Do you have questions about dental benefits not answered here? 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. Simply call a Patient Care Coordinator at (877) 872-0370 . takes the health and well-being of our members, providers, our associates and our business partners seriously. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. 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 . More detailed searches are possible by clicking on More Search Options. To view this file, you may need to install a PDF reader program. 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 It can also send you a copy of your claim's status. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Most PDF readers are a free download. 1-877-258-0167 Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Register Now, Learn more about registering for our web tools. 1. periodontal services, like deep cleanings (scaling and root planning), they will often refer 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. here.Language Assistance Available: Espaol, Enter your City and State or Zip Code and desired Radius. 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% , Blue Cross Blue Shield of Michigan From April 1 to September 30, on weekends and holidays you may be required to leave a message. Dr. Michael J. Buckley, MD. Check ereferrals.bcbsm.com for detailed prior authorization information. Blue Cross Blue Shield FEP Dental Monday through Friday Box 33248 Choose a dental network from the list below to search for a dentist. Anytime! e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. 1-855-504-2583 Dental Services Dental Services TennCare dental benefits are handled by a contracted dental benefits manager. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Just use our online search. 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. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . The network providers listed in this directory have agreed to provide you with your health care and dental services. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . Behavioral Health Services. Blue Cross Blue Shield of Michigan GEHA's mantra is PREVENTIVE HEALTH CARE. Access Your Payment Options. Your first stop will usually be a General Dentist. Physicians and professionals: 1-800-344-8525 Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. . One option is Adobe Reader which has a built-in reader. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. As an alternative, you may enter a ZIP code. Get access to your online account.Register Now, Not registered? Register Now. Monday through Friday Keep in mind Delta Dental Il Employer Login . When you see a Blue Par Select dentist, these dentists aren't in-network, but agree to participate with us. 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. diagnosing oral abnormalities and disease. Step 6:Tell the system the total amount charged. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. 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. 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. that insurance benefits for orthodontia can vary depending on the patient's age, so make Just use our online search. P.O. Services from non -participating providers will be subject to the same allowable charges as those from participating . Elevance Health, Inc. is an American health insurance provider. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. 1-800-344-8525 BCBSTX assumes no liability or responsibility for damage or injury to persons or property arising from the use of any product, information, idea, or instruction contained on the Dental Wellness Center website; go2dental.com issolely responsible for the content and any advice given on its website. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. It also verifies that you'll provide quality care to our members. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . 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. L07B Box 230589 For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. 8 a.m. to 5 p.m. You'll have access to reward programs that seek to transform health care. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Monday through Friday In addition, some sites may require you to agree to their terms of use and privacy policy. 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. Box 312599 Federal Employee Program providers and facilities: 1-800-840-4505. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Dental care is part of the head-to-toe coverage available for our members. 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). Submit prior authorization requestselectronicallythrough CoverMyMeds. Box 68710 Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), Pediatric Dentists specialize in dental treatment for young and special needs children. Get Emergency Care (Teledentistry) . The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. 2023 BlueCare Dental PPO (Small Group) Plans. This provides a quick, convenient way to get help in case of a dental emergency. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Where can I get dental costs and information? HMO subsidiary Blue Care Network proposes a 6.9. . Don't have a secured provider portal account yet? P, To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. This other site may have information about: Please note that your health plan may not cover the items found on this other site. , Monday through Friday, 1-800-431-1059 Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. The automated system is available anytime. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? 2022 BlueCare Dental PPO (Small Group) Plans. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? If you visit a provider or location that is not in your network, you will pay more of the cost. Cigna Dental Insurance Plans* 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. 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. Contact customer service, Heritage Provider service: 1-800-252-2053. Learn more about eligibility and resources for uniformed service members transitioning to retirement. The network is available through contracted general dentists and specialists throughout Arizona. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic 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. Box 310166 It is a NON-profit Health Plan -- has been around at least 50 years. If your the Blue Cross and Blue Shield of Oklahoma (BCBSOK) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. If youre an administrative office of a medical care group, you have access to a professional organization consultant. Detroit, MI 48232-0593, UB-04 claims Get access to your employer portal. You can also talk to your provider consultant. Get access to your online account.Register Now, Not registered? 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 may access the Nondiscrimination and Accessibility notice BCBSMT and go2dental.com are separate companies. Italiano, images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting If you need more information, you can transfer to a customer service representative during business hours. 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. Most PDF readers are a free download. Essential Vision providerssubmit claims throughHeritage Vision Plan. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. View our map (PDF). They can also see any dental specialist within the network without a referral. You can find yours by selecting your region below. External link You are leaving this website/app (site). 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. Blue Cross Blue Shield of Arizona. Dr. Michael David Stout, MD. If you don't have an account yet, you can check claims for with our automated system. Individuals attempting unauthorized access will be prosecuted. 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 One Woodward Avenue, Suite 2020 they will provide you with a referral. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Log In to Availity Don't have an Availity account? Just keep in mind you'll need to go through the prompts before you're connected to someone. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Detroit, MI 48226. P.O. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . 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. 1-800-762-2382 PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Get access to your online account. 415 S. McClellan Ave. Not registered? In addition, some sites may require you to agree to their terms of use and privacy policy. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. BlueCare Dental (Traditional National PPO) * DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental Grand Rapids, MI 49523-0589, Provider Inquiry Are you unable to find your provider in the search results? for all dentists in cities starting with "C," enter "C" for the city. You'll need to use e-referral for Medicare Plus Blue authorization requests. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. We offer resources to support your practice in serving patients covered by our dental plan. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. What do I need to know about credentialing? 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. 1-888-826-8152 Get access to your online account. P.O. Do keep in mind that as most Southfield, MI 48075. 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 .