blue care network dental providers

General Dentists can provide many preventive services, like exams and cleanings, Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Individuals attempting unauthorized access will be prosecuted. they will provide you with a referral. 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. DentaBlue * BlueCare Dental SM* Medicare Advantage Plans * Provider Finder Disclaimer If you're not a Blue Vision provider, send claims to: VSP The full text or spelling is not required for the city and dentist name fields. You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. Learn more about Blue Dental plans by calling the number on the back of your member ID card. External link You are leaving this website/app (site). Dental Plans. 2022 BlueCare Dental PPO (Small Group) Plans. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. As an alternative, you may enter a ZIP code. however, available treatment will vary for each provider. Southfield, MI 48075. Step 5:Tell the system the date of service provided. P.O. Register Now, Not registered? After you've enrolled, you can register for a provider portal account. The content on the Dental Wellness Center website is provided by go2dental.com . Your first stop will usually be a General Dentist. One option is Adobe Reader which has a built-in reader. Are you unable to find your provider in the search results? It can also send you a copy of your claim's status. Vision and hearing providers: 1-800-482-4047 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. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? For plans with Part D Coverage: You may be able to get Extra Help to pay for your . to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Individuals attempting unauthorized access will be prosecuted. oral structure or require other specialized denture services may be referred to a Prosthodontist. Monday through Friday Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. 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). Blue Cross Blue Shield of Michigan Use our search form to find a dentist quickly and easily. referring those over a certain age to continue their dental care with a General Dentist. 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. Blue Vision providers submit claims electronically directly toVSP. Monday through Friday. If you visit a provider or location that is not in your network, you will pay more of the cost. What you need to know about the coronavirus, COVID-19. 20500 Civic Center Drive Agents. Register Now, Not registered? Learn How It Works Employer Resources Compare Plans EnrollPoint Why BlueDental Forms and Documents Agents Resources Frequently Used Documents Why Sell BlueDental 1-800-249-5103 28 Years Experience. Blue Cross Blue Shield of Michigan Don't have a secured provider portal account yet? Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, The automated system is available anytime. 1-877-258-0167 Enter a partial or full name along with the Specialty and Location. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. 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 Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Think of it like a credit union -- exists to serve its membership - NOT for profit. Monday through Friday. 8 a.m. to 7 p.m. Members may enroll in the plan only during specific times of the year. 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. This new site may be offered by a vendor or an independent third party. If you have an EPO plan, it only covers care you get from PPO in-network dentists. Not Registered? If you need more information, you can transfer to a customer service representative during business hours. Find a Blue Distinction Center. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. NEW CLAIMS SUBMISSION MAILING ADDRESS. The network is available through contracted general dentists and specialists throughout Arizona. Employers. Hospitals or facilities: 1-800-249-5103. Physicians and professionals: 1-800-344-8525 Access Your Payment Options. Both benefit plan options pay network dentist at SMA; however, one plan pays out-of-network dentists at SMA and the other pays at U&C. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? Attention: Claim Processing P.O. State and Federal Privacy laws prohibit unauthorized access to Member's private information. 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. Dental Care websites are listed below. You can see dental providers in this network knowing your costs are the lowest. Blue Cross Blue Shield of Michigan Note: The FEP phone system has a different set of prompts than the others. It's just one more way that Florida Blue is with you. Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. Box 551, Minneapolis, MN 55440-0551. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Provider Finder Find a dentist in . 232 S Capitol Ave [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting 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). with orofacial skin. Just keep in mind you'll need to go through the prompts before you're connected to someone. 1. Hospitals or facilities: 1-800-249-5103 Quickly find a general dentist or specialist. Credentialing is a verification process you'll need to pass before you can join our provider network. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health . Box 2227 With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. 2023 BlueCare Dental PPO (Small Group) Plans. Get access to your employer portal. Members. 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. Adult Dental Services 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. How do I submit a prior authorization request? But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. You can also talk to your provider consultant. 415 S. McClellan Ave. They can also see any dental specialist within the network without a referral. Grand Rapids, MI 49523-0589, Provider Inquiry Get access to your employer portal. This provides a quick, convenient way to get help in case of a dental emergency. There's no coverage when you see Blue Par Select or out-of-network dentists. Step 6: You will then be transferred to the servicing center for assistance. Members pay less out-of-pocket and will not be balanced billed. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. The network providers listed in this directory have agreed to provide you with your health care and dental services. Monday through Friday Returning Shopper? 8 a.m. to noon and 1 to 5 p.m. 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. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. Say "another contract" to inquire on another contract. 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). Blue Cross NC wants to make sure you have the most accurate and up-to-date information. External link You are leaving this website/app (site). 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 . Box 69436, Harrisburg, PA 17106-9436. Most Pediatric Dentists provide different levels of sedation, when needed, and some even As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. 1-800-762-2382 L07B Birmingham, AL 35238-0518. Deutsche, 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. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. 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. to this type of specialist. Federal Employee Program providers and facilities: 1-800-482-3600 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. 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 . The site may also contain non-Medicare related information. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Get health assessments, treatment support, and help understanding your plan. ---OR---------------------------------------------------------, ---OR-------------------------------------------. Submit prior authorization requestselectronicallythrough CoverMyMeds. The content on the Dental Wellness Center website is provided by go2dental.com . 8 a.m. to noon and 1 to 5 p.m. London, KY 40742. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, If your General Dentists in the DPPO network have agreed to pre-determined fees for their services. 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. Enter your City and State or Zip Code and desired. Locate a dentist or dental specialist in the BCBS FEP Dental network. Referrals to the University of Michigan Health System and Henry Ford Health System Referrals to these two health systems require using specialty group NPIs rather than referring to an individual practitioner. Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Orthodontists specialize in tooth and jaw positioning and alignment. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. Provider Inquiry Mail Code 0301 That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Choose a dental network from the list below to search for a dentist. 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. BCBS FEP Dental is here to help you learn more about your oral health. 1-844-876-7917 If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. Automated information is available anytime. If youre a professional provider office, you have access to a provider consultant. In addition, some sites may require you to agree to their terms of use and privacy policy. ACCESS MANUALS. 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. This is only a brief list of the plan benefits. 8:30 a.m. to noon and 1 to 5 p.m. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. 2021 BlueCare Dental PPO (Mid-Market) Plans. Keep in mind 8:30 a.m. to noon and 1 to 5 p.m. The search results will supply: 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. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Referrals to a hospital Blue Care Network Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Covering Phoenix, Mesa, Glendale, Scottsdale, Gilbert, the valley . For example, to search 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. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com. Southfield, MI 48075, 1-877-293-2788 Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. Calls will be returned the next business day. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. If you need additional guidance, read the Dentaquest Dental Manual (PDF). Not registered? Mailing address for medical records for authorizations, Essential Vision providerssubmit claims through. The site may also contain non-Medicare related information. Polskie, Most PDF readers are a free download. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Heres how they compare. 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.



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