If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. Read our manuals to learn more about our programs, policies and procedures. Family Medicine. 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. Your first stop will usually be a General Dentist. Physicians and professionals: 1-800-344-8525 DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Blue Cross Blue Shield of Michigan View our map (PDF). Heres how they compare. with orofacial skin. 20500 Civic Center Drive 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. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Orthodontists specialize in tooth and jaw positioning and alignment. also provide more specialty services, like root canals, extractions, and dentures, Not all benefits are offered by all Plans mentioned above. Check ereferrals.bcbsm.com for detailed prior authorization information. Nominate your provider for inclusion in our network! 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. 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. Learn About Virtual Care Florida Blue Centers See a nurse. 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 . 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. Not registered? Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. You can write to us by finding your area code with the relevant mailing address. When issuing a referral or outpatient authorization for a hospital, referring providers should enter the facility NPI in the e-referral Servicing Facility ID field. Simply call a Patient Care Coordinator at (877) 872-0370 . Quickly find a general dentist or specialist. Italiano, Get access to your employer portal. 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. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Some General Dentists A General Dentist will refer patients to an Oral Pathologist for assistance in Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. D/B/A Florida Blue. Step 5:Tell the system the date of service provided. periodontal services, like deep cleanings (scaling and root planning), they will often refer 1-844-876-7917 Just keep in mind you'll need to go through the prompts before you're connected to someone. Click to view logins links, most visited site links, social handles and contact information etc. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . London, KY 40742. After you've enrolled, you can register for a provider portal account. Fully Insured Small Group Summary of Dental Benefits. Please consider an upgrade or using a different device. Fep Blue Dental Provider Login . If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. 8 a.m. to noon and 1 to 5 p.m. Automated information is available anytime. Hospitals or facilities: 1-800-249-5103 Southfield, MI 48075. London, KY 40742. Over-the-Counter Tests Expand All | Collapse All ACCESS MANUALS. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. The content on the Dental Wellness Center website is provided by go2dental.com . 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. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. In addition, some sites may require you to agree to their terms of use and privacy policy. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic 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). The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Just keep in mind you'll need to go through the prompts before you're connected to someone. More detailed searches are possible by clicking on More Search Options. Vision and hearing providers: 1-800-482-4047. You can also talk to your provider consultant. Not Registered? Submit prior authorization requestselectronicallythrough CoverMyMeds. Monday through Friday. Say "another contract" to inquire on another contract. Providers | BlueCare Tennessee As a BlueCare Tennessee network provider dedicated to the health of your patients and our members, you'll find what you need here for your office or facility. 8 a.m. to 6 p.m. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control There's no coverage when you see Blue Par Select or out-of-network dentists. The content on the Dental Wellness Center website is provided by go2dental.com . Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Ting Vit, Locate a dentist or dental specialist in the BCBS FEP Dental network. Not sure which region you're in? Blue Vision providers submit claims electronically directly toVSP. Members may enroll in the plan only during specific times of the year. 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. Physicians and professionals: 1-800-344-8525 When you have a member selected and then go to select a provider, the system will indicate if the provider is "in" or "out" of network for that member. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. 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. 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. 1-800-822-2761 have privileges to provide services in a hospital setting. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. L07B The content on the Dental Wellness Center website is provided by go2dental.com. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. 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. Grand Rapids, MI 49523-0589, Provider Inquiry BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Franais, Whether you're interested in joining our network or have already partnered with us, we're here to help. The site may also contain non-Medicare related information. 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. Step 1: Say "claims" when the system asks why you're calling. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. 1-800-482-4047 You are going to a different website. One option is Adobe Reader which has a built-in reader. Marquette, MI 49855, Employee Inquiry Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida 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. Elevance Health, Inc. is an American health insurance provider. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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 . 4202 S University Ave, Little Rock, AR 72204 1.14 miles. 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. Box 68753 The site may also contain non-Medicare related information. TrademarkElite is the U.S. #1 Trademark Search and Registration Service :: BLUE GLOBAL SOLUTIONS is a trademark and brand of Blue Cross and Blue Shield Association, Chicago, IL . You can use our automated system to reach a representative to discuss your claim's outcome. Credentialing is a verification process you'll need to pass before you can join our provider network. Oral health touches every aspect of our lives but is often taken for granted. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Monday through Friday, Care Management--Mail Code C355 Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Tagalog, Returning Shopper? Coverage for treatments varies depending on the member's benefit plan. 2022 BlueCare Dental PPO (Small Group) Plans. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Get access to your online account.Register Now, Not registered? 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 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. 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. 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. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. 1-888-803-4960 Don't have a secured provider portal account yet? Find a Blue Distinction Center. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. It's just one more way that Florida Blue is with you. We provide health insurance in Michigan. 1-877-258-0167 The information on this other site may not always state the views of BCBSTX. Each account comes with tools that let you quickly and easily get your work done. External link You are leaving this website/app (site). Our automated interactive voice response system provides claims, benefit and cost-share information. Keep in mind Monday through Friday. One Woodward Avenue, Suite 2020 Childers Orthodontics Patient Login . patients to a Periodontist when they are in need of more intensive treatment. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. 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. Get access to your online account. This other site may have information about: Please note that your health plan may not cover the items found on this other site. Monday through Friday, 1-800-431-1059 8:30 a.m. to noon and 1 to 5 p.m. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Find in-network dentists, too, in a few short steps. Find yours in our list ofphysician organization consultants (PDF). The automated system is available anytime. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. State and Federal Privacy laws prohibit unauthorized access to Member's private information. You can find yours by selecting your region below. 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. Get access to your agent portal.Register Now. P.O. P.O. Within the United States, to search for a dentist by location, supply your city (optional) and state. 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 . HMO subsidiary Blue Care Network proposes a 6.9. . 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. Provider Inquiry is for registered, nonregistered and out-of-state 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% Individuals attempting unauthorized access will be prosecuted. Get access to your online account. Some of the features used to display this website may not function properly. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Register Now. Monday through Friday Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Box 551, Minneapolis, MN 55440-0551. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Members pay less out-of-pocket and will not be balanced billed. Blue Care Network 20500 Civic Center Dr. Southfield, MI 48076 Group number: 001243160001 Consider a Health Care Flexible Spending Account If you are eligible, you may want to consider enrolling in a pre-tax health care Flexible Spending Account (FSA) to complement your health plan. an appointment. Detroit, MI 48232-0593, UB-04 claims 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. 1-855-504-2583 *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. 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. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. All here in your neighborhood. One option is Adobe Reader which has a built-in reader. Learn more about eligibility and resources for uniformed service members transitioning to retirement. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. The above is a listing of common services available through your network of Participating Dentists. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims As an alternative, you may enter a ZIP code. Today's top 32,000+ Clinic Manager jobs in United States. This plan helps complete your health coverage with PPO in-network preventive dental care covered at 100 percent, and adult vision care with copays as low as $10. In a PPO plan, costs are typically reduced when members receive care from network providers. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. though may also provide dental implants. View our map (PDF). When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Dental Plans. Provider Inquiry Mail Code 0301 The automated system is available anytime. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. It is a NON-profit Health Plan -- has been around at least 50 years. Out-of-network dentists do not participate in any arrangement with Blue Cross. Individuals attempting unauthorized access will be prosecuted. If you need additional guidance, read the Dentaquest Dental Manual (PDF). . Provider Finder Find a dentist in . The network has more than 5,600 locations within AZ and over 350,000 locations . 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. ---OR---------------------------------------------------------, ---OR-------------------------------------------. 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 1-800-249-5103 Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. 28 Years Experience. , Blue Cross NC Dental Products and Network Overview diagnosing oral abnormalities and disease. Need more information? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Please Select Your State The resources on this page are specific to your state. The automated system is available anytime. 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. Agents. Call our customer service number on the back of your ID card to report information that is wrong. This provides a quick, convenient way to get help in case of a dental emergency. Detroit, MI 48232-4248, Provider Inquiry In addition, some sites may require you to agree to their terms of use and privacy policy. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. This new site may be offered by a vendor or an independent third party. 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. Blue Cross Blue Shield of Arizona. 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. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. It can also send you a copy of your claim's status. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Monday through Friday. Essential Vision providerssubmit claims throughHeritage Vision Plan. Attention: Claim Processing Though General Dentists can often perform some That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. 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. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Think of it like a credit union -- exists to serve its membership - NOT for profit. We provide health insurance in Michigan. Facility and Special Programs Register Now. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Enroll today and your coverage can start as soon as next month. TTY users: To reach any number listed here, dial 711. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Leverage your professional network, and get hired. Our plans include BlueCare SM, TennCare Select and CoverKids. the head, neck, face, and jaws. 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. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Say "date of service" to learn about a different claim. 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). Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan 8:30 a.m. to noon and 1 to 5 p.m. Need help understanding our plans? Take a class. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Not Registered? You'll have access to reward programs that seek to transform health care. 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. Providers. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. 8 a.m. to noon and 1 to 5 p.m. Hospitals or facilities: 1-800-249-5103. 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. 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. Online tools provide you with information and support anytime. 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. Blue Cross and Blue Shield of Illinois, aDivision 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).
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