oral structure or require other specialized denture services may be referred to a Prosthodontist. 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. Leverage your professional network, and get hired. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Step 6:Tell the system the total amount charged. Quickly find a general dentist or specialist. 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. One Woodward Avenue, Suite 2020 . Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. 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. ---OR---------------------------------------------------------, ---OR-------------------------------------------. 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. also provide more specialty services, like root canals, extractions, and dentures, The search results will supply: The search may also provide their website, address and office hours. 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. Employers. Register Now, Not registered? Just use our online search. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Automated information is available anytime. The site may also contain non-Medicare related information. Step 5: Tell the system the date of service. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. The network has more than 5,600 locations within AZ and over 350,000 locations . Contact customer service, Heritage Provider service: 1-800-252-2053. The content on the Dental Wellness Center website is provided by go2dental.com. Log In to the Shopping Cart, Need to Make a Payment? 1-800-249-5103 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. 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 . Need more information? In addition, some sites may require you to agree to their terms of use and privacy policy. General Dentistry, Oral & Maxillofacial Surgery. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Individuals attempting unauthorized access will be prosecuted. Portugus, Provider Inquiry Mail Code 0301 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. P, Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 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. Learn more >, Not registered? Most Pediatric Dentists provide different levels of sedation, when needed, and some even Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Facility and Special Programs Say "claims" when the system asks why you're calling. 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. Provider Finder Find a dentist in . Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 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 . Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Find a Blue Distinction Center. Online tools provide you with information and support anytime. Ask A Dentist Ask licensed dentist questions about dental care. The automated system is available anytime. 1-888-826-8152 with orofacial skin. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. 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. 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. External link You are leaving this website/app (site). Automated information is available anytime. ACCESS MANUALS. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. It is a NON-profit Health Plan -- has been around at least 50 years. GEHA's mantra is PREVENTIVE HEALTH CARE. Physicians and professionals: 1-800-344-8525 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. The automated system is available anytime. Dr. Michael David Stout, MD. One option is Adobe Reader which has a built-in reader. All here in your neighborhood. Southfield, MI 48075. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. 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. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. TTY users: To reach any number listed here, dial 711. 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). PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. We offer resources to support your practice in serving patients covered by our dental plan. Register Now. Check to see if your dentist is in our network or choose from our many providers. BCBSOK and go2dental.com are separate companies. Register Now, Learn more about registering for our web tools. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Once you have located the . It links network providers and Blue Cross Blue Shield Plans across the country and around the world. It's more than just business when you join the Blue Cross network. Say "fax or email" to receive a copy of your claim's status. Take a class. 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. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims When a ZIP code is supplied, the city and state values are ignored. to this type of specialist. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Are you unable to find your provider in the search results? It can also send you a copy of your claim's status. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Polskie, Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. 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 your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. To view this file, you may need to install a PDF reader program. Simply call a Patient Care Coordinator at (877) 872-0370 . BCBSTX and go2dental.com are separate companies. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . P.O. view our International Directory. Ting Vit, The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Monday through Friday, 1-800-431-1059 Dental Care websites are listed below. Services from non -participating providers will be subject to the same allowable charges as those from participating . Monday through Friday, Care Management--Mail Code C355 Calls will be returned the next business day. Get access to your agent portal. , Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Note:It can take up to 30 days for a claim to be processed. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 1-800-344-8525 BlueCare Dental (Traditional National PPO) * 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Need help understanding our plans? 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. Say "date of service" to learn about a different claim. 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. 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 . 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. You can register here. California Dental Network Provider Login . 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. In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. 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. Get access to your online account.Register Now, Not registered? If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. Marquette, MI 49855, Employee Inquiry Dental care is part of the head-to-toe coverage available for our members. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Deutsche, London, KY 40742. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. You'll need to know what kind of dental plan you have; an individual plan, a plan through your employer or Medicare, or another public plan. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. 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. Learn more about eligibility and resources for uniformed service members transitioning to retirement. 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 . Passive plan options pay out-of-network dental services at U&C. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . 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. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. In addition, some sites may require you to agree to their terms of use and privacy policy. Enter your City and State or Zip Code and desired Radius. To get credentialed, you'll need to visit CAQH.org. PO Box 385018 Box 68710 Not Registered? Monday through Friday. Say "another contract" to inquire on another contract. This helps us ensure you meet the state requirements for health care. require a referral from a General Dentist prior to scheduling Many specialists also Grand Rapids, MI 49523-0589, Provider Inquiry Most PDF readers are a free download. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . 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. 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. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. You'll need to use e-referral for Medicare Plus Blue authorization requests. 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. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Questions About Your Benefits? Submit prior authorization requestselectronicallythrough CoverMyMeds. If you call before 30 days, we may not be able to check your claim through our automated phone system. Attention: Claim Processing Monday through Friday 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. Box 312599 It's just one more way that Florida Blue is with you. Blue Cross Blue Shield of Arizona. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. 20500 Civic Center Drive Vision providers who can't access their account or need more information can read the Blue Vision Provider Summary Guide (PDF) to learn how to: Submit claims, appeals and attachments Please consider an upgrade or using a different device. 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. One option is Adobe Reader which has a built-in reader. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. For example, to search Referrals to a hospital . HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. Enroll today and your coverage can start as soon as next month. If you have an EPO plan, it only covers care you get from PPO in-network dentists. You can write to us by finding your area code with the relevant mailing address. 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. You can find yours by selecting your region below. 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. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Register Now, Not registered? Dentist cannot provide the treatment you need, they may refer you to a specialist. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Kreyol Ayisien, Say "representative" to reach someone who can help. Blue Cross Blue Shield of Michigan Locate a dentist or dental specialist in the BCBS FEP Dental network. 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. The company's services include medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans through affiliated companies such as Anthem Blue Cross and Blue Shield, Empire BlueCross BlueShield in New York State, Anthem Blue Cross in California, [2 . This new site may be offered by a vendor or an independent third party. 54. Birmingham, AL 35238-0518. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. The network has more than 5,600 locations within AZ and over 350,000 locations nationally.