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. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. 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. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? General Dentists can provide many preventive services, like exams and cleanings, Our automated interactive voice response system provides claims, benefit and cost-share information. Whether you're interested in joining our network or have already partnered with us, we're here to help. Vision and hearing providers: 1-800-482-4047 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. External link You are leaving this website/app (site). 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. 15. provider(s) office is able to offer in support of the patient's specific needs under the Federal American Grand Rapids, MI 49516-8710, BCN Advantage Claims The content on the Dental Wellness Center website is provided by go2dental.com . Monday through Friday 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 . What you need to know about the coronavirus, COVID-19. 1-844-876-7917 State and Federal Privacy laws prohibit unauthorized access to Member's private information. Quickly find a general dentist or specialist. Are you unable to find your provider in the search results? Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Register Now. It's more than just business when you join the Blue Cross network. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Employers. Get access to your online account.Register Now, Not registered? You'll need to use e-referral for Medicare Plus Blue authorization requests. P.O. Box 68710 the head, neck, face, and jaws. Get health assessments, treatment support, and help understanding your plan. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Say "another contract" to inquire on another contract. Out-of-network dentists do not participate in any arrangement with Blue Cross. Coverage for treatments varies depending on the member's benefit plan. 1-800-482-4047 Facility and Special Programs Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. P.O. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). There's no coverage when you see Blue Par Select or out-of-network dentists. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Box 310166 Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. 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. London, KY 40742. Individuals attempting unauthorized access will be prosecuted. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Call our customer service number on the back of your ID card to report information that is wrong. Get fast, easy access to everything you need when you log in to the secured provider portal. During surges in COVID-19, we've taken significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers. Blue Vision providers submit claims electronically directly toVSP. Learn more about eligibility and resources for uniformed service members transitioning to retirement. Fully Insured Small Group Summary of Dental Benefits. 8:30 a.m. to 4:30 p.m. 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. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, For example, to search 8:30 a.m. to noon and 1 to 5 p.m. If you have a question, please call Customer Service at 1-855-504-BLUE. Get access to your online account. PO Box 385018 Take a class. 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. Our web portalpowered by Availitymakes doing business with Anthem even easier. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. to this type of specialist. Detroit, MI 48232-0593, UB-04 claims More detailed searches are possible by clicking on More Search Options. , To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 1-800-482-5982 on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. Gujarati, Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Blue Cross Blue Shield of Michigan Get access to your agent portal. 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. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Dr. Michael J. Buckley, MD. 1-800-249-5103 Automated information is available anytime. California Dental Network Provider Login . 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. 8 a.m. to noon and 1 to 5 p.m. Just keep in mind you'll need to go through the prompts before you're connected to someone. We provide health insurance in Michigan. 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). 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. Kreyol Ayisien, 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. Learn About Virtual Care Florida Blue Centers See a nurse. Lansing, MI 48933. P.O. require a referral from a General Dentist prior to scheduling Blue Cross Blue Shield of Michigan Dentists in the DPPO network have agreed to pre-determined fees for their services. Monday through Friday. 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. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. 1-888-826-8152 If you don't have an account yet, you can check claims for with our automated system. Birmingham, AL 35238-0518. Do keep in mind that as most The network has more than 5,600 locations within AZ and over 350,000 locations nationally. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Get access to your online account. 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% 28 Years Experience. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. D/B/A Florida Blue. 1-800-344-8525 The site may also contain non-Medicare related information. 20500 Civic Center Drive Anytime! From April 1 to September 30, on weekends and holidays you may be required to leave a message. Blue Cross Blue Shield of Michigan With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. P.O. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. . 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. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. The information on this other site does not replace professional health care. 8 a.m. to 7 p.m. How can I learn more about my patients' eligibility? Hospitals or facilities: 1-800-249-5103. Dentist cannot provide the treatment you need, they may refer you to a specialist. 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). 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. Members pay less out-of-pocket and will not be balanced billed. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Get access to your employer portal. 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. Italiano, Detroit, MI 48231-2599, Blue Cross Complete claims The above is a listing of common services available through your network of Participating Dentists. For example, if you have questions about dental care, talk with your dentist. Many specialists also It can also send you a copy of your claim's status. Most PDF readers are a free download. Today's top 32,000+ Clinic Manager jobs in United States. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Attention: Claim Processing You can write to us by finding your ZIP code with the relevant mailing address. Log In to the Shopping Cart, Need to Make a Payment? Say "representative" to reach someone who can help. 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. View our map (PDF). Franais, That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. 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. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Find a dentist. Enter your City and State or Zip Code and desired Radius. Most PDF readers are a free download. oral structure or require other specialized denture services may be referred to a Prosthodontist. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. 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. BCBSTX and go2dental.com are separate companies. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. 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. Box 7355 How do I submit a prior authorization request? A dentist may refer you Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. The network is available through contracted general dentists and specialists throughout Arizona. BCBSOK and go2dental.com are separate companies. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Box 230589 If youre a professional provider office, you have access to a provider consultant. Read our manuals to learn more about our programs, policies and procedures. Enroll today and your coverage can start as soon as next month. Monday through Friday If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 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. This new site may be offered by a vendor or an independent third party. One option is Adobe Reader which has a built-in reader. BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * You can see dental providers in this network knowing your costs are the lowest. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. 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. 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. 1. Blue Cross Blue Shield of Michigan The network has more than 5,600 locations within AZ and over 350,000 locations . Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Most Pediatric Dentists provide different levels of sedation, when needed, and some even More detailed searches are possible by clicking on More Search Options. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. view our International Directory. Passive plan options pay out-of-network dental services at U&C. 1-877-258-0167 Monday through Friday, Care Management--Mail Code C355 PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Within the United States, to search for a dentist by location, supply your city (optional) and state. As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Their online platform allows you to sign up in just a few clicks, find the right coach or therapist for your needs, and quickly book an appointment via live video or in-person. Note: The FEP phone system has a different set of prompts than the others. Say "date of service" to learn about a different claim. referring those over a certain age to continue their dental care with a General Dentist. It also verifies that you'll provide quality care to our members. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. 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. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Automated information is available anytime. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. 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 . Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. however, available treatment will vary for each provider. Enter a partial or full name along with the Specialty and Location. 8:30 a.m. to noon and 1 to 5 p.m. Grand Rapids, MI 49523-0589, Provider Inquiry Oral Surgeon / Oral & Maxillofacial Surgeon, Standard and High Option Plan Benefits and Premiums, Benefits when traveling outside the service area, Transferring care if your dentist is no longer part of the network. 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. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. You can use our automated system to reach a representative to discuss your claim's outcome. Heres how they compare. 415 S. McClellan Ave. The content on the Dental Wellness Center website is provided by go2dental.com. 1-800-822-2761 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. 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. Agents. Automated information is available anytime. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. 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. Need more information? Choose a dental network from the list below to search for a dentist. Monday through Friday. 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. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Masshealth Dental Provider Login . Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. Monday through Friday Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). 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 . 8:30 a.m. to 6 p.m. The above is a listing of common services available through your network of Participating Dentists. 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). Where can I get dental costs and information? Questions About Your Benefits? Marquette, MI 49855, Employee Inquiry Log In to the Shopping Cart, Need to Make a Payment? P, Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 2023 BlueCare Dental PPO (Small Group) Plans. 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. Learn more >, Not registered? Looking for a specific dentist or clinic? Get access to your agent portal.Register Now. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. Say "no" when asked if you have additional questions about the determination of a claim. In addition, some sites may require you to agree to their terms of use and privacy policy. Say "fax or email" to receive a copy of your claim's status. Ting Vit, Blue Cross NC Dental Products and Network Overview Physicians and professionals: 1-800-344-8525 This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Southfield, MI 48075, 1-877-293-2788 In a PPO plan, costs are typically reduced when members receive care from network providers. BlueCare Dental (Traditional National PPO) * As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . It's just one more way that Florida Blue is with you. For Michigan Providers: Summary of Utilization Management Programs (PDF), Provider Prior Authorization and Precertification Requirements for BCBSM and Medicare Plus Blue, For Michigan Providers: BCN Referral and Prior Authorization Requirements (PDF), For Non-Michigan providers: Referral and Authorization Requirements (PDF), Important Information About MedicarePlans, Your 10-digit national provider identifier, BCBSM PIN or facility code, The members contract number, date of birth, the spelling of their first name and their ZIP code, Member liability, including deductible, coinsurance and copays. During this unprecedented time, we're taking action to support our members. Services from non -participating providers will be subject to the same allowable charges as those from participating . Federal Employee Program providers and facilities: 1-800-840-4505. Endodontists specialize in the treatment of dental pulp and perform services like root canals, 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. P.O. Dental care is part of the head-to-toe coverage available for our members. 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 . 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.
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