The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. 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. Coverage for treatments varies depending on the member's benefit plan. 8 a.m. to 6 p.m. 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. Hospitals or facilities: 1-800-249-5103. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Find a dentist. P, In a PPO plan, costs are typically reduced when members receive care from network providers. Attention: Claim Processing Individuals attempting unauthorized access will be prosecuted. Register Now, Not registered? 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. Behavioral Health Services. Vision and hearing providers: 1-800-482-4047. Enroll year round. Most PDF readers are a free download. BCBSMT and go2dental.com are separate companies. D/B/A Florida Blue. 20500 Civic Center Drive 31 N Maple Ave, Greensburg, PA 15601 0.15 miles. P.O. 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. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Box 310166 Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . 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. Keep in mind BCBSIL and go2dental.com are separate companies. If youre a professional provider office, you have access to a provider consultant. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims Blue Cross NC Dental Products and Network Overview The network providers listed in this directory have agreed to provide you with your health care and dental services. Enter your City and State or Zip Code and desired Radius. 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. For example, if you have questions about dental care, talk with your dentist. A General Dentist will refer patients to an Oral Pathologist for assistance in *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Some General Dentists General Dentists who don't provide denture services in their clinics may also refer patients London, KY 40742. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. We provide health insurance in Michigan. Our plans include BlueCare SM, TennCare Select and CoverKids. In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Our automated interactive voice response system provides claims, benefit and cost-share information. 1-888-803-4960 Enroll today and your coverage can start as soon as next month. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. require a referral from a General Dentist prior to scheduling You can register here. 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. For personal medical guidance, please consult your dentist and/or physician. Register Now, Not registered? Register Now, Not registered? London, KY 40742. Pediatric Dentists specialize in dental treatment for young and special needs children. 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. Say "date of service" to learn about a different claim. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. 1-800-482-4047 Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Essential Vision providerssubmit claims throughHeritage Vision Plan. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health Say "no" when asked if you have additional questions about the determination of a claim. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Blue Cross Blue Shield of Michigan Dentist cannot provide the treatment you need, they may refer you to a specialist. Step 5:Tell the system the date of service provided. Just keep in mind you'll need to go through the prompts before you're connected to someone. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control 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. 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). Some of the features used to display this website may not function properly. Deutsche, To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Dental Care websites are listed below. Register Now, Learn more about registering for our web tools. . P.O. Monday through Friday. External link You are leaving this website/app (site). Our web portalpowered by Availitymakes doing business with Anthem even easier. Though General Dentists can often perform some If you have a question, please call Customer Service at 1-855-504-BLUE. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. 1-800-344-8525 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. Get health assessments, treatment support, and help understanding your plan. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network 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% Do you have questions about dental benefits not answered here? We also offer two Dental PPO benefit structures. Please consider an upgrade or using a different device. Get access to your agent portal.Register Now. You'll have access to reward programs that seek to transform health care. That means better service and better care for your patients. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Box 69436, Harrisburg, PA 17106-9436. View our map (PDF). Register Now, Not registered? 1-877-258-0167 More detailed searches are possible by clicking on More Search Options. Register Now. Note:It can take up to 30 days for a claim to be processed. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. 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. Find a Dentist. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Step 6:Tell the system the total amount charged. Detroit, MI 48226. Monday through Friday, Care Management--Mail Code C355 If you have an EPO plan, it only covers care you get from PPO in-network dentists. You can find yours by selecting your region: Not sure which region you're in? You are entitled to obtain a detailed understanding of additional services or assistance that the the head, neck, face, and jaws. Register Now. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? In addition, some sites may require you to agree to their terms of use and privacy policy. have privileges to provide services in a hospital setting. Box 7355 Our nationwide plans are available to almost anyone. Box 68710 Blue Dental PPO Plans sure to check your benefits before scheduling treatment. This provides a quick, convenient way to get help in case of a dental emergency. Need more information? 15. How can I learn more about my patients' eligibility? Blue Cross Blue Shield of Michigan Within the United States, to search for a dentist by location, supply your city (optional) and state. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. 8:30 a.m. to noon and 1 to 5 p.m. You should not think BCBSTX endorses all views you find on this other site. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Use our search form to find a dentist quickly and easily. Dentists in the DPPO network have agreed to pre-determined fees for their services. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Not sure which region you're in? View our map (PDF). When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. Monday through Friday Today's top 32,000+ Clinic Manager jobs in United States. for all dentists in cities starting with "C," enter "C" for the city. If you're practicing outside Michigan, use these documents to learn how to submit a prior authorization: 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. 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. One option is Adobe Reader which has a built-in reader. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. The site may also contain non-Medicare related information. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 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. 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 . 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. Provider Finder Find a dentist in . As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. 1-888-826-8152 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. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Your contact information will be accessible to millions of our members. Box 33248 Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Say "claims" when the system asks why you're calling. Box 68753 TTY users: To reach any number listed here, dial 711. General Dentists can provide many preventive services, like exams and cleanings, . 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. 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). State and Federal Privacy laws prohibit unauthorized access to Member's private information. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . 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. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. As an alternative, you may enter a ZIP code. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic You can write to us by finding your area code with the relevant mailing address. Individuals attempting unauthorized access will be prosecuted. 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. and Prevention (CDC), and state and local public health departments. Just keep in mind you'll need to go through the prompts before you're connected to someone. Fep Blue Dental Provider Login . Say "representative" to reach someone who can help. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Check ereferrals.bcbsm.com for detailed prior authorization information. 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. Get access to your online account.Register Now, Not registered? For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. 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. When you're contracted with us you have access to a provider consultant. Monday through Friday Submit prior authorization requestselectronicallythrough CoverMyMeds. 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 . Leverage your professional network, and get hired. P.O. Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. 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). DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Get access to your member portal. After you've enrolled, you can register for a provider portal account. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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). Delta Dental Il Employer Login . This new site may be offered by a vendor or an independent third party. 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. 1-877-258-0167 It can also send you a copy of your claim's status. Get access to your online account. 232 S Capitol Ave Get access to your employer portal. If you are a member with either employer-offered dental benefits or employer-offered medical and dental benefits, you can go to BlueCare Dental Connection by logging in to Blue Access for MembersSM. Just use our online search. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. The site may also contain non-Medicare related information. 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. Not Registered? 1-800-482-5982 It's just one more way that Florida Blue is with you. BlueCare Dental (Traditional National PPO) * Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Out-of-network dentists do not participate in any arrangement with Blue Cross. The automated system is available anytime. TennCare's current dental benefits manager is DentaQuest. If you need more information, you can transfer to a customer service representative during business hours. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. 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. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. A dentist may refer you 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). The automated system is available anytime. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Please Select Your State The resources on this page are specific to your state. P.O. Monday through Friday. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. 8:30 a.m. to noon and 1 to 5 p.m. To view this file, you may need to install a PDF reader program. This other site may have information about: Please note that your health plan may not cover the items found on this other site. We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. From April 1 to September 30, on weekends and holidays you may be required to leave a message. Step 5: Tell the system the date of service. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. During this unprecedented time, we're taking action to support our members. Your first stop will usually be a General Dentist. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. 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.
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