Please consider an upgrade or using a different device. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. We also offer two Dental PPO benefit structures. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. Call DentaQuest (toll free) at 1-855-418-1622. BlueCare Dental HMO offers a dental network that is one of the largest in Illinois. P.O. Blue Cross Blue Shield of Michigan BCBS FEP Dental has nearly half a million provider access points nationwide to receive in-network services, a customer service team dedicated to exceeding your expectations, online tools to make your life easier, and a variety of options and benefits to meet your needs. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. This new site may be offered by a vendor or an independent third party. We provide health insurance in Michigan. Orthodontists specialize in tooth and jaw positioning and alignment. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Lansing, MI 48933. Monday through Friday If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Members. Where can I get dental costs and information? You are entitled to obtain a detailed understanding of additional services or assistance that the Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Providers | BlueCare Tennessee As a BlueCare Tennessee network provider dedicated to the health of your patients and our members, you'll find what you need here for your office or facility. If you visit a provider or location that is not in your network, you will pay more of the cost. Behavioral Health Services. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. You can find yours by selecting your region: Not sure which region you're in? Learn About Virtual Care Florida Blue Centers See a nurse. Oral Surgeon / Oral & Maxillofacial Surgeon, Standard and High Option Plan Benefits and Premiums, Benefits when traveling outside the service area, Transferring care if your dentist is no longer part of the network. Sun Life Dental Login . Effective immediately, all BlueDental claims (excluding FEP, GRID, and prepaid plans) submitted by mail must be sent to: P.O. BCBSTX and go2dental.com are separate companies. This program offers dental plan members tools and information through the Dental Wellness Centerto help you make better dental health care choices. Access Your Payment Options. Fully Insured Small Group Summary of Dental Benefits. 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. Florida Blue and Florida Combined Life Insurance Company, Inc. do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Log In to Availity Don't have an Availity account? One Woodward Avenue, Suite 2020 The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. 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. You can register here. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare Dental SM " as your network. 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. Say "no" when asked if you have additional questions about the determination of a claim. Delta Dental Il Employer Login . 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 How do I submit a prior authorization request? Monday through Friday, Care Management--Mail Code C355 Monday through Friday Just use our online search. General Dentists who don't provide denture services in their clinics may also refer patients You can also use these documents for guidance: Have your NPI, Tax ID or Social Security number ready before calling. 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. View our map (PDF). Many specialists also Blue Cross Blue Shield FEP Dental 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. Box 7355 Masshealth Dental Provider Login . Get access to your agent portal.Register Now. Ask A Dentist Ask licensed dentist questions about dental care. 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. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue . Monday through Friday You are going to a different website. Blue Cross Blue Shield of Michigan If you need more information, you can transfer to a customer service representative during business hours. Get access to your employer portal. Enter your City and State or Zip Code and desired. External link You are leaving this website/app (site). Not all benefits are offered by all Plans mentioned above. 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. 1-855-504-2583 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). Looking for a specific dentist or clinic? P.O. Learn more about Blue Dental plans by calling the number on the back of your member ID card. Important Legal and Privacy Information|Important Information About Medicare Plans|Privacy Practices DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Our automated interactive voice response system provides claims, benefit and cost-share information. When the plan pays non-PPO dentists at U&C, the employer savings are less, employees are balanced billed and their out-of-pocket costs are slightly higher. Step 2: Answer the prompts about your patient and whether you provided care in Michigan. however, available treatment will vary for each provider. Choose a dental network from the list below to search for a dentist. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. 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). For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Get fast, easy access to everything you need when you log in to the secured provider portal. 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. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Ting Vit, 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. Hospitals or facilities: 1-800-249-5103 Step 4: Say "no" when asked if you have additional questions about the determination of a claim. Monday through Friday. Contact the plan for more information. Enroll year round. From April 1 to September 30, on weekends and holidays you may be required to leave a message. P.O. 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. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. 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 . Attention: Claim Processing If your Blue Cross and Blue Shield of New Mexico (BCBSNM) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. It is a NON-profit Health Plan -- has been around at least 50 years. 1-844-876-7917 Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? This helps us ensure you meet the state requirements for health care. Get health assessments, treatment support, and help understanding your plan. You may access the Nondiscrimination and Accessibility notice The information on this other site may not always state the views of BCBSTX. 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). 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. You'll need to use e-referral for Medicare Plus Blue authorization requests. PO Box 385018 Oral Pathologists specialize in the study and diagnosis of mouth and jaw disorders, including issues Enter your City and State or Zip Code and desired Radius. Watch our videos to learn how specialty benefit plans offered by your employer may work for you so you can make informed decisions during open enrollment. Vision and hearing providers: 1-800-482-4047. The content on the Dental Wellness Center website is provided by go2dental.com . Need more information? Blue Dental PPO Plans Returning Shopper? He works in Olympia, WA and 4 other locations and specializes in Family Medicine. 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. Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan You'll have access to reward programs that seek to transform health care. Provider Inquiry Mail Code 0301 Verify patient eligibility and benefits HMO coverage is offered by Health Options Inc., an HMO subsidiary of Blue Cross and Blue Shield of Florida. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. The above is a listing of common services available through your network of Participating Dentists. Box 68753 In addition, some sites may require you to agree to their terms of use and privacy policy. Step 6: Tell the system the total amount charged. ACCESS MANUALS. Learn more >, Not registered? Just keep in mind you'll need to go through the prompts before you're connected to someone. they will provide you with a referral. , Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Box 312599 primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, Each account comes with tools that let you quickly and easily get your work done. More detailed searches are possible by clicking on More Search Options. Get access to your agent portal. Enter a partial or full name along with the Specialty and Location. view our International Directory. This plan helps complete your health coverage with PPO in-network preventive dental care covered at 100 percent, and adult vision care with copays as low as $10. The site may also contain non-Medicare related information. 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. If your General You can find yours by selecting your region below. Register Now, Learn more about registering for our web tools. , Individuals attempting unauthorized access will be prosecuted. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. To request a hard copy of Blue Advantage's provider directory, please call our Member Service Department at 1-888-234-8266, 8 a.m. to 8 p.m., seven (7) days a week. Your first stop will usually be a General Dentist. Dental Care websites are listed below. TTY users: To reach any number listed here, dial 711. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Agents. 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. There's no coverage when you see Blue Par Select or out-of-network dentists. P.O. Providers. Keep in mind you'll need to have your NPI, or National Provider Identifier, number handy. Read our manuals to learn more about our programs, policies and procedures. Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Keep in mind Get access to your online account.Register Now, Not registered? 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. for all dentists in cities starting with "C," enter "C" for the city. 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. Birmingham, AL 35238-0518. NEW CLAIMS SUBMISSION MAILING ADDRESS. Many Periodontists also provide dental implant services. For example, to search External link You are leaving this website/app (site). Questions About Your Benefits? Dentists in the DPPO network have agreed to pre-determined fees for their services. Monday through Friday. Dr. Michael J. Buckley, MD. Need help understanding our plans? 1-888-803-4960 Box 68710 Find a Dentist. For questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. Oral health touches every aspect of our lives but is often taken for granted. Federal Employee Program providers and facilities: 1-800-840-4505. We have several tools and resources available to help you make informed decisions about your plan and make the most of your BCBS FEP Dental coverage.