You can find yours by selecting your region: Not sure which region you're in? 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 . State and Federal Privacy laws prohibit unauthorized access to Member's private information. Dental Plans. Detroit, MI 48231-2599, Blue Cross Complete claims You can also talk to your provider consultant. Their online platform allows you to sign up in just a few clicks, find the right coach or therapist for your needs, and quickly book an appointment via live video or in-person. That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. 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. A General Dentist will refer patients to an Oral Pathologist for assistance in To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Employers. Behavioral health services for Blue Cross Blue Shield of Michigan are managed by New Directions. Medicare Plus BlueSM PPO services are managed by Medicare Plus Blue Behavioral Health. Get access to your agent portal.Register Now. It's just one more way that Florida Blue is with you. 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. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. P.O. With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. Returning Shopper? Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Vision and hearing providers: 1-800-482-4047 Blue Cross NC Dental Visit Blue Cross NC Dental to enter dental claims, create personalized fee schedules and more. Get access to your agent portal. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Hospitals or facilities: 1-800-249-5103 Box 310166 Automated information is available anytime. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. Individuals attempting unauthorized access will be prosecuted. require a referral from a General Dentist prior to scheduling Fully Insured Summary of Dental Benefits 2022 BlueCare Dental PPO (Small Group) Plans Monday through Friday. Dentists in the DPPO network have agreed to pre-determined fees for their services. Enter your City and State or Zip Code and desired Radius. TennCare's current dental benefits manager is DentaQuest. 8:30 a.m. to noon and 1 to 5 p.m. Get access to your employer portal. BCBSOK and go2dental.com are separate companies. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. Ask A Dentist Ask licensed dentist questions about dental care. Need help understanding our plans? for all dentists in cities starting with "C," enter "C" for the city. We will work with and follow all COVID-19 guidance and protocols provided by the Centers for Disease Control If you don't have an account yet, you can check claims for with our automated system. 1. Register Now. oral structure or require other specialized denture services may be referred to a Prosthodontist. Box 551, Minneapolis, MN 55440-0551. Sun Life Dental Login . 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% Franais, Verify patient eligibility and benefits Individuals attempting unauthorized access will be prosecuted. In addition, some sites may require you to agree to their terms of use and privacy policy. Physicians and professionals: 1-800-344-8525, Vision and hearing providers: 1-800-482-4047, Federal Employee Program providers and facilities: 1-800-840-4505. . P.O. Ting Vit, Neither Blue Cross and Blue Shield Association nor any Blue Plans are responsible for non-covered charges or other losses or damages resulting from use of . 1-877-258-0167 Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. RightCHOICE Managed Care, Inc. DBA Anthem Blue Cross and . 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. Box 7355 Cigna Dental Insurance Plans* Calls will be returned the next business day. Register Now, Not registered? Enroll today and your coverage can start as soon as next month. 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. The network is available through contracted general dentists and specialists throughout Arizona. To get detailed information about your health care coverage, please see your Evidence of Coverage (EOC).. Find yours in our list ofphysician organization consultants (PDF). When a ZIP code is supplied, the city and state values are ignored. Note:It can take up to 30 days for a claim to be processed. We offer resources to support your practice in serving patients covered by our dental plan. Monday through Friday. 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. Get Emergency Care (Teledentistry) . An independent licensee of the Blue Cross and Blue Shield Association. Get access to your online account.Register Now, Not registered? Marquette, MI 49855, Employee Inquiry 8 a.m. to 7 p.m. PO Box 385018 Enter your City and State or Zip Code and desired. Essential Vision providerssubmit claims throughHeritage Vision Plan. Services from non -participating providers will be subject to the same allowable charges as those from participating . You can write to us by finding your ZIP code with the relevant mailing address. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Grand Rapids, MI 49516-8753, Blue Cross Complete Claims The site may also contain non-Medicare related information. Blue Care Network Register Now, Not registered? with orofacial skin. Blue Cross Blue Shield of Michigan External link You are leaving this website/app (site). Just use our online search. When you're contracted with us you have access to a provider consultant. Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. Online tools provide you with information and support anytime. How do I submit a prior authorization request? 1-800-344-8525 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). Attention: Claim Processing London, KY 40742. Once you have located the . The content on the Dental Wellness Center website is provided by go2dental.com . ---OR---------------------------------------------------------, ---OR-------------------------------------------. Returning Shopper? Choose a dental network from the list below to search for a dentist. We also offer two Dental PPO benefit structures. This new site may be offered by a vendor or an independent third party. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Grand Rapids, MI 49516-8710, BCN Advantage Claims 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. For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, view our International Directory. Tagalog, Read our manuals to learn more about our programs, policies and procedures. Monday through Friday 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. During this unprecedented time, we're taking action to support our members. 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. 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. Physicians and professionals: 1-800-344-8525 Credentialing is a verification process you'll need to pass before you can join our provider network. This program offers dental plan members tools and information through the Dental Wellness Center to help you make better dental health care choices. Step 6: Tell the system the total amount charged. You can use our automated system to reach a representative to discuss your claim's outcome. Monday through Friday Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. P.O. Fep Blue Dental Provider Login . 1-888-826-8152 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. Blue Cross Blue Shield of Arizona. 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. Dentist cannot provide the treatment you need, they may refer you to a specialist. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. 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, Providers (doctors, dentists, hospitals or other health care professionals). It can also send you a copy of your claim's status. 28 Years Experience. Blue Cross and Blue Shield of Oklahoma (BCBSOK) is providing access to the Dental Wellness Center website as a courtesy, as part of its BlueCare Dental Connection program. Blue Advantage (PPO) Complete and Premier This directory provides a list of Blue Advantage's network providers. To view this file, you may need to install a PDF reader program. For plans with Part D Coverage: You may be able to get Extra Help to pay for your . , Call our Member Services department Monday - Friday from 8 am to 5 pm. Questions About Your Benefits? Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Masshealth Dental Provider Login . 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. 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 . Monday through Friday, 1-800-431-1059 BCBSMT and go2dental.com are separate companies. Step 7: Listen to your claim's status, which includes the following information: Say "same member" to inquire on another member. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. 8 a.m. to 5 p.m. , How can I learn more about my patients' eligibility? an appointment. 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. Blue Cross Blue Shield of Michigan 8:30 a.m. to 4:30 p.m. referring those over a certain age to continue their dental care with a General Dentist. Though General Dentists can often perform some Register Now, Learn more about registering for our web tools. Nominate your provider for inclusion in our network! to this type of specialist. P.O. If you need more information, you can transfer to a customer service representative during business hours. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. If you're notanEssential Vision provider, send claims to: Heritage Vision Plans, Inc. 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. Today's top 32,000+ Clinic Manager jobs in United States. Services from non-participating providers will be subject to reasonable and customary allowances, as determined by the . 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. Not Registered? 54. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. London, KY 40742. BCBSTX and go2dental.com are separate companies. Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. Dental Care websites are listed below. Detroit, MI 48231-0166, Federal Employee Program claims The information on this other site may not always state the views of BCBSTX. 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. BlueCare Dental PPO offers an expansive local network of dentists with more than 13,000 access points in Illinois, and more than 378,000 nationwide. Say "no" when asked if you have additional questions about the determination of a claim. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Dental providers should log in to their secured portal to contact someone for questions about care, payment and claims. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, If you don't have an account yet, you can check claims for BCBSM patients with our automated system. 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 Do keep in mind that as most 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). Box 68710 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. This provides a quick, convenient way to get help in case of a dental emergency. Please note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. You'll need to use e-referral for Medicare Plus Blue authorization requests. If your Blue Cross and Blue Shield of Texas (BCBSTX) plan includes pediatric dental coverage, choose "BlueCare DentalSM" as your network. 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). Automated information is available anytime. 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. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. 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. If you have a dentist you like who's not a PPO in-network dentist or there aren't many in-network dentists near you, a PPO plan may be better for you. 1-800-482-4047 2022 BlueCare Dental PPO (Small Group) Plans. Physicians and professionals: 1-800-344-8525 Call DentaQuest (toll free) at 1-855-418-1622. Enter a partial or full name along with the Specialty and Location. Members may enroll in the plan only during specific times of the year. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org. Heres how they compare. Information for Brokers, employers, and providers, as well as links to consumer health and wellness sites. Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. Contact customer service, Heritage Provider service: 1-800-252-2053. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. 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. Blue Cross NC wants to make sure you have the most accurate and up-to-date information. The Customer Service staff can help with: For a listing of dentists outside the U.S. including U.S. territories and Puerto Rico, Use our search form to find a dentist quickly and easily. Blue Dental PPO Plans 1-800-762-2382 Agents. 1-888-803-4960 Anytime! Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Blue Cross NC Dental Products and Network Overview Monday through Friday Take Action. 8 a.m. to 4 p.m. Log In to Availity Don't have an Availity account? They can also see any dental specialist within the network without a referral. Box 7355 Providers who don't have an account can mail a claim to one of the following: Medicare Plus BlueSM PPO claims the head, neck, face, and jaws. however, available treatment will vary for each provider. If you have a question, please call Customer Service at 1-855-504-BLUE. BCBS FEP Dental is here to help you learn more about your oral health. Just keep in mind you'll need to go through the prompts before you're connected to someone. 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 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. During surges in COVID-19, we've taken significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers. HMO subsidiary Blue Care Network proposes a 6.9. . P.O. Elevance Health, Inc. is an American health insurance provider. Most PDF readers are a free download. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . 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. We provide health insurance in Michigan. The network has more than 5,600 locations within AZ and over 350,000 locations . Say "another member" to inquire on another member. Don't have a secured provider portal account yet? Detroit, MI 48321-2227, Blue Cross Blue Shield of Michigan Register Now. The content on the Dental Wellness Center website is provided by go2dental.com. Step 5: Tell the system the date of service provided. The above is a listing of common services available through your network of Participating Dentists. Register Now, Learn more about registering for our web tools. He works in Greensburg, PA and 5 other locations and specializes in General Dentistry and Oral. Blue Cross Blue Shield of Michigan Quickly find a general dentist or specialist. 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 questions about your BCBSTX health plan, call Customer Service at the number listed on your BCBSTX member ID card. P.O. . , Get access to your online account.Register Now, Not registered? Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered?
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