The content on the Dental Wellness Center website is provided by go2dental.com . He works in Olympia, WA and 4 other locations and specializes in Family Medicine. If you call before 30 days, we may not be able to check your claim through our automated phone system. PO Box 385018 The information on this other site may not always state the views of BCBSTX. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Employers. Provider Inquiry is for registered, nonregistered and out-of-state providers. We also offer two Dental PPO benefit structures. Monday through Friday Once you have located the . The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Verify patient eligibility and benefits Blue Dental SM PPO Plus 80/60/50 With Vision This plan offers coverage for in- or out-of-network dentists for the entire family, plus adult vision coverage. Automated information is available anytime. TTY users: To reach any number listed here, dial 711. If you have a question, please call Customer Service at 1-855-504-BLUE. Within the United States, to search for a dentist by location, supply your city (optional) and state. Southfield, MI 48075, 1-877-293-2788 Do keep in mind that as most Monday through Friday. Detroit, MI 48232-4248, Provider Inquiry This new site may be offered by a vendor or an independent third party. Adult Dental Services 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. If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. Not registered? Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Dentist cannot provide the treatment you need, they may refer you to a specialist. Dental Plans. Step 6: You will then be transferred to the servicing center for assistance. To view this file, you may need to install a PDF reader program. London, KY 40742. Each account comes with tools that let you quickly and easily get your work done. Learn more >, Not registered? Detroit, MI 48231-2599, Blue Cross Complete claims The automated system is available anytime. 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. This new site may be offered by a vendor or an independent third party. 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). One option is Adobe Reader which has a built-in reader. We provide health insurance in Michigan. Monday through Friday, Care Management--Mail Code C355 The network is available through contracted general dentists and specialists throughout Arizona. P.O. 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. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. This new site may be offered by a vendor or an independent third party. Periodontists specialize in gums and gum disease. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . We provide health insurance in Michigan. Say "another member" to inquire on another member. 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. We provide health insurance in Michigan. Monday through Friday. The automated system is available anytime. Find a Blue Distinction Center. This provides a quick, convenient way to get help in case of a dental emergency. Say "fax or email" to receive a copy of your claim's status. This helps us ensure you meet the state requirements for health care. 1-877-258-0167 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. Your contact information will be accessible to millions of our members. The above is a listing of common services available through your network of Participating Dentists. Cigna Dental Insurance Plans* 15. Need help understanding our plans? Please consider an upgrade or using a different device. provider(s) office is able to offer in support of the patient's specific needs under the Federal American 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 We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Dental care is part of the head-to-toe coverage available for our members. 8:30 a.m. to 6 p.m. If youre a professional provider office, you have access to a provider consultant. An independent licensee of the Blue Cross and Blue Shield Association. To view this file, you may need to install a PDF reader program. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Hospitals or facilities: 1-800-249-5103 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. 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). BCBS FEP Dental is here to help you learn more about your oral health. though may also provide dental implants. 1-855-504-2583 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. with orofacial skin. Blue Vision providers submit claims electronically directly toVSP. How do I submit a prior authorization request? Choose a dental network from the list below to search for a dentist. 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. 1-800-249-5103 Portugus, Find yours in our list ofphysician organization consultants (PDF). Automated information is available anytime. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. One option is Adobe Reader which has a built-in reader. Not Registered? Step 6: Tell the system the total amount charged. Individuals attempting unauthorized access will be prosecuted. Whether you're interested in joining our network or have already partnered with us, we're here to help. 40 Years Experience. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Blue Cross Blue Shield of Michigan here.Language Assistance Available: Espaol, The network providers listed in this directory have agreed to provide you with your health care and dental services. NEW CLAIMS SUBMISSION MAILING ADDRESS. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Simply call a Patient Care Coordinator at (877) 872-0370 . Enroll today and your coverage can start as soon as next month. Monday through Friday Find in-network dentists, too, in a few short steps. Not all Endodontists will provide endodontic services Federal Employee Program providers and facilities: 1-800-482-3600 Grand Rapids, MI 49516-8753, Blue Cross Complete Claims Not Registered? 20500 Civic Center Drive Many Periodontists also provide dental implant services. P.O. 8:30 a.m. to noon and 1 to 5 p.m. 8:30 a.m. to noon and 1 to 5 p.m. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. 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. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. BCBSIL and go2dental.com are separate companies. Out-of-network dentists do not participate in any arrangement with Blue Cross. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Get access to your agent portal.Register Now. 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). Hospitals or facilities: 1-800-249-5103. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Enter a partial or full name along with the Specialty and Location. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Our plans include BlueCare SM, TennCare Select and CoverKids. It is a NON-profit Health Plan -- has been around at least 50 years. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Blue Dental Personal plans for individuals and families, Important Information About Medicare Plans. If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. This plan helps complete your health coverage with PPO in-network preventive dental care covered at 100 percent, and adult vision care with copays as low as $10. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. When a ZIP code is supplied, the city and state values are ignored. Individuals attempting unauthorized access will be prosecuted. That means better service and better care for your patients. Where can I get dental costs and information? GEHA's mantra is PREVENTIVE HEALTH CARE. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Enter your City and State or Zip Code and desired Radius. 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. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Get health assessments, treatment support, and help understanding your plan. California Dental Network Provider Login . You are entitled to obtain a detailed understanding of additional services or assistance that the When you enroll, you'll partner with us to care for a large and diverse membership. 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. Blue Cross Blue Shield of Michigan The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Physicians and professionals: 1-800-344-8525 How can I learn more about my patients' eligibility? 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. 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. 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 Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Tagalog, Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Our automated interactive voice response system provides claims, benefit and cost-share information. 20500 Civic Center Drive 8:30 a.m. to noon and 1 to 5 p.m. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Coverage for treatments varies depending on the member's benefit plan. 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. P.O. Get access to your employer portal. Calls will be returned the next business day. We offer "passive" dental PPO plans, where the benefit level is the same for both network and non-network dentists.
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