Grand Rapids, MI 49523-0589, Provider Inquiry In addition, some sites may require you to agree to their terms of use and privacy policy. 40 Years Experience. 129 reviews of Geha Health Plan "Government Employees -- this is THE ABSOLUTELY BEST Health Plan -- Government Employees Health Association. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Blue Cross, Blue Shield and the Cross and Shield Symbols are registered service marks of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans. 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. 8 a.m. to 7 p.m. Fully Insured Small Group Summary of Dental Benefits. When you enroll, you'll partner with us to care for a large and diverse membership. Ting Vit, The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. they will provide you with a referral. 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. Find yours in our list ofphysician organization consultants (PDF). Adult Dental Services To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and Coverage (SBC). Log In to the Shopping Cart, Need to Make a Payment? 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. Southfield, MI 48075, 1-877-293-2788 PO Box 385018 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. Online tools provide you with information and support anytime. 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. The BlueCare Dental PPO product is a product available for purchase on a self-funded basis only. Get access to your online account.Register Now, Not registered? Register Now, Learn more about registering for our web tools. When you have a Blue Dental PPO plan, you have coverage from three networks of dental professionals: PPO in-network dentists are contracted to fully accept Blue Dental coverage. P.O. Dr. Michael J. Buckley, MD. 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. Whether you're interested in joining our network or have already partnered with us, we're here to help. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 1. Physicians and professionals: 1-800-344-8525 We provide health insurance in Michigan. One option is Adobe Reader which has a built-in reader. , The content on the Dental Wellness Center website is provided by go2dental.com . Where can I get dental costs and information? It links network providers and Blue Cross Blue Shield Plans across the country and around the world. For example, to search Blue Cross Blue Shield FEP Dental It's just one more way that Florida Blue is with you. We also offer two Dental PPO benefit structures. Contact the plan for more information. however, available treatment will vary for each provider. Birmingham, AL 35238-0518. Not sure which region you're in? Not registered? as well as treatment services, like fillings and crowns. Need help understanding our plans? Not Registered? With virtual health care, you have access to providers 24/7, and you can access care that works for your schedule. 8 a.m. to 5 p.m. View our map (PDF). Call our customer service number on the back of your ID card to report information that is wrong. the head, neck, face, and jaws. Important Legal and Privacy Information | Important Information About MedicarePlans | Privacy Practices | Site Map | Feedback | Download Adobe Acrobat Reader. Get access to your member portal. sure to check your benefits before scheduling treatment. Say "date of service" to learn about a different claim. Box 310166 Once you have located the . Get access to your employer portal. For a step-by-step guide to Electronic Data Interchange, also known as EDI, read our FAQ on the topic. Michigan residents who buy their own dental insurance and members who have Blue Dental coverage through an employer. P, 1-888-826-8152 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 have a health plan and a dental plan, keep in mind that dental plans and health plans have different networks and different benefits. on primary (baby) teeth, so if needed, you may be redirected to a Pediatric Dentist. To view this file, you may need to install a PDF reader program. to this type of specialist. 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. PPO Prior Authorization Requirements (PDF), HMO Prior Authorization Requirements (PDF), Important Information About MedicarePlans. Take Action. 232 S Capitol Ave 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). Over-the-Counter Tests Expand All | Collapse All Dr. Buckley graduated from the University of Connecticut School of Medicine in 1983. also provide more specialty services, like root canals, extractions, and dentures, With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. 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. Choose providers (doctors, dentists) in your network (a group of providers covered by your plan). Some of the features used to display this website may not function properly. Customer service is available 8 a.m. to noon and 1 p.m. to 5 p.m. Monday through Friday. Blue Cross Blue Shield of Michigan 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. You are entitled to obtain a detailed understanding of additional services or assistance that the 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. Detroit, MI 48231-2599, Blue Cross Complete claims Enter your City and State or Zip Code and desired Radius. 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. The site may also contain non-Medicare related information. Don't have a secured provider portal account yet? This is only a brief list of the plan benefits. 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. It's more than just business when you join the Blue Cross network. 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. Get access to your employer portal.Register Now, Learn more about registering for our web tools.Register Now, Not registered? 28 Years Experience. Register Now, Not registered? 4202 S University Ave, Little Rock, AR 72204 1.14 miles. 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. Sun Life Dental Login . Get access to your agent portal.Register Now. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Find a Dentist. Individuals attempting unauthorized access will be prosecuted. Monday through Friday. Our nationwide plans are available to almost anyone. . Looking for a specific dentist or clinic? View our map (PDF). TTY users should call 711. Your contact information will be accessible to millions of our members. Hospitals or facilities: 1-800-249-5103 8:30 a.m. to noon and 1 to 5 p.m. 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. Step 5:Tell the system the date of service provided. You'll have access to reward programs that seek to transform health care. Use e-referral for authorizations for Blue Care Network and BCN AdvantageSM members. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. 1-800-482-4047 Determine approximate dental fees in the marketplace with the Dental Cost Advisor SM; Log in to Blue Access for Employers SM and visit the Health and Wellness tab within the Employer Resources section, or contact your Blue Cross and Blue Shield representative to find out more about how BlueCare Dental Connection can add value to your group's . patients to a Periodontist when they are in need of more intensive treatment. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Blue Cross Blue Shield of Michigan These companies are Independent Licensees of the Blue Cross and Blue Shield Association. , The search results will supply: General Dentists can provide many preventive services, like exams and cleanings, 1-877-258-0167 diagnosing oral abnormalities and disease. takes the health and well-being of our members, providers, our associates and our business partners seriously. Vision and hearing providers: 1-800-482-4047 Say "another member" to inquire on another member. 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 . 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. 8 a.m. to 4 p.m. 8:30 a.m. to 6 p.m. Please Select Your State The resources on this page are specific to your state. You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. The network has more than 5,600 locations within AZ and over 350,000 locations nationally. Search AA Member BlueAccessSMLogin BlueAccess LoginUsernamePasswordLog In +Provider Login +Register For Members Member Info Forms You Might Need Your Health oral structure or require other specialized denture services may be referred to a Prosthodontist. to an Orthodontist for an overbite, underbite, crossbite, or tooth crowding. Get access to your online account. Read our manuals to learn more about our programs, policies and procedures. 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. Dental care is part of the head-to-toe coverage available for our members. Many Oral Surgeons also perform jaw and facial surgeries that are considered medical (rather than dental), P.O. BCBSTX and go2dental.com are separate companies. Get fast, easy access to everything you need when you log in to the secured provider portal. require a referral from a General Dentist prior to scheduling Say "another contract" to inquire on another contract. 8:30 a.m. to noon and 1 to 5 p.m. Provider Inquiry is for registered, nonregistered and out-of-state providers. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Delta Dental Il Employer Login . Step 4: Say "yes" when asked if you have additional questions about the determination of the claim. Monday through Friday Oral Surgeons perform surgical treatments, like complicated extractions and wisdom tooth extractions. One option is Adobe Reader which has a built-in reader. Box 7355 8 a.m. to noon and 1 to 5 p.m. Federal Employee Program providers and facilities: 1-800-840-4505. 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. Members may enroll in the plan only during specific times of the year. Attention: Claim Processing Get access to your online account.Register Now, Not registered? The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Nine service categories are covered by the plan: In addition, coverage for orthodontics is provided for adults and children. Not Registered? Members. Step 1: Say "claims" when the system asks why you're calling. The automated system is available anytime. Today's top 32,000+ Clinic Manager jobs in United States. The plans Schedule of Maximum Allowances (SMA), on average, is lower than usual fees. D/B/A Florida Blue. Step 6: Tell the system the total amount charged. 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. The information on this other site may not always state the views of BCBSTX. 15. Dominion National, an independent company, assists in the administration of the Capital Blue Cross Dental benefits. This other site may have information about: Please note that your health plan may not cover the items found on this other site. Register Now, Not registered? Italiano, The content on the Dental Wellness Center website is provided by go2dental.com. 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). You may still see an out-of-network dentist, but you may have to submit your own claim for reimbursement. Or, you can call 1 (855) 352-1604 for a free quote, Mon-Fri, 8 am - 8 pm, ET When is Cigna Dental Insurance right for you? Register Now, Not registered? Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. 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. P.O. You can write to us by matching your area code with the relevant mailing address. 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. Cigna Dental Insurance Plans* What do I need to know about credentialing? The automated system is available anytime. Not all benefits are offered by all Plans mentioned above. It also verifies that you'll provide quality care to our members. 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. Blue Cross Blue Shield FEP Dental - Find A Provider Find a Provider Locate a dentist or dental specialist in the BCBS FEP Dental network. Monday through Friday. and Prevention (CDC), and state and local public health departments. If you're not a Blue Vision provider, send claims to: VSP Many Periodontists also provide dental implant services. Referrals to a hospital That's why Blue Cross and Blue Shield of Texas created BlueCare Dental Connection. Returning Shopper? Most PDF readers are a free download. DeltaCare USA: This plan is prepaid on an annual basis and has, among other benefits, no deductible or annual dollar maximums. Pursuant to Section 1557 Blue Cross Blue Shield FEP Dental does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, age, disability, or sex (including pregnancy and gender identity). Get health assessments, treatment support, and help understanding your plan. . As an alternative, you may enter a ZIP code. Note:It can take up to 30 days for a claim to be processed. 1-800-482-5982 After enrollment, members will receive a BlueCare Dental PPO ID card to present at their dental visit. BCBSTX and go2dental.com are separate companies. An independent licensee of the Blue Cross and Blue Shield Association. Complete the form below to search for dental providers in the U.S. who are in-network for BCBS FEP Dental members. Do not select the 'Remember Username' checkbox if you are using a public or shared computer. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. Blue Cross Blue Shield FEP Dental complies with all applicable Federal civil rights laws, to include both Title VII and Section 1557 of the ACA. Step 2: Answer the system's prompts about your patient and whether you provided care in Michigan. Get access to your member portal. If you call before 30 days, we may not be able to check your claim through our automated phone system. . Blue Care Network have privileges to provide services in a hospital setting. You may access the Nondiscrimination and Accessibility notice For personal medical guidance, please consult your dentist and/or physician. We provide health insurance in Michigan. Call DentaQuest (toll free) at 1-855-418-1622. You should not think BCBSTX endorses all views you find on this other site. Franais, Step 5: Tell the system the date of service. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Monday through Friday. Most PDF readers are a free download. Kreyol Ayisien, Physicians and professionals: 1-800-344-8525 Find a Blue Distinction Center. 54. [Maryland and WDC] Offers healthcare insurance to residents of Maryland and Washington, DC. Pediatric Dentists specialize in dental treatment for young and special needs children. State and Federal Privacy laws prohibit unauthorized access to Member's private information. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. 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. State and Federal Privacy laws prohibit unauthorized access to Member's private information. e-referral Provider Search feature Within the e-referral tool, you can search by provider name or national provider identifier. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. 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. Quickly find a general dentist or specialist. Contact customer service, Heritage Provider service: 1-800-252-2053. Each account comes with tools that let you quickly and easily get your work done. Fep Blue Dental Provider Login . Need more information? P.O. 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. Register Now, Learn more about registering for our web tools. P.O. Dr. Stout graduated from the University of Arkansas For Medical Sciences College of Medicine in 1995. Enroll today and your coverage can start as soon as next month. DNoA contracts with go2dental.com, Inc., an independent company that provides dental website information and tools for BCBSTX plans. Step 5: Tell the system the date of service provided. The content on the Dental Wellness Center website is provided by go2dental.com . Choose a dental network from the list below to search for a dentist. MyBlue offers online tools, resources and services for Blue Cross Blue Shield of Arizona Members, contracted brokers/consultants, healthcare professionals, and group benefit administrators. One option is Adobe Reader which has a built-in reader. Some General Dentists 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% here.Language Assistance Available: Espaol, Register Now, Not registered? You can write to us by finding your area code with the relevant mailing address.

Camilla Shand Kydd Lord Lucan, Sam Rapoport Related To Ian Rapoport, Cima Member Subscription Fee 2021, Articles B