This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. He works in Olympia, WA and 4 other locations and specializes in Family Medicine. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Monday through Friday. Research shows there may be a link between oral health and illnesses like heart disease, stroke, diabetes and premature birth. You are entitled to obtain a detailed understanding of additional services or assistance that the Tagalog, 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. Note:It can take up to 30 days for a claim to be processed. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Detroit, MI 48231-2599, Blue Cross Complete claims BlueCare Dental 4 Kids SM* BlueCare Dental SM* Medicare Advantage Plans * Members may enroll in the plan only during specific times of the year. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. The automated system is available anytime. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. What you need to know about the coronavirus, COVID-19. The site may also contain non-Medicare related information. have privileges to provide services in a hospital setting. 1-877-258-0167 Blue Care Network Hospitals or facilities: 1-800-249-5103. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. As an alternative, you may enter a ZIP code. The site may also contain non-Medicare related information. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Hospitals or facilities: 1-800-249-5103 Blue Care Network Not Registered? 1-800-762-2382 BCBSTX and go2dental.com are separate companies. 54. 8:30 a.m. to 4:30 p.m. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Your first stop will usually be a General Dentist. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. BCBSTX and go2dental.com are separate companies. External link You are leaving this website/app (site). with orofacial skin. If your General Providers. The content on the Dental Wellness Center website is provided by go2dental.com . Grand Rapids, MI 49516-8710, BCN Advantage Claims Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. If youre an administrative office of a medical care group, you have access to a professional organization consultant. The above is a listing of common services available through your network of Participating Dentists. For personal medical guidance, please consult your dentist and/or physician. Access Your Payment Options. 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. 8:30 a.m. to noon and 1 to 5 p.m. 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% Some General Dentists The automated system is available anytime. Get access to your online account.Register Now, Not registered? Box 68710 HMO subsidiary Blue Care Network proposes a 6.9. . 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). If you visit a provider or location that is not in your network, you will pay more of the cost. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Learn About Virtual Care Florida Blue Centers See a nurse. Whether you're interested in joining our network or have already partnered with us, we're here to help. For more information, see: Online provider search bcbsm.com has an online provider search that allows you to look for affiliated providers by first selecting the member's Blue Cross or BCN product and then viewing the network choices by type of care and location. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims 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 . Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. 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. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Find in-network dentists, too, in a few short steps. Our web portalpowered by Availitymakes doing business with Anthem even easier. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. . 8 a.m. to 5 p.m. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. though may also provide dental implants. here.Language Assistance Available: Espaol, Get access to your employer portal. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Looking for a specific dentist or clinic? 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). It's just one more way that Florida Blue is with you. Enroll today and your coverage can start as soon as next month. A General Dentist will refer patients to an Oral Pathologist for assistance in 40 Years Experience. 2021 BlueCare Dental PPO (Mid-Market) Plans. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. We provide health insurance in Michigan. 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. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices 20500 Civic Center Drive Physicians and professionals: 1-800-344-8525 Blue Cross Blue Shield of Michigan Endodontists specialize in the treatment of dental pulp and perform services like root canals, To view this file, you may need to install a PDF reader program. Our nationwide plans are available to almost anyone. Say "another contract" to inquire on another contract. Box 32593 The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. Our automated interactive voice response system provides claims, benefit and cost-share information. Dr. Michael David Stout, MD. 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. P.O. Step 6:Tell the system the total amount charged. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Contact the plan for more information. 8:30 a.m. to noon and 1 to 5 p.m. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. require a referral from a General Dentist prior to scheduling Keep in mind If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. Grand Rapids, MI 49523-0589, Provider Inquiry Out-of-network dentists do not participate in any arrangement with Blue Cross. 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. Find a Dentist. Need help understanding our plans? Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. Dr. Michael J. Buckley, MD. Dental Care websites are listed below. We provide health insurance in Michigan. diagnosing oral abnormalities and disease. 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. 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. One option is Adobe Reader which has a built-in reader. Detroit, MI 48226. 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. Not all benefits are offered by all Plans mentioned above. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Step 6: Tell the system the total amount charged. What do I need to know about credentialing? For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. P.O. If you have an EPO plan, it only covers care you get from PPO in-network dentists. Detroit, MI 48231-0166, Federal Employee Program claims that insurance benefits for orthodontia can vary depending on the patient's age, so make 1-800-482-5982 Some of the features used to display this website may not function properly. The automated system is available anytime. 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. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Call our customer service number on the back of your ID card to report information that is wrong. Periodontists specialize in gums and gum disease. You can see dental providers in this network knowing your costs are the lowest. 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. You can use our automated system to reach a representative to discuss your claim's outcome. 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. To view this file, you may need to install a PDF reader program. BCBS FEP Dental is here to help you learn more about your oral health. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. If you need more information, you can transfer to a customer service representative during business hours. 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. Say "representative" to reach someone who can help. Automated information is available anytime. P.O. For example, to search Most PDF readers are a free download. Please consider an upgrade or using a different device. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Blue Vision providers submit claims electronically directly toVSP. Blue Dental PPO Plans Register Now. Monday through Friday P.O. Choose a dental network from the list below to search for a dentist. 15. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Access Your Payment Options. To get credentialed, you'll need to visit CAQH.org. In addition, some sites may require you to agree to their terms of use and privacy policy. Need more information? Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Get access to your online account. Verify patient eligibility and benefits 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. The content on the Dental Wellness Center website is provided by go2dental.com . Portugus, One Woodward Avenue, Suite 2020 as well as treatment services, like fillings and crowns. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. Agents. Members. 1-800-482-4047 Simply call a Patient Care Coordinator at (877) 872-0370 . Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Employers. Many Periodontists also provide dental implant services. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Get fast, easy access to everything you need when you log in to the secured provider portal. General Dentistry, Oral & Maxillofacial Surgery. Returning Shopper? GEHA's mantra is PREVENTIVE HEALTH CARE. You'll need to use e-referral for Medicare Plus Blue authorization requests. 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). Register Now, Not registered? BlueCare Dental PPO SM * BlueCare Dental HMO SM * You should not think BCBSTX endorses all views you find on this other site. Register Now, Not registered? If you're not a Blue Vision provider, send claims to: VSP If you need additional guidance, read the Dentaquest Dental Manual (PDF). We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control 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 . Ask A Dentist Ask licensed dentist questions about dental care. Ting Vit, 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. View our map (PDF). Attention: Claim Processing 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. oral structure or require other specialized denture services may be referred to a Prosthodontist. Step 5: Tell the system the date of service. 8 a.m. to noon and 1 to 5 p.m. P.O. Box 551, Minneapolis, MN 55440-0551. After you've enrolled, you can register for a provider portal account. Box 69436, Harrisburg, PA 17106-9436. Get Emergency Care (Teledentistry) . Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. This helps us ensure you meet the state requirements for health care. 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. Just use our online search. NEW CLAIMS SUBMISSION MAILING ADDRESS. Box 310166 2022 BlueCare Dental PPO (Small Group) Plans. After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health Monday through Friday 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. 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. You can write to us by finding your ZIP code with the relevant mailing address. The content on the Dental Wellness Center website is provided by go2dental.com . California Dental Network Provider Login . For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic.

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