blue care network dental providers

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. Attention: Claim Processing If you're interested in joining the Physician Group Incentive Program, also known as PGIP, or want more information, emailvaluepartnerships@bcbsm.com. 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. Step 6: You will then be transferred to the servicing center for assistance. Blue Care Network If you visit a provider or location that is not in your network, you will pay more of the cost. they will provide you with a referral. The network is available through contracted general dentists and specialists throughout Arizona. General Dentists can provide many preventive services, like exams and cleanings, Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. that insurance benefits for orthodontia can vary depending on the patient's age, so make Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Blue Cross NC wants to make sure you have the most accurate and up-to-date information. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. You can also talk to your provider consultant. However, the lower benefit plan level will apply and out-of-pocket expenses will be higher when receiving . Looking for a specific dentist or clinic? 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). Submit prior authorization requestselectronicallythrough CoverMyMeds. The information on this other site does not replace professional health care. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. Box 68710 As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. The content on the Dental Wellness Center website is provided by go2dental.com . Find in-network dentists, too, in a few short steps. Information on a wide range of dental topics, like pediatric care, prevention, treatments and dental diseases. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. Box 230589 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. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. You'll need to use e-referral for Medicare Plus Blue authorization requests. Individuals attempting unauthorized access will be prosecuted. This helps us ensure you meet the state requirements for health care. Physicians and professionals: 1-800-344-8525 The automated system is available anytime. 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 . 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. Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans These companies are 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. There are no copayments or low copayments for most diagnostic and preventive services, as well as coverage for more than 300 procedures. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . 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. 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. Your contact information will be accessible to millions of our members. We provide health insurance in Michigan. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Most Pediatric Dentists provide different levels of sedation, when needed, and some even 1-800-482-5982 GEHA's mantra is PREVENTIVE HEALTH CARE. You can write to us by matching your area code with the relevant mailing address. 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. Just keep in mind you'll need to go through the prompts before you're connected to someone. Passive plan options pay out-of-network dental services at U&C. Step 5: Tell the system the date of service provided. Physicians and professionals: 1-800-344-8525 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. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. Portugus, Monday through Friday, 1-800-431-1059 This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Blue Cross Blue Shield FEP Dental Blue Cross Blue Shield of Arizona. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. Grand Rapids, MI 49523-0589, Provider Inquiry 8:30 a.m. to noon and 1 to 5 p.m. You can write to us by finding your ZIP code with the relevant mailing address. Over-the-Counter Tests Expand All | Collapse All Step 5: Tell the system the date of service. ACCESS MANUALS. 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. Lansing, MI 48933. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Register Now. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Quickly find a general dentist or specialist. 1. DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer For plans with Part D Coverage: You may be able to get Extra Help to pay for your . If you don't have an account yet, you can check claims for with our automated system. 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. 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. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices Detroit, MI 48232-0593, UB-04 claims Please consider an upgrade or using a different device. Get Emergency Care (Teledentistry) . You may access the Nondiscrimination and Accessibility notice Dental | CareFirst BlueCross BlueShield Register Home Plans & Coverage Providers & Facilities Health & Wellness Insurance Basics New Member Updates & Information Members COVID-19 Vaccines Benefits Updates FAQs Contact Tracing Antibody Tests Need Care or Feel Sick? For personal medical guidance, please consult your dentist and/or physician. Monday through Friday. P.O. In addition, some sites may require you to agree to their terms of use and privacy policy. Register Now, Not registered? Dental Care websites are listed below. 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. Free aids and services for people with disabilities to communicate effectively with us, such as: Written information in other formats (such as accessible electronic formats). Childers Orthodontics Patient Login . 8 a.m. to 5 p.m. Services from non -participating providers will be subject to the same allowable charges as those from participating . How can I learn more about my patients' eligibility? The above is a listing of common services available through your network of Participating Dentists. Oral health touches every aspect of our lives but is often taken for granted. to this type of specialist. Monday through Friday, Care Management--Mail Code C355 We also offer two Dental PPO benefit structures. It can also send you a copy of your claim's status. Calls will be returned the next business day. Returning Shopper? Individuals attempting unauthorized access will be prosecuted. It can also send you a copy of your claim's status. Heres how they compare. Just keep in mind you'll need to go through the prompts before you're connected to someone. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Pediatric Dentists specialize in dental treatment for young and special needs children. Get access to your employer portal. TTY users should call 711. L07B Log In to the Shopping Cart, Need to Make a Payment? Automated information is available anytime. This provides a quick, convenient way to get help in case of a dental emergency. Ask A Dentist Ask licensed dentist questions about dental care. Take Action. 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). with orofacial skin. Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic 8:30 a.m. to noon and 1 to 5 p.m. Many Periodontists also provide dental implant services. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Contact the plan for more information. 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. The full text or spelling is not required for the city and dentist name fields. Choose a dental network from the list below to search for a dentist. Say "fax or email" to receive a copy of your claim's status. 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. If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. The network has more than 5,600 locations within AZ and over 350,000 locations . 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. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. 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 search results will supply: 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 . For example, to search 1-800-482-4047 Blue Cross NC Dental Products and Network Overview 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. Members. You can see dental providers in this network knowing your costs are the lowest. 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. Members pay less out-of-pocket and will not be balanced billed. Monday through Friday In addition, some sites may require you to agree to their terms of use and privacy policy. 40 Years Experience. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Box 32593 Blue Dental PPO Plans External link You are leaving this website/app (site). Log In to the Shopping Cart, Need to Make a Payment? Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Nine service categories are covered by the plan: Diagnostic & Preventive Services Miscellaneous Services Restorative Services General Services Endodontic Services Periodontic Services Blue Cross Blue Shield of Michigan Hospitals or facilities: 1-800-249-5103 Dr. Michael J. Buckley, MD. oral structure or require other specialized denture services may be referred to a Prosthodontist. Check ereferrals.bcbsm.com for detailed prior authorization information. Register Now, Not registered? Call DentaQuest (toll free) at 1-855-418-1622. Say "date of service" to learn about a different claim. That means better service and better care for your patients. Simply call a Patient Care Coordinator at (877) 872-0370 . Learn more about eligibility and resources for uniformed service members transitioning to retirement. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Where can I get dental costs and information? Today's top 32,000+ Clinic Manager jobs in United States. Find a dentist. BCBS FEP Dental is here to help you learn more about your oral health. Marquette, MI 49855, Employee Inquiry 8:30 a.m. to noon and 1 to 5 p.m. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Say "no" when asked if you have additional questions about the determination of a claim. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Monday through Friday. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. This new site may be offered by a vendor or an independent third party. Find a Dentist. P.O. 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% Individuals attempting unauthorized access will be prosecuted. 54. Monday through Friday 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.

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