P.O. 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). In a PPO plan, costs are typically reduced when members receive care from network providers. Members. 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. We also offer two Dental PPO benefit structures. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Submit prior authorization requestselectronicallythrough CoverMyMeds. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. they will provide you with a referral. After you've enrolled, you can register for a provider portal account. Whether you're interested in joining our network or have already partnered with us, we're here to help. 2023 BlueCare Dental PPO (Small Group) Plans. 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. 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. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Automated information is available anytime. Within the United States, to search for a dentist by location, supply your city (optional) and state. like alveoplasties or cleft lip/palate surgery. . for all dentists in cities starting with "C," enter "C" for the city. Step 5: Tell the system the date of service. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. 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. Where can I get dental costs and information? Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Returning Shopper? You are going to a different website. 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. Dr. Michael David Stout, MD. Not Registered? Verify patient eligibility and benefits The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Detroit, MI 48231-0166, Federal Employee Program claims The network has more than 5,600 locations within AZ and over 350,000 locations . London, KY 40742. P.O. An independent licensee of the Blue Cross and Blue Shield Association. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. To view this file, you may need to install a PDF reader program. to this type of specialist. When you have a Blue Dental PPO plan, you have coverage from three networks of dental professionals: PPO in-network dentists are contracted to fully accept Blue Dental coverage. Detroit, MI 48232-0593, UB-04 claims To view this file, you may need to install a PDF reader program. General Dentistry, Oral & Maxillofacial Surgery. Box 32593 Blue Cross Blue Shield of Michigan For example, to search Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. BCBSTX and go2dental.com are separate companies. Understanding Health Care Costs and Quality, Provider Finder -Network Selection Criteria, HMO Provider Network Important Information, Making Your Health Insurance Work For You, Prescription Drug Changes and Pharmacy Information, Machine Readable Files for Transparency in Coverage, Providers (doctors, dentists, hospitals or other health care professionals). New Clinic Manager jobs added daily. The search results will supply: Blue Cross Blue Shield of Michigan The content on the Dental Wellness Center website is provided by go2dental.com. Say "claims" when the system asks why you're calling. 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. Over-the-Counter Tests Expand All | Collapse All Get access to your online account. Marquette, MI 49855, Employee Inquiry Log In to the Shopping Cart, Need to Make a Payment? images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting From April 1 to September 30, on weekends and holidays you may be required to leave a message. 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. Get access to your agent portal. Dental Care websites are listed below. 8:30 a.m. to 6 p.m. The automated system is available anytime. General Dentists can provide many preventive services, like exams and cleanings, Enter your City and State or Zip Code and desired. 8:30 a.m. to noon and 1 to 5 p.m. BCBSIL and go2dental.com are separate companies. Quickly find a general dentist or specialist. Referrals to a hospital Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Get access to your employer portal. Get health assessments, treatment support, and help understanding your plan. Do keep in mind that as most Contact the plan for more information. Enroll today and your coverage can start as soon as next month. 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. Facility and Special Programs 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 keep in mind you'll need to go through the prompts before you're connected to someone. 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. Deutsche, DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer It can also send you a copy of your claim's status. Both benefit plan options pay network dentist at SMA; however, one plan pays out-of-network dentists at SMA and the other pays at U&C. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Tagalog, Most Pediatric Dentists provide different levels of sedation, when needed, and some even Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Step 7:Listen to your claim's status, which includes the following information: Step 8: After listening to the claim's status, you'll have the following choices: The automated system is available anytime. BCBSTX and go2dental.com are separate companies. The full text or spelling is not required for the city and dentist name fields. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. Not sure which region you're in? 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. The site may also contain non-Medicare related information. Detroit, MI 48231-2599, Blue Cross Complete claims Find in-network dentists, too, in a few short steps. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. 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. Find a Blue Distinction Center. 1. 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. Grand Rapids, MI 49523-0589, Provider Inquiry For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Get access to your agent portal.Register Now. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Box 7355 You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. ---OR---------------------------------------------------------, ---OR-------------------------------------------. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. 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). Step 6: Tell the system the total amount charged. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? 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. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 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. 20500 Civic Center Drive 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. Monday through Friday, 1-800-431-1059 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. 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? Detroit, MI 48226. 8 a.m. to noon and 1 to 5 p.m. Automated information is available anytime. Blue Care Network Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Box 33248 The content on the Dental Wellness Center website is provided by go2dental.com . If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. You are entitled to obtain a detailed understanding of additional services or assistance that the We offer resources to support your practice in serving patients covered by our dental plan. Say "fax or email" to receive a copy of your claim's status. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Blue Cross Blue Shield of Michigan Today's top 32,000+ Clinic Manager jobs in United States. Monday through Friday Childers Orthodontics Patient Login . Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . The site may also contain non-Medicare related information. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Please Select Your State The resources on this page are specific to your state. Hospitals or facilities: 1-800-249-5103 Call DentaQuest (toll free) at 1-855-418-1622. Some General Dentists Register Now, Not registered? 20500 Civic Center Drive Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . As an alternative, you may enter a ZIP code. Adult Dental Services The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. We have several tools and resources available to help you make informed decisions about your plan and make the most of your BCBS FEP Dental coverage. 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. Take a class. How can I learn more about my patients' eligibility? Use our search form to find a dentist quickly and easily. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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. Federal Employee Program providers and facilities: 1-800-840-4505. Not Registered? 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. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Franais, 8 a.m. to 4 p.m. Read our manuals to learn more about our programs, policies and procedures. Log In to the Shopping Cart, Need to Make a Payment? Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Vision and hearing providers: 1-800-482-4047 Not all Endodontists will provide endodontic services If you're not a Blue Vision provider, send claims to: VSP Blue Cross Blue Shield of Michigan P.O. Step 5:Tell the system the date of service provided. view our International Directory. 1-844-876-7917 The site may also contain non-Medicare related information. 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. Not all benefits are offered by all Plans mentioned above. 8 a.m. to 7 p.m. If you call before 30 days, we may not be able to check your claim through our automated phone system. periodontal services, like deep cleanings (scaling and root planning), they will often refer State and Federal Privacy laws prohibit unauthorized access to Member's private information. P, on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. 1-800-822-2761 Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Monday through Friday. 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. 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 Cigna Dental Insurance Plans* Individuals attempting unauthorized access will be prosecuted. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. The search results will supply: The search may also provide their website, address and office hours. Calls will be returned the next business day. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 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 . Physicians and professionals: 1-800-344-8525 Most PDF readers are a free download. The network providers listed in this directory have agreed to provide you with your health care and dental services. 28 Years Experience. If you have an EPO plan, it only covers care you get from PPO in-network dentists. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. PO Box 385018 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 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 . Just use our online search. If you don't have an account yet, you can check claims for with our automated system. 8 a.m. to 7 p.m. Physicians and professionals: 1-800-344-8525 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 . 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). 1-877-258-0167 54. Contact customer service, Heritage Provider service: 1-800-252-2053. Your contact information will be accessible to millions of our members. Heres how they compare. Register Now. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans 1-800-762-2382 Get fast, easy access to everything you need when you log in to the secured provider portal. More detailed searches are possible by clicking on More Search Options. 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. sure to check your benefits before scheduling treatment. P.O. BCBSOK and go2dental.com are separate companies. Ask A Dentist Ask licensed dentist questions about dental care. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. 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. Services from non -participating providers will be subject to the same allowable charges as those from participating . P.O. If you need more information, you can transfer to a customer service representative during business hours. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . For example, if you have questions about dental care, talk with your dentist. Most PDF readers are a free download. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. GEHA's mantra is PREVENTIVE HEALTH CARE. Our automated interactive voice response system provides claims, benefit and cost-share information. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Enter your City and State or Zip Code and desired Radius. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Delta Dental Il Employer Login . General Dentists who don't provide denture services in their clinics may also refer patients This new site may be offered by a vendor or an independent third party. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. If your General Free aids and services for people with disabilities to communicate effectively with us, such as: Written information in other formats (such as accessible electronic formats). Family Medicine. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. 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 . provider(s) office is able to offer in support of the patient's specific needs under the Federal American Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan P.O. Box 2227 Box 312599 We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control What you need to know about the coronavirus, COVID-19. This is only a brief list of the plan benefits. Though many General Dentists provide dentures in their offices, patients who have unique Dental Plans. Please consider an upgrade or using a different device. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). and Prevention (CDC), and state and local public health departments. 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). They can also see any dental specialist within the network without a referral. 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. an appointment. 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. During this unprecedented time, we're taking action to support our members. Individuals attempting unauthorized access will be prosecuted. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Box 68753 referring those over a certain age to continue their dental care with a General Dentist.