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Sun Life Dental Login . Services from non -participating providers will be subject to the same allowable charges as those from participating . 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. BlueCare Dental PPO SM * BlueCare Dental HMO SM * , Calls will be returned the next business day. Need help understanding our plans? The network is available through contracted general dentists and specialists throughout Arizona. Get access to your online account.Register Now, Not registered? An independent licensee of the Blue Cross and Blue Shield Association. Though General Dentists can often perform some Not Registered? You'll have access to reward programs that seek to transform health care. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Say "fax or email" to receive a copy of your claim's status. 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). The automated system is available anytime. Read our manuals to learn more about our programs, policies and procedures. Physicians and professionals: 1-800-344-8525 Please consider an upgrade or using a different device. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. To view this file, you may need to install a PDF reader program. P.O. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. 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). 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 . Call DentaQuest (toll free) at 1-855-418-1622. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Take a class. , Many specialists also Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Most PDF readers are a free download. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. 20500 Civic Center Drive 28 Years Experience. Returning Shopper? BCBSTX and go2dental.com are separate companies. They can also see any dental specialist within the network without a referral. Submit prior authorization requestselectronicallythrough CoverMyMeds. Whether you're interested in joining our network or have already partnered with us, we're here to help. Italiano, 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. You may access the Nondiscrimination and Accessibility notice Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. 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. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. 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). All here in your neighborhood. Get fast, easy access to everything you need when you log in to the secured provider portal. Dental Plans. You can find yours by selecting your region: Not sure which region you're in? Enroll today and your coverage can start as soon as next month. Detroit, MI 48232-4248, Provider Inquiry Members. General Dentistry, Oral & Maxillofacial Surgery. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Check to see if your dentist is in our network or choose from our many providers. Facility and Special Programs He works in Olympia, WA and 4 other locations and specializes in Family Medicine. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Hospitals or facilities: 1-800-249-5103 Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. The automated system is available anytime. Today's top 32,000+ Clinic Manager jobs in United States. P.O. 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 . Step 5: Tell the system the date of service. Find a Blue Distinction Center. 8 a.m. to noon and 1 to 5 p.m. Our automated interactive voice response system provides claims, benefit and cost-share information. From April 1 to September 30, on weekends and holidays you may be required to leave a message. 1-877-258-0167 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. Monday through Friday. The information on this other site does not replace professional health care. It's just one more way that Florida Blue is with you. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. You can find yours by selecting your region below. 1-888-803-4960 Find in-network dentists, too, in a few short steps. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. That means better service and better care for your patients. Heres how they compare. takes the health and well-being of our members, providers, our associates and our business partners seriously. Say "another member" to inquire on another member. Franais, What you need to know about the coronavirus, COVID-19. 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. 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 . 8 a.m. to 4 p.m. Get access to your member portal. Monday through Friday, Care Management--Mail Code C355 Please Select Your State The resources on this page are specific to your state. Don't have a secured provider portal account yet? 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. The site may also contain non-Medicare related information. The automated system is available anytime. 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. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Monday through Friday. 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. Periodontists specialize in gums and gum disease. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. More detailed searches are possible by clicking on More Search Options. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. periodontal services, like deep cleanings (scaling and root planning), they will often refer Questions About Your Benefits? Register Now. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. 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. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Some General Dentists Box 312599 Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Get access to your online account. an appointment. 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 . Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Box 2227 Elevance Health, Inc. is an American health insurance provider. Marquette, MI 49855, Employee Inquiry 1-800-482-4047 1-844-876-7917 Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Most Pediatric Dentists provide different levels of sedation, when needed, and some even Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Dentists in the DPPO network have agreed to pre-determined fees for their services. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. To view this file, you may need to install a PDF reader program. Monday through Friday 8 a.m. to 7 p.m. It is a NON-profit Health Plan -- has been around at least 50 years. 54. Within the United States, to search for a dentist by location, supply your city (optional) and state. Pediatric Dentists specialize in dental treatment for young and special needs children. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Southfield, MI 48075, 1-877-293-2788 Call our Member Services department Monday - Friday from 8 am to 5 pm. Choose a dental network from the list below to search for a dentist. Monday through Friday, 1-800-431-1059 When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. that insurance benefits for orthodontia can vary depending on the patient's age, so make We provide health insurance in Michigan. Provider Finder Find a dentist in . In addition, some sites may require you to agree to their terms of use and privacy policy. 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% Keep in mind on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Locate a dentist or dental specialist in the BCBS FEP Dental network. Dr. Michael J. Buckley, MD. Family Medicine. 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. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 2022 BlueCare Dental PPO (Small Group) Plans. General Dentists can provide many preventive services, like exams and cleanings, To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Register Now, Not registered? Anytime! 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. GEHA's mantra is PREVENTIVE HEALTH CARE. , For example, if you have questions about dental care, talk with your dentist. 40 Years Experience. A dentist may refer you Essential Vision providerssubmit claims throughHeritage Vision Plan. If youre a professional provider office, you have access to a provider consultant. Southfield, MI 48075. 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). . In addition, some sites may require you to agree to their terms of use and privacy policy. Vision and hearing providers: 1-800-482-4047 Returning Shopper? Automated information is available anytime. 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. To view this file, you may need to install a PDF reader program. General Dentists who don't provide denture services in their clinics may also refer patients Get access to your member portal. . Ting Vit, Provider Inquiry is for registered, nonregistered and out-of-state providers. 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. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . The content on the Dental Wellness Center website is provided by go2dental.com . Register Now, Learn more about registering for our web tools. 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. 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. P, You are entitled to obtain a detailed understanding of additional services or assistance that the The network providers listed in this directory have agreed to provide you with your health care and dental services. If you visit a provider or location that is not in your network, you will pay more of the cost. Blue Cross Blue Shield of Michigan to this type of specialist. 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 . We provide health insurance in Michigan. 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. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services 8 a.m. to 6 p.m. 8:30 a.m. to noon and 1 to 5 p.m. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. 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. Orthodontists specialize in tooth and jaw positioning and alignment. P.O. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Do you have questions about dental benefits not answered here? Click to view logins links, most visited site links, social handles and contact information etc. State and Federal Privacy laws prohibit unauthorized access to Member's private information. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. with orofacial skin. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . 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. P.O. Ask A Dentist Ask licensed dentist questions about dental care. Physicians and professionals: 1-800-344-8525 Access Your Payment Options. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. The site may also contain non-Medicare related information. The full text or spelling is not required for the city and dentist name fields. 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. Gujarati, Blue Cross Blue Shield of Michigan 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. Automated information is available anytime. Individuals attempting unauthorized access will be prosecuted. Monday through Friday. London, KY 40742. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Say "representative" to reach someone who can help. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. have privileges to provide services in a hospital setting. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. View our map (PDF). Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. There's no coverage when you see Blue Par Select or out-of-network dentists. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC).
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blue care network dental providers