P.O. Just use our online search. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. as well as treatment services, like fillings and crowns. You can find yours by selecting your region: Not sure which region you're in? 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. that insurance benefits for orthodontia can vary depending on the patient's age, so make We provide health insurance in Michigan. GEHA's mantra is PREVENTIVE HEALTH CARE. Learn more about Blue Dental plans by calling the number on the back of your member ID card. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. 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. Dr. Michael David Stout, MD. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. External link You are leaving this website/app (site). e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Choose a dental network from the list below to search for a dentist. Are you unable to find your provider in the search results? The content on the Dental Wellness Center website is provided by go2dental.com . Our nationwide plans are available to almost anyone. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. P.O. It's more than just business when you join the Blue Cross network. Log In to Availity Don't have an Availity account? Blue Cross Blue Shield of Michigan General Dentists who don't provide denture services in their clinics may also refer patients Step 6:Tell the system the total amount charged. 232 S Capitol Ave Our automated interactive voice response system provides claims, benefit and cost-share information. Not registered? Adult Dental Services For personal medical guidance, please consult your dentist and/or physician. 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. Provider Inquiry is for registered, nonregistered and out-of-state providers. If you don't have an account yet, you can check claims for with our automated system. General Dentists can provide many preventive services, like exams and cleanings, BCBSOK and go2dental.com are separate companies. Box 230589 Note: The FEP phone system has a different set of prompts than the others. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health This provides a quick, convenient way to get help in case of a dental emergency. Monday through Friday. Orthodontists specialize in tooth and jaw positioning and alignment. 1-800-249-5103 Box 68753 Blue Cross Blue Shield of Michigan However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Your first stop will usually be a General Dentist. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Detroit, MI 48232-4248, Provider Inquiry Monday through Friday. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Contact the plan for more information. 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). Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. Choose a dental network from the list below to search for a dentist. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. 8 a.m. to noon and 1 to 5 p.m. Elevance Health, Inc. is an American health insurance provider. Read our manuals to learn more about our programs, policies and procedures. P.O. Get access to your member portal. Blue Cross Blue Shield of Michigan We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Blue Cross NC Dental Products and Network Overview Returning Shopper? 1-800-482-5982 Some General Dentists 415 S. McClellan Ave. 8 a.m. to noon and 1 to 5 p.m. As an alternative, you may enter a ZIP code. Detroit, MI 48226. Box 68710 Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. 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. In addition, some sites may require you to agree to their terms of use and privacy policy. Find yours in our list ofphysician organization consultants (PDF). 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. 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. 8:30 a.m. to noon and 1 to 5 p.m. 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. ---OR---------------------------------------------------------, ---OR-------------------------------------------. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. 2021 BlueCare Dental PPO (Mid-Market) Plans. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. they will provide you with a referral. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. 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. Members pay less out-of-pocket and will not be balanced billed. 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. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Think of it like a credit union -- exists to serve its membership - NOT for profit. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Southfield, MI 48075. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Dentist cannot provide the treatment you need, they may refer you to a specialist. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Register Now, Learn more about registering for our web tools. ACCESS MANUALS. Register Now, Not registered? If you have an EPO plan, it only covers care you get from PPO in-network dentists. 2023 BlueCare Dental PPO (Small Group) Plans. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Hospitals or facilities: 1-800-249-5103 Periodontists specialize in gums and gum disease. 1-877-258-0167 Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Call DentaQuest (toll free) at 1-855-418-1622. State and Federal Privacy laws prohibit unauthorized access to Member's private information. P.O. and Prevention (CDC), and state and local public health departments. Monday through Friday, Care Management--Mail Code C355 One Woodward Avenue, Suite 2020 1-844-876-7917 Dental Plans. Fep Blue Dental Provider Login . Just use our online search. Register Now. 8:30 a.m. to noon and 1 to 5 p.m. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Calls will be returned the next business day. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . Don't have a secured provider portal account yet? It's just one more way that Florida Blue is with you. The network has more than 5,600 locations within AZ and over 350,000 locations . Delta Dental Il Employer Login . Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Enter your City and State or Zip Code and desired Radius. sure to check your benefits before scheduling treatment. 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. One option is Adobe Reader which has a built-in reader. If your General Dentist feels that you require a specialist, Step 4: Say "no" when asked if you have additional questions about the determination of a claim. 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. Physicians and professionals: 1-800-344-8525 Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Masshealth Dental Provider Login . For example, to search 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. 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. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. though may also provide dental implants. You are entitled to obtain a detailed understanding of additional services or assistance that the 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. 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. 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). Heres how they compare. The site may also contain non-Medicare related information. P.O. This other site may have information about: Please note that your health plan may not cover the items found on this other site. Monday through Friday, Care Management--Mail Code C355 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. The network providers listed in this directory have agreed to provide you with your health care and dental services. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? Monday through Friday Cigna Dental Insurance Plans* 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. 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. , Call our customer service number on the back of your ID card to report information that is wrong. A General Dentist will refer patients to an Oral Pathologist for assistance in require a referral from a General Dentist prior to scheduling If your General When a ZIP code is supplied, the city and state values are ignored. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Get access to your online account.Register Now, Not registered? Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. London, KY 40742. In addition, some sites may require you to agree to their terms of use and privacy policy. The search results will supply: P.O. Or, you can call 1 (855) 352-1604 for a free quote, Mon-Fri, 8 am - 8 pm, ET When is Cigna Dental Insurance right for you? Vision and hearing providers: 1-800-482-4047 The network is available through contracted general dentists and specialists throughout Arizona. 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 Not all benefits are offered by all Plans mentioned above. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. 1-877-258-0167 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. BCBSIL and go2dental.com are separate companies. 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 . Blue Cross Blue Shield of Michigan Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Check to see if your dentist is in our network or choose from our many providers. The network is available through contracted general dentists and specialists throughout Arizona. Members may enroll in the plan only during specific times of the year. Most PDF readers are a free download. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Many Periodontists also provide dental implant services. Find a Dentist. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. This new site may be offered by a vendor or an independent third party. Enter your City and State or Zip Code and desired. 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. have privileges to provide services in a hospital setting. 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. 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. diagnosing oral abnormalities and disease. Please Select Your State The resources on this page are specific to your state. 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 Access Your Payment Options. 1-888-803-4960 This helps us ensure you meet the state requirements for health care. Submit prior authorization requestselectronicallythrough CoverMyMeds. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Blue Cross and Blue Shield of Montana (BCBSMT) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. 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. The content on the Dental Wellness Center website is provided by go2dental.com. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . 1-855-504-2583 referring those over a certain age to continue their dental care with a General Dentist. You'll have access to reward programs that seek to transform health care. Coverage for treatments varies depending on the member's benefit plan. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. We provide health insurance in Michigan. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Fully Insured Small Group Summary of Dental Benefits. 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). Monday through Friday. Locate a dentist or dental specialist in the BCBS FEP Dental network. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. We also offer two Dental PPO benefit structures. From April 1 to September 30, on weekends and holidays you may be required to leave a message. 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). 8 a.m. to 4 p.m. , The content on the Dental Wellness Center website is provided by go2dental.com. Provider Finder Find a dentist in . The content on the Dental Wellness Center website is provided by go2dental.com . 8:30 a.m. to noon and 1 to 5 p.m. Kreyol Ayisien, Italiano, Get access to your online account. 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. Monday through Friday If you have a question, please call Customer Service at 1-855-504-BLUE. 1-800-822-2761 Physicians and professionals: 1-800-344-8525 Register Now, Not registered? You can also talk to your provider consultant. You can find yours by selecting your region below. In addition, some sites may require you to agree to their terms of use and privacy policy. Southfield, MI 48075, 1-877-293-2788 Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. More detailed searches are possible by clicking on More Search Options. 1-800-762-2382 Out-of-network dentists do not participate in any arrangement with Blue Cross. Get fast, easy access to everything you need when you log in to the secured provider portal. Say "no" when asked if you have additional questions about the determination of a claim. 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. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Say "claims" when the system asks why you're calling. Monday through Friday. Box 7355 Get access to your agent portal.Register Now. 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. Monday through Friday Though General Dentists can often perform some Our plans include BlueCare SM, TennCare Select and CoverKids. 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. Dental Care websites are listed below. , You may access the Nondiscrimination and Accessibility notice , Monday through Friday, 1-800-431-1059 There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. To view this file, you may need to install a PDF reader program. Provider Inquiry Mail Code 0301 P.O. here.Language Assistance Available: Espaol, It also verifies that you'll provide quality care to our members. Dental care is part of the head-to-toe coverage available for our members. Once you have located the . The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Check ereferrals.bcbsm.com for detailed prior authorization information. Register Now, Not registered? Members. You can register here. takes the health and well-being of our members, providers, our associates and our business partners seriously. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Note:It can take up to 30 days for a claim to be processed. oral structure or require other specialized denture services may be referred to a Prosthodontist. Do keep in mind that as most Dentists in the DPPO network have agreed to pre-determined fees for their services. Our web portalpowered by Availitymakes doing business with Anthem even easier. Individuals attempting unauthorized access will be prosecuted. How can I learn more about my patients' eligibility? You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. 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. 1. 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. Nominate your provider for inclusion in our network! Automated information is available anytime. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. 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. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. 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. It can also send you a copy of your claim's status. 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. Get Emergency Care (Teledentistry) . The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . Attention: Claim Processing 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 . Providers. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . TTY users should call 711. If you visit a provider or location that is not in your network, you will pay more of the cost. 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? It can also send you a copy of your claim's status. Employers. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. To view this file, you may need to install a PDF reader program. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Access Your Payment Options. Not all Endodontists will provide endodontic services Get access to your agent portal. 54. More detailed searches are possible by clicking on More Search Options. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Get access to your agent portal. Ask A Dentist Ask licensed dentist questions about dental care. . Click to view logins links, most visited site links, social handles and contact information etc. Automated information is available anytime. Portugus, 8 a.m. to 6 p.m. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Endodontists specialize in the treatment of dental pulp and perform services like root canals, Do you have questions about dental benefits not answered here? 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. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Need more information? Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. 8 a.m. to noon and 1 to 5 p.m. Automated information is available anytime. That means better service and better care for your patients. 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. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Detroit, MI 48231-2599, Blue Cross Complete claims 40 Years Experience. Over-the-Counter Tests Expand All | Collapse All
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