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With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Box 69436, Harrisburg, PA 17106-9436. How can I learn more about my patients' eligibility? It also verifies that you'll provide quality care to our members. 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). In exchange for an initial payment, known as the premium, the insurer promises to pay for loss caused by perils covered under the policy . Box 310166 State and Federal Privacy laws prohibit unauthorized access to Member's private information. Each account comes with tools that let you quickly and easily get your work done. Just keep in mind you'll need to go through the prompts before you're connected to someone. Check to see if your dentist is in our network or choose from our many providers. 1-800-482-4047 Providers. The site may also contain non-Medicare related information. We provide health insurance in Michigan. To view this file, you may need to install a PDF reader program. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. 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). 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. 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. 20500 Civic Center Drive 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 . Get access to your online account.Register Now, Not registered? Not all benefits are offered by all Plans mentioned above. Choose a dental network from the list below to search for a dentist. 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. Box 551, Minneapolis, MN 55440-0551. Need help understanding our plans? 1-800-762-2382 The automated system is available anytime. Birmingham, AL 35238-0518. 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. Register Now, Not registered? with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Automated information is available anytime. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. You can also talk to your provider consultant. London, KY 40742. 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. The automated system is available anytime. Heres how they compare. The site may also contain non-Medicare related information. 8:30 a.m. to noon and 1 to 5 p.m. What you need to know about the coronavirus, COVID-19. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. If you're not a Blue Vision provider, send claims to: VSP Step 1: Say "claims" when the system asks why you're calling. Individuals attempting unauthorized access will be prosecuted. BCBSIL and go2dental.com are separate companies. The network is available through contracted general dentists and specialists throughout Arizona. Not all Endodontists will provide endodontic services If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. The content on the Dental Wellness Center website is provided by go2dental.com . Some of the features used to display this website may not function properly. If you have a question, please call Customer Service at 1-855-504-BLUE. 15. 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. The network has more than 5,600 locations within AZ and over 350,000 locations . TennCare's current dental benefits manager is DentaQuest. however, available treatment will vary for each provider. You are entitled to obtain a detailed understanding of additional services or assistance that the Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. Blue Cross Blue Shield of Arizona. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. BlueCare Dental (Traditional National PPO) * In addition, some sites may require you to agree to their terms of use and privacy policy. You are going to a different website. All here in your neighborhood. Monday through Friday, Care Management--Mail Code C355 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. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 8:30 a.m. to 6 p.m. Dentist cannot provide the treatment you need, they may refer you to a specialist. The above is a listing of common services available through your network of Participating Dentists. Grand Rapids, MI 49523-0589, Provider Inquiry BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Marquette, MI 49855, Employee Inquiry Adult Dental Services Fully Insured Small Group Summary of Dental Benefits. Blue Care Network Not Registered? Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Grand Rapids, MI 49516-8710, BCN Advantage Claims If you are a BCBSTX member and have questions about your health care plan benefits, check with your group benefits administrator or contact Customer Service at the number listed on your BCBSTX member ID card. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Verify patient eligibility and benefits Most Pediatric Dentists provide different levels of sedation, when needed, and some even Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Nominate your provider for inclusion in our network! Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. In a PPO plan, costs are typically reduced when members receive care from network providers. 28 Years Experience. DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer Register Now, Learn more about registering for our web tools. 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. 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. Ask A Dentist Ask licensed dentist questions about dental 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. The content on the Dental Wellness Center website is provided by go2dental.com . Leverage your professional network, and get hired. 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. Federal Employee Program providers and facilities: 1-800-840-4505. Step 6:Tell the system the total amount charged. Our nationwide plans are available to almost anyone. Register Now, Not registered? Say "fax or email" to receive a copy of your claim's status. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Vision and hearing providers: 1-800-482-4047 referring those over a certain age to continue their dental care with a General Dentist. Register Now, Not registered? 54. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Box 7355 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. 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 . 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. P, You can write to us by matching your area code with the relevant mailing address. This new site may be offered by a vendor or an independent third party. 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. Get health assessments, treatment support, and help understanding your plan. The network is available through contracted general dentists and specialists throughout Arizona. ACCESS MANUALS. 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. Blue Vision providers submit claims electronically directly toVSP. 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. 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. 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. We provide health insurance in Michigan. 1-800-482-5982 You can write to us by finding your area code with the relevant mailing address. . 8:30 a.m. to noon and 1 to 5 p.m. 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. You can see dental providers in this network knowing your costs are the lowest. Monday through Friday. require a referral from a General Dentist prior to scheduling [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. 415 S. McClellan Ave. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Find in-network dentists, too, in a few short steps. Monday through Friday. New Clinic Manager jobs added daily. The site may also contain non-Medicare related information. Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. A General Dentist will refer patients to an Oral Pathologist for assistance in 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. Dr. Michael J. Buckley, MD. You can write to us by finding your ZIP code with the relevant mailing address. Elevance Health, Inc. is an American health insurance provider. Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of . Family Medicine. Say "no" when asked if you have additional questions about the determination of a claim. Read our manuals to learn more about our programs, policies and procedures. You can find yours by selecting your region below. Step 6: Tell the system the total amount charged. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. 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. After you've enrolled, you can register for a provider portal account. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Polskie, Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Behavioral Health Services. If you call before 30 days, we may not be able to check your claim through our automated phone system. TTY users: To reach any number listed here, dial 711. Register Now, Not registered? Step 6: You will then be transferred to the servicing center for assistance. L07B , Our web portalpowered by Availitymakes doing business with Anthem even easier. 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. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. For Providers: Contact Us 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. 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 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. Online tools provide you with information and support anytime. Calls will be returned the next business day. 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. Don't have a secured provider portal account yet? Employers. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. 8 a.m. to 5 p.m. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). 232 S Capitol Ave Not registered? primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Dental Care websites are listed below. Though General Dentists can often perform some Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Your contact information will be accessible to millions of our members. 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 . As a Blue Cross Blue Shield of Michigan and Blue Care Network provider, you're part of the largest network in the state. 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. . Box 312599 Our plans include BlueCare SM, TennCare Select and CoverKids. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. 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. Use our search form to find a dentist quickly and easily. 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. The information on this other site may not always state the views of BCBSTX. Register Now. 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. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Dental Plans. Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Childers Orthodontics Patient Login . This helps us ensure you meet the state requirements for health care. 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 . 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 . Box 68753 Dentists in the DPPO network have agreed to pre-determined fees for their services. Blue Dental PPO Plans Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. You may access the Nondiscrimination and Accessibility notice Southfield, MI 48075. To view this file, you may need to install a PDF reader program. 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. The search results will supply: The search may also provide their website, address and office hours. oral structure or require other specialized denture services may be referred to a Prosthodontist. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. 8 a.m. to 7 p.m. An independent licensee of the Blue Cross and Blue Shield Association. This provides a quick, convenient way to get help in case of a dental emergency. Not sure which region you're in? State and Federal Privacy laws prohibit unauthorized access to Member's private information. like alveoplasties or cleft lip/palate surgery. Monday through Friday. patients to a Periodontist when they are in need of more intensive treatment. TTY users should call 711. General Dentists can provide many preventive services, like exams and cleanings, Blue Cross Blue Shield of Michigan 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). If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Orthodontists specialize in tooth and jaw positioning and alignment. Get access to your employer portal. Monday through Friday, Care Management--Mail Code C355 Learn more about Blue Dental plans by calling the number on the back of your member ID card. Most PDF readers are a free download. Franais, Members. If you visit a provider or location that is not in your network, you will pay more of the cost. Members may enroll in the plan only during specific times of the year. 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 PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. This is only a brief list of the plan benefits. If youre a professional provider office, you have access to a provider consultant. Services from non -participating providers will be subject to the same allowable charges as those from participating . 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. 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. Just use our online search. Detroit, MI 48232-0593, UB-04 claims For example, to search It's more than just business when you join the Blue Cross network. to this type of specialist. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. 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. Though many General Dentists provide dentures in their offices, patients who have unique Submit prior authorization requestselectronicallythrough CoverMyMeds. as well as treatment services, like fillings and crowns. they will provide you with a referral. 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. , 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). Call our Member Services department Monday - Friday from 8 am to 5 pm. Detroit, MI 48231-2599, Blue Cross Complete claims Blue Cross Blue Shield of Michigan Blue Cross NC Dental Products and Network Overview Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Enroll year round. Say "representative" to reach someone who can help. You'll need to use e-referral for Medicare Plus Blue authorization requests. Kreyol Ayisien, Contact the plan for more information. Fep Blue Dental Provider Login . PO Box 385018 If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. This other site may have information about: Please note that your health plan may not cover the items found on this other site. We provide health insurance in Michigan. 8 a.m. to noon and 1 to 5 p.m. Register Now, Learn more about registering for our web tools. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . 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. Register Now, Not registered? 8:30 a.m. to noon and 1 to 5 p.m. Your first stop will usually be a General Dentist. and Prevention (CDC), and state and local public health departments. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans If you need additional guidance, read the Dentaquest Dental Manual (PDF). This new site may be offered by a vendor or an independent third party. Where can I get dental costs and information? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). General Dentistry, Oral & Maxillofacial Surgery. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Learn more >, Not registered? You should not think BCBSTX endorses all views you find on this other site. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. If your General 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. Endodontists specialize in the treatment of dental pulp and perform services like root canals, The network has more than 5,600 locations within AZ and over 350,000 locations nationally. BCBSOK and go2dental.com are separate companies. The content on the Dental Wellness Center website is provided by go2dental.com . Click to view logins links, most visited site links, social handles and contact information etc. Blue Cross Blue Shield of Michigan 1-855-504-2583 One option is Adobe Reader which has a built-in reader. Today's top 32,000+ Clinic Manager jobs in United States. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. , 8:30 a.m. to noon and 1 to 5 p.m. for all dentists in cities starting with "C," enter "C" for the city. BCBSTX and go2dental.com are separate companies. sure to check your benefits before scheduling treatment. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. More detailed searches are possible by clicking on More Search Options. . Many Periodontists also provide dental implant services. We offer two ways to find patient eligibility information by logging into our secured provider portal or by calling Provider Inquiry, an automated response system. NEW CLAIMS SUBMISSION MAILING ADDRESS. Individuals attempting unauthorized access will be prosecuted. Automated information is available anytime. 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). Find a Blue Distinction Center. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Oral health touches every aspect of our lives but is often taken for granted. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 8 a.m. to 7 p.m. You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. Essential Vision providerssubmit claims throughHeritage Vision Plan. provider(s) office is able to offer in support of the patient's specific needs under the Federal American