Learn more >, Not registered? Detroit, MI 48231-2599, Blue Cross Complete claims 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% 8 a.m. to 6 p.m. Blue Cross Blue Shield of Michigan Box 7355 Detroit, MI 48231-0166, Federal Employee Program claims 1-888-803-4960 Ting Vit, 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 . Pediatric Dentists specialize in dental treatment for young and special needs children. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. P.O. Box 7355 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. Box 310166 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. The automated system is available anytime. The automated system is available anytime. 8:30 a.m. to noon and 1 to 5 p.m. The network has more than 5,600 locations within AZ and over 350,000 locations . 1-855-504-2583 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. Automated information is available anytime. Step 5: Tell the system the date of service provided. Learn About Virtual Care Florida Blue Centers See a nurse. Say "representative" to reach someone who can help. Box 69436, Harrisburg, PA 17106-9436. . 8 a.m. to noon and 1 to 5 p.m. BCBSTX and go2dental.com are separate companies. Get access to your agent portal.Register Now. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Facility and Special Programs Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. 1-800-482-5982 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). 20500 Civic Center Drive 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. When you're contracted with us you have access to a provider consultant. . You should not think BCBSTX endorses all views you find on this other site. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . It can also send you a copy of your claim's status. It's more than just business when you join the Blue Cross network. The full text or spelling is not required for the city and dentist name fields. Returning Shopper? Most PDF readers are a free download. . 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. Get access to your online account.Register Now, Not registered? Say "no" when asked if you have additional questions about the determination of a claim. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. , P.O. We provide health insurance in Michigan. After you've enrolled, you can register for a provider portal account. 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 . London, KY 40742. Questions About Your Benefits? Once you have located the . Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. 1-800-249-5103 Heres how they compare. Detroit, MI 48232-0593, UB-04 claims You can write to us by finding your ZIP code with the relevant mailing address. If you visit a provider or location that is not in your network, you will pay more of the cost. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. 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). To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. have privileges to provide services in a hospital setting. This helps us ensure you meet the state requirements for health care. 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). For personal medical guidance, please consult your dentist and/or physician. One Woodward Avenue, Suite 2020 P.O. 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 Get access to your agent portal. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . London, KY 40742. 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. Blue Dental PPO Plans Monday through Friday, Care Management--Mail Code C355 P.O. Simply call a Patient Care Coordinator at (877) 872-0370 . Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. for all dentists in cities starting with "C," enter "C" for the city. Members may enroll in the plan only during specific times of the year. It can also send you a copy of your claim's status. View our map (PDF). 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? Find a dentist. General Dentists who don't provide denture services in their clinics may also refer patients More detailed searches are possible by clicking on More Search Options. , Say "claims" when the system asks why you're calling. Behavioral Health Services. We provide health insurance in Michigan. Monday through Friday. If you have an EPO plan, it only covers care you get from PPO in-network dentists. 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. Say "fax or email" to receive a copy of your claim's status. That means better service and better care for your patients. In a PPO plan, costs are typically reduced when members receive care from network providers. Vision and hearing providers: 1-800-482-4047 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. To view this file, you may need to install a PDF reader program. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . however, available treatment will vary for each provider. , When a ZIP code is supplied, the city and state values are ignored. Monday through Friday, Care Management--Mail Code C355 as well as treatment services, like fillings and crowns. Provider Inquiry Mail Code 0301 8:30 a.m. to noon and 1 to 5 p.m. Blue Cross Blue Shield of Michigan Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. 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. Log In to Availity Don't have an Availity account? Individuals attempting unauthorized access will be prosecuted. General Dentistry, Oral & Maxillofacial Surgery. Locate a dentist or dental specialist in the BCBS FEP Dental network. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 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. Click to view logins links, most visited site links, social handles and contact information etc. 1. 1-888-826-8152 Box 551, Minneapolis, MN 55440-0551. Get health assessments, treatment support, and help understanding your plan. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Dr. Michael J. Buckley, MD. Use our search form to find a dentist quickly and easily. In addition, some sites may require you to agree to their terms of use and privacy policy. Provider Inquiry is for registered, nonregistered and out-of-state providers. 28 Years Experience. 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. 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. Most Pediatric Dentists provide different levels of sedation, when needed, and some even If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. To get credentialed, you'll need to visit CAQH.org. and Prevention (CDC), and state and local public health departments. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Do you have questions about dental benefits not answered here? 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. Whether you're interested in joining our network or have already partnered with us, we're here to help. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Think of it like a credit union -- exists to serve its membership - NOT for profit. 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 . Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Contact customer service, Heritage Provider service: 1-800-252-2053. 8 a.m. to 7 p.m. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . 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. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Monday through Friday Childers Orthodontics Patient Login . Your contact information will be accessible to millions of our members. New Clinic Manager jobs added daily. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. P.O. Get access to your member portal. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? You can write to us by finding your area code with the relevant mailing address. Step 5: Tell the system the date of service. Blue Cross Blue Shield of Michigan Register Now, Not registered? In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . though may also provide dental implants. 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. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Blue Cross and Blue Shield of Illinois (BCBSIL) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Oral health touches every aspect of our lives but is often taken for granted. 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). Get access to your agent portal. Register Now, Not registered? Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Blue Vision providers submit claims electronically directly toVSP. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Take Action. Many specialists also Physicians and professionals: 1-800-344-8525 Not Registered? Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. 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 Plans. Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims This new site may be offered by a vendor or an independent third party. Grand Rapids, MI 49523-0589, Provider Inquiry Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. Call DentaQuest (toll free) at 1-855-418-1622. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. In addition, some sites may require you to agree to their terms of use and privacy policy. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Blue Cross Blue Shield FEP Dental 20500 Civic Center Drive This is only a brief list of the plan benefits. Step 7:Listen to your claim's status, which includes the following information: Step 8: After listening to the claim's status, you'll have the following choices: The automated system is available anytime. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Register Now, Not registered? 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. Franais, Step 1: Say "claims" when the system asks why you're calling. provider(s) office is able to offer in support of the patient's specific needs under the Federal American It is a NON-profit Health Plan -- has been around at least 50 years. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. The above is a listing of common services available through your network of Participating Dentists. 8:30 a.m. to 6 p.m. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. takes the health and well-being of our members, providers, our associates and our business partners seriously. If you need additional guidance, read the Dentaquest Dental Manual (PDF). The site may also contain non-Medicare related information. Deutsche, Blue Cross Blue Shield of Michigan 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. GEHA's mantra is PREVENTIVE HEALTH CARE. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. Box 312599 Dentists in the DPPO network have agreed to pre-determined fees for their services. As an alternative, you may enter a ZIP code. Find yours in our list ofphysician organization consultants (PDF). Anytime! Please consider an upgrade or using a different device. 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. The content on the Dental Wellness Center website is provided by go2dental.com . 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. External link You are leaving this website/app (site). 15. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. 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. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Not registered? Calls will be returned the next business day. 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. the head, neck, face, and jaws. 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. Hospitals or facilities: 1-800-249-5103 The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. The content on the Dental Wellness Center website is provided by go2dental.com . Grand Rapids, MI 49516-8753, Blue Cross Complete Claims If you don't have an account yet, you can check claims for BCBSM patients with our automated system. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 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. 1-844-876-7917 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). Step 6:Tell the system the total amount charged. You may access the Nondiscrimination and Accessibility notice In addition, some sites may require you to agree to their terms of use and privacy policy. It's just one more way that Florida Blue is with you. 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. For more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-877-857-2945. Elevance Health, Inc. is an American health insurance provider. 8:30 a.m. to 4:30 p.m. 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. TTY users should call 711. Members pay less out-of-pocket and will not be balanced billed. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. There's no coverage when you see Blue Par Select or out-of-network dentists. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Members. BCBSIL and go2dental.com are separate companies. California Dental Network Provider Login . Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. To view this file, you may need to install a PDF reader program. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. that insurance benefits for orthodontia can vary depending on the patient's age, so make Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. For services from dentists who are not in the BlueDental PPO (BluePreferred Dental) Network, What You Need to Know About the BlueDental PPO (BluePreferred Dental) Network, Those who purchased ACA plans through HealthCare.gov and need to access out-of-Arizona pediatric dental coverage. 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. Box 32593 on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. , You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling.