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. The network is available through contracted general dentists and specialists throughout Arizona. Get access to your online account.Register Now, Not registered? Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims The network has more than 5,600 locations within AZ and over 350,000 locations . Enter a partial or full name along with the Specialty and Location. Dental Provider Resources Have you used our online dental claims, eligibility, and benefits website? the head, neck, face, and jaws. Check ereferrals.bcbsm.com for detailed prior authorization information. The information on this other site may not always state the views of BCBSTX. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. as well as treatment services, like fillings and crowns. Learn About Virtual Care Florida Blue Centers See a nurse. Detroit, MI 48232-0593, UB-04 claims Attention: Claim Processing Within the United States, to search for a dentist by location, supply your city (optional) and state. 24/7 online access to account transactions and other useful resources, help to ensure that your account information is available to you any time of the day or night. Monday through Friday If you visit a provider or location that is not in your network, you will pay more of the cost. Online tools provide you with information and support anytime. To view this file, you may need to install a PDF reader program. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). , Our automated interactive voice response system provides claims, benefit and cost-share information. Get access to your employer portal. Don't have a secured provider portal account yet? 20500 Civic Center Drive Call our Member Services department Monday - Friday from 8 am to 5 pm. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. Some of the features used to display this website may not function properly. To view this file, you may need to install a PDF reader program. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, P.O. TrademarkElite is the U.S. #1 Trademark Search and Registration Service :: BLUE GLOBAL SOLUTIONS is a trademark and brand of Blue Cross and Blue Shield Association, Chicago, IL . The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Lyra makes it easier to find and receive confidential, personalized mental health coaching or therapy for adults. Take Action. Enroll today and your coverage can start as soon as next month. Provider Inquiry Mail Code 0301 an appointment. 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. Looking for a specific dentist or clinic? Find the right contact I need to contact Clear Inputs about TTY users: To reach any number listed here, dial 711. Need more information? 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. Simply call a Patient Care Coordinator at (877) 872-0370 . To report fraud, waste or abuse, call our hotline: 1-800-437-3803 Oral & Maxillofacial Radiologists specializes in the production and interpretation of radiographic Note:It can take up to 30 days for a claim to be processed. patients to a Periodontist when they are in need of more intensive treatment. This other site may have information about: Please note that your health plan may not cover the items found on this other site. 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. 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 Blue Shield of Michigan [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. If you call before 30 days, we may not be able to check your claim through our automated phone system. Vision and hearing providers: 1-800-482-4047 The search results will supply: The search may also provide their website, address and office hours. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. Get access to your online account. Members may enroll in the plan only during specific times of the year. Get access to your agent portal. Your first stop will usually be a General Dentist. Get access to your agent portal.Register Now. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. The PPO dental plan provides a higher level of benefits when members receive treatment from BlueCare Dental participating providers. Check out our FAQs page to get answers to questions, or Contact Us with any questions you may have. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. This new site may be offered by a vendor or an independent third party. For personal medical guidance, please consult your dentist and/or physician. 1-877-258-0167 Enroll year round. Our nationwide plans are available to almost anyone. P.O. Dentists in the DPPO network have agreed to pre-determined fees for their services. It's more than just business when you join the Blue Cross network. For example, to search Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. 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. 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. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. If you don't have an account yet, you can check claims for with our automated system. Contact the plan for more information. 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. Ask A Dentist Ask licensed dentist questions about dental care. Agents. That means they submit your claim on your behalf to Blue Cross and accept our approved amount, saving you money. 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. Vision and hearing providers: 1-800-482-4047. Register Now, Not registered? 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? The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. You should not think BCBSTX endorses all views you find on this other site. Locate a dentist or dental specialist in the BCBS FEP Dental network. 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 . Monday through Friday 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. Hospitals or facilities: 1-800-249-5103 Blue Cross Blue Shield of Michigan BCBS FEP Dental is here to help you learn more about your oral health. With either plan option, employees have the freedom to select a dentist from outside the network and still be covered. GEHA's mantra is PREVENTIVE HEALTH CARE. 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 . HMO subsidiary Blue Care Network proposes a 6.9. . When you enroll, you'll partner with us to care for a large and diverse membership. 1-800-482-5982 Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . Not Registered? 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. Physicians and professionals: 1-800-344-8525 Call DentaQuest (toll free) at 1-855-418-1622. Register Now, Not registered? When a ZIP code is supplied, the city and state values are ignored. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Individuals attempting unauthorized access will be prosecuted. We also offer two Dental PPO benefit structures. View our map (PDF). Monday through Friday, 1-800-431-1059 28 Years Experience. Just keep in mind you'll need to go through the prompts before you're connected to someone. Submit prior authorization requestselectronicallythrough CoverMyMeds. Say "fax or email" to receive a copy of your claim's status. Blue Care Network Italiano, 1-888-803-4960 A General Dentist will refer patients to an Oral Pathologist for assistance in If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. 1-877-258-0167 Your contact information will be accessible to millions of our members. 8:30 a.m. to noon and 1 to 5 p.m. Box 312599 Monday through Friday, Care Management--Mail Code C355 Today's top 32,000+ Clinic Manager jobs in United States. 8:30 a.m. to noon and 1 to 5 p.m. Though many General Dentists provide dentures in their offices, patients who have unique Monday through Friday To view this file, you may need to install a PDF reader program. Orthodontists specialize in tooth and jaw positioning and alignment. As an alternative, you may enter a ZIP code. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), *Dental Network of America, LLC (DNoA) is a separate company that provides dental benefits for some BCBSTX plans. Sun Life Dental Login . In addition, some sites may require you to agree to their terms of use and privacy policy. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. Blue Cross and Blue Shield of Texas, a Division 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). To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . Nominate your provider for inclusion in our network! This new site may be offered by a vendor or an independent third party. BCBSMT and go2dental.com are separate companies. they will provide you with a referral. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. here.Language Assistance Available: Espaol, In a PPO plan, costs are typically reduced when members receive care from network providers. Monday through Friday. 1-800-482-4047 If you are looking to maximize your savings and are comfortable using only in-network dentists, an EPO plan may be best for you. however, available treatment will vary for each provider. . Blue Cross and Blue Shield of Montana (BCBSMT) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. It can also send you a copy of your claim's status. How can I learn more about my patients' eligibility? Federal Employee Program providers and facilities: 1-800-840-4505. 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. 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 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. Log In to the Shopping Cart, Need to Make a Payment? 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. 415 S. McClellan Ave. Read our manuals to learn more about our programs, policies and procedures. Not Registered? For Michigan Providers: Summary of Utilization Management Programs (PDF), Provider Prior Authorization and Precertification Requirements for BCBSM and Medicare Plus Blue, For Michigan Providers: BCN Referral and Prior Authorization Requirements (PDF), For Non-Michigan providers: Referral and Authorization Requirements (PDF), Important Information About MedicarePlans, Your 10-digit national provider identifier, BCBSM PIN or facility code, The members contract number, date of birth, the spelling of their first name and their ZIP code, Member liability, including deductible, coinsurance and copays. You can write to us by finding your area code with the relevant mailing address. External link You are leaving this website/app (site). Learn more about Blue Dental plans by calling the number on the back of your member ID card. Find yours in our list ofphysician organization consultants (PDF). 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. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. Log In to Availity Don't have an Availity account? Register Now. Provider Inquiry is for registered, nonregistered and out-of-state providers. Verify patient eligibility and benefits Benefits are limited to a lifetime maximum for each eligible member, depending upon the plan chosen for your employees. Dentist cannot provide the treatment you need, they may refer you to a specialist. One option is Adobe Reader which has a built-in reader. 8 a.m. to 5 p.m. Prosthodontists specialize in dental prosthetics, like dentures, partials, and bridges. The information on this other site does not replace professional health care. You may access the Nondiscrimination and Accessibility notice 2023 Blue Cross and Blue Shield of Florida, Inc. You are currently using an outdated or unsupported browser. Returning Shopper? 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. Grand Rapids, MI 49523-0589, Provider Inquiry Find a Blue Distinction Center. 8:30 a.m. to 6 p.m. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Monday through Friday You can find yours by selecting your region: Not sure which region you're in? Individuals attempting unauthorized access will be prosecuted. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Not all Endodontists will provide endodontic services 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. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Provider Finder Find a dentist in . Check to see if your dentist is in our network or choose from our many providers. Members pay less out-of-pocket and will not be balanced billed. If you have a question, please call Customer Service at 1-855-504-BLUE. Passive plan options pay out-of-network dental services at U&C. BCBSTX and go2dental.com are separate companies. If your General Automated information is available anytime. 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. Automated information is available anytime. 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. There's no coverage when you see Blue Par Select or out-of-network dentists. 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. PO Box 385018 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. Detroit, MI 48231-0166, Federal Employee Program claims 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. Blue Cross Blue Shield of Michigan When you're contracted with us you have access to a provider consultant. Box 68710 He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network.
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