 p.m. Not sure which region you're in? BCBSOK and go2dental.com are separate companies. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. 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. Marquette, MI 49855, Employee Inquiry Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. For personal medical guidance, please consult your dentist and/or physician. Monday through Friday. 8:30 a.m. to noon and 1 to 5 p.m. Provider Finder Find a dentist in . Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. How can I learn more about my patients' eligibility? Blue Cross Blue Shield of Arizona. Quickly find a general dentist or specialist. 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). primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Monday through Friday Register Now. Monday through Friday. Deutsche, Submit prior authorization requestselectronicallythrough CoverMyMeds. Dentists in the DPPO network have agreed to pre-determined fees for their services. Questions About Your Benefits? , Not Registered? require a referral from a General Dentist prior to scheduling Fep Blue Dental Provider Login . HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Not Registered? Monday through Friday, 1-800-431-1059 Find a Dentist. The network has more than 5,600 locations within AZ and over 350,000 locations . Register Now, Not registered? The network providers listed in this directory have agreed to provide you with your health care and dental services. . The network is available through contracted general dentists and specialists throughout Arizona. though may also provide dental implants. We offer two ways to find patient eligibility information by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. 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. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Get access to your agent portal.Register Now. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money.