It can also send you a copy of your claim's status. Behavioral Health Services. The automated system is available anytime. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. If your General Dentist feels that you require a specialist, Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. The content on the Dental Wellness Center website is provided by go2dental.com . Enter your City and State or Zip Code and desired Radius. 1-888-803-4960 With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Log In to Availity Don't have an Availity account? Family Medicine. Step 5:Tell the system the date of service provided. Check to see if your dentist is in our network or choose from our many providers. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Members may enroll in the plan only during specific times of the year. The automated system is available anytime. P.O. 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. google drive shared folder empty The Blue Cross Blue Shield of Georgia Premier Plus PPO health care plans offer the highest level of benefits available. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Monday through Friday He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. Franais, 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 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. 54. 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. Grand Rapids, MI 49523-0589, Provider Inquiry 415 S. McClellan Ave. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. 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. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. TTY users should call 711. 1-800-482-5982 BCBSMT and go2dental.com are separate companies. Southfield, MI 48075, 1-877-293-2788 [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. 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. Step 1: Say "claims" when the system asks why you're calling. . Most Pediatric Dentists provide different levels of sedation, when needed, and some even 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. 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. Contact the plan for more information. Physicians and professionals: 1-800-344-8525 Blue Cross Blue Shield of Arizona. Childers Orthodontics Patient Login . For personal medical guidance, please consult your dentist and/or physician. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Grand Rapids, MI 49516-8710, BCN Advantage Claims Register Now, Not registered? 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). Your first stop will usually be a General Dentist. P.O. You can find yours by selecting your region: Not sure which region you're in? To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Monday through Friday, 1-800-431-1059 Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. here.Language Assistance Available: Espaol, Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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 Blue Shield of Michigan Just use our online search. Monday through Friday. Log In to the Shopping Cart, Need to Make a Payment? Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Find yours in our list ofphysician organization consultants (PDF). Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. 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). Box 68753 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 Nominate your provider for inclusion in our network! The network providers listed in this directory have agreed to provide you with your health care and dental services. Some General Dentists 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. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. If you're not a Blue Vision provider, send claims to: VSP Monday through Friday. Submit prior authorization requestselectronicallythrough CoverMyMeds. 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. You should not think BCBSTX endorses all views you find on this other site. Detroit, MI 48226. How do I submit a prior authorization request? Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. with orofacial skin. Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. Box 33248 The information on this other site does not replace professional health care. Kreyol Ayisien, 8:30 a.m. to noon and 1 to 5 p.m. The full text or spelling is not required for the city and dentist name fields. 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. We provide dental claim and network administration services for Blue Cross and Blue Shield Plans in Illinois, Montana, New Mexico, Oklahoma and Texas, as well as . referring those over a certain age to continue their dental care with a General Dentist. We provide health insurance in Michigan. 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. Say "fax or email" to receive a copy of your claim's status. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Members. 8 a.m. to 7 p.m. Register Now, Not registered? BlueCare Dental PPO SM * BlueCare Dental HMO SM * 8:30 a.m. to noon and 1 to 5 p.m. 2021 BlueCare Dental PPO (Mid-Market) Plans. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 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. This provides a quick, convenient way to get help in case of a dental emergency. Endodontists specialize in the treatment of dental pulp and perform services like root canals, Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Monday through Friday Box 230589 You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Providers who don't have an account yet can mail a claim to one of the following: Blue Care Network Claims , We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. One Woodward Avenue, Suite 2020 Just keep in mind you'll need to go through the prompts before you're connected to someone. Say "no" when asked if you have additional questions about the determination of a claim. 40 Years Experience. London, KY 40742. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Step 6:Tell the system the total amount charged. Today's top 32,000+ Clinic Manager jobs in United States. Box 551, Minneapolis, MN 55440-0551. A dentist may refer you Learn About Virtual Care Florida Blue Centers See a nurse. , This helps us ensure you meet the state requirements for health care. however, available treatment will vary for each provider. 1-800-249-5103 Adult Dental Services images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Get access to your online account. 232 S Capitol Ave Log In to the Shopping Cart, Need to Make a Payment? 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 . Say "another contract" to inquire on another contract. You can write to us by finding your area code with the relevant mailing address. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. When a ZIP code is supplied, the city and state values are ignored. oral structure or require other specialized denture services may be referred to a Prosthodontist. BCBSTX and go2dental.com are separate companies. Not all Endodontists will provide endodontic services P.O. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. If youre a professional provider office, you have access to a provider consultant. Monday through Friday. One option is Adobe Reader which has a built-in reader. Our web portalpowered by Availitymakes doing business with Anthem even easier. In a PPO plan, costs are typically reduced when members receive care from network providers. The automated system is available anytime. Monday through Friday Enroll year round. 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. Enter a partial or full name along with the Specialty and Location. There's no coverage when you see Blue Par Select or out-of-network dentists. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. 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. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Anytime! Blue Cross Blue Shield FEP Dental Cigna Dental Insurance Plans* Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan like alveoplasties or cleft lip/palate surgery. What do I need to know about credentialing? 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% BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. Dr. Michael David Stout, MD. Heres how they compare. L07B State and Federal Privacy laws prohibit unauthorized access to Member's private information. 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 . Vision and hearing providers: 1-800-482-4047 P.O. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Do keep in mind that as most It's more than just business when you join the Blue Cross network. 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 of Michigan Monday through Friday, Care Management--Mail Code C355 Hospitals or facilities: 1-800-249-5103. Out-of-network dentists do not participate in any arrangement with Blue Cross. Box 7355 After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. Get access to your agent portal. All here in your neighborhood. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), 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. London, KY 40742. Ask A Dentist Ask licensed dentist questions about dental care. Agents. Not Registered? Though many General Dentists provide dentures in their offices, patients who have unique Italiano, 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. Credentialing is a verification process you'll need to pass before you can join our provider network. as well as treatment services, like fillings and crowns. Fully Insured Small Group Summary of Dental Benefits. If you have an EPO plan, it only covers care you get from PPO in-network dentists. Leverage your professional network, and get hired. 8 a.m. to 6 p.m. Services from non -participating providers will be subject to the same allowable charges as those from participating . Please consider an upgrade or using a different device. 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. Get access to your member portal. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. Monday through Friday. Blue Care Network 8:30 a.m. to 6 p.m. Get fast, easy access to everything you need when you log in to the secured provider portal. Polskie, If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. . If youre an administrative office of a medical care group, you have access to a professional organization consultant. TTY users: To reach any number listed here, dial 711. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Do you have questions about dental benefits not answered here? 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. Provider Inquiry is for registered, nonregistered and out-of-state providers. , Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs.
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