Not sure which region you're in? Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. 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. Dentists in the DPPO network have agreed to pre-determined fees for their services. This new site may be offered by a vendor or an independent third party. Most PDF readers are a free download. 1-877-258-0167 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. Monday through Friday. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. 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 . 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. Agents. Many specialists also Blue Cross Blue Shield of Michigan Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. Dental Care websites are listed below. 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. 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. Check ereferrals.bcbsm.com for detailed prior authorization information. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Box 551, Minneapolis, MN 55440-0551. The full text or spelling is not required for the city and dentist name fields. periodontal services, like deep cleanings (scaling and root planning), they will often refer 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. Monday through Friday. Get access to your agent portal. 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. Hospitals or facilities: 1-800-249-5103 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. they will provide you with a referral. Log In to the Shopping Cart, Need to Make a Payment? 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. Dr. Michael J. Buckley, MD. BCBSIL and go2dental.com are separate companies. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. and Prevention (CDC), and state and local public health departments. . The information on this other site may not always state the views of BCBSTX. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Say "date of service" to learn about a different claim. 1-800-344-8525 General Dentists can provide many preventive services, like exams and cleanings, for all dentists in cities starting with "C," enter "C" for the city. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Attention: Claim Processing 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 . Our plans include BlueCare SM, TennCare Select and CoverKids. Hospitals or facilities: 1-800-249-5103 Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Cigna Dental Insurance Plans* . Do you have questions about dental benefits not answered here? takes the health and well-being of our members, providers, our associates and our business partners seriously. , 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. 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. Choose a dental network from the list below to search for a dentist. 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. 1-877-258-0167 Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices The content on the Dental Wellness Center website is provided by go2dental.com. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. You can find yours by selecting your region: Not sure which region you're in? Florida Blue and Florida Combined Life Insurance Company, Inc. do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. 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. Blue Cross NC Dental Products and Network Overview What do I need to know about credentialing? RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . 1-800-822-2761 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. 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. This new site may be offered by a vendor or an independent third party. Fep Blue Dental Provider Login . Check to see if your dentist is in our network or choose from our many providers. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Monday through Friday Log In to Availity Don't have an Availity account? External link You are leaving this website/app (site). 1-800-762-2382 TennCare's current dental benefits manager is DentaQuest. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Monday through Friday, 1-800-431-1059 8:30 a.m. to noon and 1 to 5 p.m. 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. Returning Shopper? Call our Member Services department Monday - Friday from 8 am to 5 pm. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Ting Vit, Blue Cross Blue Shield of Michigan With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Say "representative" to reach someone who can help. 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. Vision and hearing providers: 1-800-482-4047 Get fast, easy access to everything you need when you log in to the secured provider portal. 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. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Say "no" when asked if you have additional questions about the determination of a claim. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. 1-800-482-5982 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. referring those over a certain age to continue their dental care with a General Dentist. Register Now, Learn more about registering for our web tools. Not all Endodontists will provide endodontic services If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Your contact information will be accessible to millions of our members. If you need additional guidance, read the Dentaquest Dental Manual (PDF). DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Step 1: Say "claims" when the system asks why you're calling. 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). If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Get access to your online account.Register Now, Not registered? Log In to the Shopping Cart, Need to Make a Payment? Monday through Friday. Monday through Friday You may access the Nondiscrimination and Accessibility notice Enter your City and State or Zip Code and desired Radius. California Dental Network Provider Login . More detailed searches are possible by clicking on More Search Options. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Dental | CareFirst BlueCross BlueShield Register Home Plans & Coverage Providers & Facilities Health & Wellness Insurance Basics New Member Updates & Information Members COVID-19 Vaccines Benefits Updates FAQs Contact Tracing Antibody Tests Need Care or Feel Sick? Step 5:Tell the system the date of service provided. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, that insurance benefits for orthodontia can vary depending on the patient's age, so make This helps us ensure you meet the state requirements for health care. Individuals attempting unauthorized access will be prosecuted. Monday through Friday Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Family Medicine. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. 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 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). Enroll year round. You can also talk to your provider consultant. Register Now, Learn more about registering for our web tools. 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. P.O. 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. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Step 6:Tell the system the total amount charged. an appointment. Calls will be returned the next business day. The content on the Dental Wellness Center website is provided by go2dental.com . 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). Detroit, MI 48231-0166, Federal Employee Program claims BCBSTX and go2dental.com are separate companies. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. They can also see any dental specialist within the network without a referral. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. 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. 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. Call our customer service number on the back of your ID card to report information that is wrong. Most Pediatric Dentists provide different levels of sedation, when needed, and some even External link You are leaving this website/app (site). Learn more >, Not registered? Monday through Friday, Care Management--Mail Code C355 General Dentists who don't provide denture services in their clinics may also refer patients Not Registered? Polskie, Quickly find a general dentist or specialist. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Though many General Dentists provide dentures in their offices, patients who have unique Where can I get dental costs and information? Gujarati, Are you unable to find your provider in the search results? That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Dental Plans. Credentialing is a verification process you'll need to pass before you can join our provider network. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Your first stop will usually be a General Dentist. 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. Passive plan options pay out-of-network dental services at U&C. 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. The above is a listing of common services available through your network of Participating Dentists. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . When you're contracted with us you have access to a provider consultant. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . 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. 1-844-876-7917 Dentist cannot provide the treatment you need, they may refer you to a specialist. Please consider an upgrade or using a different device. Oral health touches every aspect of our lives but is often taken for granted. Get access to your online account. P.O. 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. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Adult Dental Services The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Blue Dental PPO Plans Find a dentist. The network is available through contracted general dentists and specialists throughout Arizona. L07B Step 6: Tell the system the total amount charged. 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. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Periodontists specialize in gums and gum disease. Box 7355 Take Action. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. 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. with orofacial skin. Get access to your online account. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Grand Rapids, MI 49523-0589, Provider Inquiry Monday through Friday. This trademark application was filed with the USPTO (United States Patent and Trademark Office) under the trademark classification: Medical, Beauty & Agricultural Services ; Insurance & Financial Services; The BLUE . Dr. Michael David Stout, MD. 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. Just use our online search. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Anytime! 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 . Contact customer service, Heritage Provider service: 1-800-252-2053. P.O. , Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims You are going to a different website. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental A dentist may refer you Italiano, Members may enroll in the plan only during specific times of the year. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Our automated interactive voice response system provides claims, benefit and cost-share information. 1-888-803-4960 London, KY 40742. Register Now, Not registered? like alveoplasties or cleft lip/palate surgery. 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. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. to this type of specialist. You can use our automated system to reach a representative to discuss your claim's outcome. 8:30 a.m. to noon and 1 to 5 p.m. Coverage for treatments varies depending on the member's benefit plan. Access Your Payment Options. 8 a.m. to noon and 1 to 5 p.m. 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. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . Register Now. 8 a.m. to 5 p.m. More detailed searches are possible by clicking on More Search Options. Dental care is part of the head-to-toe coverage available for our members. Box 33248 Masshealth Dental Provider Login . 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. D/B/A Florida Blue. Kreyol Ayisien, If you call before 30 days, we may not be able to check your claim through our automated phone system. Provider Inquiry is for registered, nonregistered and out-of-state providers. 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. We provide health insurance in Michigan. Individuals attempting unauthorized access will be prosecuted. Just keep in mind you'll need to go through the prompts before you're connected to someone. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. GEHA's mantra is PREVENTIVE HEALTH CARE. 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 If your General From April 1 to September 30, on weekends and holidays you may be required to leave a message. General Dentistry, Oral & Maxillofacial Surgery. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. If your General Dentist feels that you require a specialist, Don't have a secured provider portal account yet? How do I submit a prior authorization request? Get access to your online account.Register Now, Not registered? In a PPO plan, costs are typically reduced when members receive care from network providers. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Do keep in mind that as most The automated system is available anytime. Verify patient eligibility and benefits 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. The above is a listing of common services available through your network of Participating Dentists. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Contact the plan for more information. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 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? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Services from non -participating providers will be subject to the same allowable charges as those from participating . Get access to your employer portal. You'll need to use e-referral for Medicare Plus Blue authorization requests. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? 1. Employers. The network is available through contracted general dentists and specialists throughout Arizona. require a referral from a General Dentist prior to scheduling Provider Finder Find a dentist in . Step 6: You will then be transferred to the servicing center for assistance. 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% This is only a brief list of the plan benefits. 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. We offer resources to support your practice in serving patients covered by our dental plan.