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. Detroit, MI 48231-2599, Blue Cross Complete claims Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. P.O. Dental Plans. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Providers. The network has more than 5,600 locations within AZ and over 350,000 locations . NEW CLAIMS SUBMISSION MAILING ADDRESS. Find yours in our list ofphysician organization consultants (PDF). Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. You can find yours by selecting your region below. 1-800-482-4047 Adult Dental Services Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. Enroll today and your coverage can start as soon as next month. Contact the plan for more information. P.O. Box 68710 Get access to your agent portal.Register Now. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). You should not think BCBSTX endorses all views you find on this other site. Members. Step 6: Tell the system the total amount charged. Learn more >, Not registered? BlueCare Dental PPO SM * BlueCare Dental HMO SM * 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). Not registered? BCBSIL and go2dental.com are separate companies. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Check to see if your dentist is in our network or choose from our many providers. Dentists in the DPPO network have agreed to pre-determined fees for their services. This helps us ensure you meet the state requirements for health care. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. Monday through Friday The full text or spelling is not required for the city and dentist name fields. It's just one more way that Florida Blue is with you. Contact customer service, Heritage Provider service: 1-800-252-2053. . Tagalog, Lansing, MI 48933. London, KY 40742. 1-800-762-2382 Where can I get dental costs and information? Access Your Payment Options. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting The content on the Dental Wellness Center website is provided by go2dental.com. 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. Detroit, MI 48232-0593, UB-04 claims How can I learn more about my patients' eligibility? Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Provider Inquiry is for registered, nonregistered and out-of-state providers. Blue Cross NC Dental Products and Network Overview In a PPO plan, costs are typically reduced when members receive care from network providers. Box 2227 The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. 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. The content on the Dental Wellness Center website is provided by go2dental.com . Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Get access to your agent portal.Register Now. You can use our automated system to reach a representative to discuss your claim's outcome. Register Now, Not registered? Call DentaQuest (toll free) at 1-855-418-1622. Masshealth Dental Provider Login . P.O. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. 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. Our web portalpowered by Availitymakes doing business with Anthem even easier. 1-844-876-7917 For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Box 68753 the head, neck, face, and jaws. Orthodontists specialize in tooth and jaw positioning and alignment. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Blue Vision providers submit claims electronically directly toVSP. Box 7355 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. Some General Dentists Federal Employee Program providers and facilities: 1-800-482-3600 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). 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? BCBSMT and go2dental.com are separate companies. Detroit, MI 48226. All here in your neighborhood. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Box 32593 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. You can register here. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 232 S Capitol Ave P.O. Say "date of service" to learn about a different claim. When you enroll, you'll partner with us to care for a large and diverse membership. Employers. Take a class. 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. Submit prior authorization requestselectronicallythrough CoverMyMeds. Not all benefits are offered by all Plans mentioned above. 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). PO Box 385018 There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. 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. Blue Care Network with orofacial skin. Blue Cross Blue Shield FEP Dental You can write to us by finding your area code with the relevant mailing address. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. 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. Out-of-network dentists do not participate in any arrangement with Blue Cross. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. 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 . Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Blue Cross Blue Shield of Arizona. Hospitals or facilities: 1-800-249-5103 Access Your Payment Options. 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. they will provide you with a referral. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. If you have a question, please call Customer Service at 1-855-504-BLUE. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. The above is a listing of common services available through your network of Participating Dentists. Each account comes with tools that let you quickly and easily get your work done. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Find a dentist. Many Periodontists also provide dental implant services. 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Learn more about eligibility and resources for uniformed service members transitioning to retirement. 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. 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. that insurance benefits for orthodontia can vary depending on the patient's age, so make 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. Box 310166 Blue Cross Blue Shield of Michigan Find a Blue Distinction Center. Log In to the Shopping Cart, Need to Make a Payment? 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. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. , 8 a.m. to 4 p.m. Provider Inquiry Mail Code 0301 Need more information? For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. view our International Directory. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Choose a dental network from the list below to search for a dentist. Note: The FEP phone system has a different set of prompts than the others. Physicians and professionals: 1-800-344-8525 to this type of specialist. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . . 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. Services from non -participating providers will be subject to the same allowable charges as those from participating . Behavioral Health Services. . Italiano, 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. Our automated interactive voice response system provides claims, benefit and cost-share information. 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). It can also send you a copy of your claim's status. Not Registered? Box 69436, Harrisburg, PA 17106-9436. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. 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 . It also verifies that you'll provide quality care to our members. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. General Dentists can provide many preventive services, like exams and cleanings, Automated information is available anytime. Not Registered? State and Federal Privacy laws prohibit unauthorized access to Member's private information. Find in-network dentists, too, in a few short steps. Monday through Friday Register Now, Learn more about registering for our web tools. Register Now, Not registered? 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. This is only a brief list of the plan benefits. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Get access to your employer portal. You can write to us by finding your ZIP code with the relevant mailing address. This new site may be offered by a vendor or an independent third party. 1-888-826-8152 periodontal services, like deep cleanings (scaling and root planning), they will often refer 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. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Ting Vit, Register Now, Not registered? That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 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. 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. 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. P.O. Take Action. During this unprecedented time, we're taking action to support our members. External link You are leaving this website/app (site). How do I submit a prior authorization request? Returning Shopper? Calls will be returned the next business day. The network is available through contracted general dentists and specialists throughout Arizona. Portugus, Box 551, Minneapolis, MN 55440-0551. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. More detailed searches are possible by clicking on More Search Options. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. takes the health and well-being of our members, providers, our associates and our business partners seriously. 8:30 a.m. to 6 p.m. Questions About Your Benefits? 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. Periodontists specialize in gums and gum disease. 1-877-258-0167 oral structure or require other specialized denture services may be referred to a Prosthodontist. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental 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. P, Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims If your General Dentist feels that you require a specialist, Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Monday through Friday Vision and hearing providers: 1-800-482-4047 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. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. TTY users: To reach any number listed here, dial 711. When a ZIP code is supplied, the city and state values are ignored. The above is a listing of common services available through your network of Participating Dentists. 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. Attention: Claim Processing Say "another contract" to inquire on another contract. 28 Years Experience. Looking for a specific dentist or clinic? For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. GEHA's mantra is PREVENTIVE HEALTH CARE. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health 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. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Over-the-Counter Tests Expand All | Collapse All Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. BCBSTX is not liable or responsible for damage or injury to persons or property that result from the use of anything found on this other site such as: BCBSTX cannot guarantee the accuracy of any statements made on other websites. 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. Leverage your professional network, and get hired. Passive plan options pay out-of-network dental services at U&C. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Your contact information will be accessible to millions of our members. Once you have located the . One option is Adobe Reader which has a built-in reader. Log In to Availity Don't have an Availity account? Register Now, Not registered? London, KY 40742. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . Get access to your online account.Register Now, Not registered? , The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, 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. 1. The information on this other site may not always state the views of BCBSTX. 8 a.m. to 7 p.m. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . In addition, some sites may require you to agree to their terms of use and privacy policy. If you call before 30 days, we may not be able to check your claim through our automated phone system. Monday through Friday. Though General Dentists can often perform some We provide health insurance in Michigan. Federal Employee Program providers and facilities: 1-800-840-4505. 415 S. McClellan Ave. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Monday through Friday. Provider Finder Find a dentist in . You may access the Nondiscrimination and Accessibility notice Members pay less out-of-pocket and will not be balanced billed. Say "claims" when the system asks why you're calling. an appointment. Oral health touches every aspect of our lives but is often taken for granted. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). You'll need to use e-referral for Medicare Plus Blue authorization requests. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. After you've enrolled, you can register for a provider portal account. 20500 Civic Center Drive Don't have a secured provider portal account yet? That means better service and better care for your patients. 8 a.m. to 7 p.m. Need help understanding our plans? Facility and Special Programs The network has more than 5,600 locations within AZ and over 350,000 locations nationally. The search results will supply: If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Individuals attempting unauthorized access will be prosecuted. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Coverage for treatments varies depending on the member's benefit plan. The automated system is available anytime. They can also see any dental specialist within the network without a referral. Some of the features used to display this website may not function properly. TTY users should call 711. Monday through Friday. Heres how they compare. This new site may be offered by a vendor or an independent third party. 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. BCBSTX and go2dental.com are separate companies.
