the head, neck, face, and jaws. As a Blue Dental member, you have access to a network of dentists who provide lower costs for the services you receive. 2023 BlueCare Dental PPO (Small Group) Plans. Passive plan options pay out-of-network dental services at U&C. Enter your City and State or Zip Code and desired Radius. also provide more specialty services, like root canals, extractions, and dentures, 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. Learn more about eligibility and resources for uniformed service members transitioning to retirement. ACCESS MANUALS. Just use our online search. Find a Blue Distinction Center. 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% State and Federal Privacy laws prohibit unauthorized access to Member's private information. Targeted for families or individuals that want enhanced benefits, Premier Plus PPO provides a number of benefits before the deductible and . You may access the Nondiscrimination and Accessibility notice 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. NEW CLAIMS SUBMISSION MAILING ADDRESS. ---OR---------------------------------------------------------, ---OR-------------------------------------------. We provide health insurance in Michigan. 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. The latest Arizona headlines, breaking news, in-depth investigations, politics, and local community stories that matter to you. Our dental plans now include virtual dental visits at TeleDentistry.com at no added cost. primary (baby) teeth are lost by age 12, some Pediatric Dentists institute patient age limits, 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 . Not sure which region you're in? with orofacial skin. Delta Dental Il Employer Login . We use prior authorization, also known as preauthorization or precertification, to ensure patients are getting the right care. Capital Blue Cross Dental Access the Capital Blue Cross Dental provider portal to view patient eligibility, plan information, claims status, payment history and more. 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. Calls will be returned the next business day. 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. Finding a dentist in the Blue Dental PPO network or who has participated through Blue Par Select in the past is easy. Choose a dental network from the list below to search for a dentist. Get fast, easy access to everything you need when you log in to the secured provider portal. Need more information? Contact the plan for more information. Take a class. with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973. Register Now, Learn more about registering for our web tools. Learn more >, Not registered? Most Pediatric Dentists provide different levels of sedation, when needed, and some even 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. Hospitals or facilities: 1-800-249-5103. Please consider an upgrade or using a different device. An independent licensee of the Blue Cross and Blue Shield Association. , , If your Blue Cross and Blue Shield of Montana (BCBSMT) plan includes pediatric dental coverage, choose "BlueCare Dental 4 Kids SM " as your network. Since out-of-network dentists do not have contracts with Blue Cross, you'll have higher out-of-pockets costs. Most PDF readers are a free download. Think of it like a credit union -- exists to serve its membership - NOT for profit. Dr. Michael David Stout, MD. General Dentists who don't provide denture services in their clinics may also refer patients If you're within Michigan, you can use oure-Referralsite to learn whether you need to submit a prior authorization. One option is Adobe Reader which has a built-in reader. If your Blue Cross and Blue Shield of Illinois (BCBSIL) plan includes pediatric dental coverage, choose "BlueCare Dental (Traditional National PPO)" as your network. The Member's share of the cost is determined by whether care is received from a Participating or Non-Participating Dentist. Within the United States, to search for a dentist by location, supply your city (optional) and state. That means better service and better care for your patients. 2022 BlueCare Dental PPO (Small Group) Plans. 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. 2021 BlueCare Dental PPO (Mid-Market) Plans - Spanish. 4202 S University Ave, Little Rock, AR 72204 1.14 miles. 1-800-822-2761 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. A General Dentist will refer patients to an Oral Pathologist for assistance in Members pay less out-of-pocket and will not be balanced billed. Monday through Friday You are about to leave the Blue Cross and Blue Shield of Texas (BCBSTX) website. This is only a brief list of the plan benefits. L07B Not registered? Other Adobe accessibility tools and information can be downloaded at http://access.adobe.com. There's no coverage when you see Blue Par Select or out-of-network dentists. Members. Blue Cross Blue Shield of Michigan Automated information is available anytime. Step 2:Answer the system's prompts about your patient and whether you provided care in Michigan. Southfield, MI 48075. BlueCare Dental PPO SM * BlueCare Dental HMO SM * One Woodward Avenue, Suite 2020 You'll need to use e-referral for Medicare Plus Blue authorization requests. 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. Learn how we partner with you and other providers across Michigan to improve the quality of health care through our Value Partnerships programs. 1-800-482-5982 images, like x-rays, CT and MRI scans, to identify and assist in diagnosing conditions affecting Blue Care Network 8:30 a.m. to noon and 1 to 5 p.m. It can also send you a copy of your claim's status. Keep in mind Access Your Payment Options. This helps us ensure you meet the state requirements for health care. 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. If you don't have an account yet, you can check claims for BCBSM patients with our automated system. P.O. If you visit a provider or location that is not in your network, you will pay more of the cost. The network is available through contracted general dentists and specialists throughout Arizona. 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. External link You are leaving this website/app (site). In addition, some sites may require you to agree to their terms of use and privacy policy. Adult Dental Services Blue Cross Blue Shield of Michigan 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. Your contact information will be accessible to millions of our members. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc., D/B/A Florida Blue. It's just one more way that Florida Blue is with you. To find out if your plan includes pediatric dental coverage, please check your Summary of Benefits and . We also offer two Dental PPO benefit structures. But, because we often add new providers to our network, we can't guarantee all the information in your search will be current. Where can I get dental costs and information? Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., an affiliate of Blue Cross and Blue Shield of Florida. Whether you need help filing a claim or checking your patient's benefits, we can connect you with the right contact. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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 . Many Periodontists also provide dental implant services. 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. Automated information is available anytime. It links network providers and Blue Cross Blue Shield Plans across the country and around the world. 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. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. How do I submit a prior authorization request? You can use our automated system to reach a representative to discuss your claim's outcome. Automated information is available anytime. 8 a.m. to 6 p.m. Vision and hearing providers: 1-800-482-4047 Monday through Friday, 1-800-431-1059 Blue Cross and Blue Shield of Oklahoma, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association NOT FOR DISTRIBUTION TO BENEFICIARIES, MEMBERS, OR PROSPECTS BlueCare Dental Classic Plans 1,2 BlueCare Dental Classic plans cover only one person per policy. Enter your City and State or Zip Code and desired. Box 310166 Use our search form to find a dentist quickly and easily. Blue Vision providers submit claims electronically directly toVSP. have privileges to provide services in a hospital setting. Not Registered? Do not select the 'Remember Username' checkbox if you are using a public or shared computer. that insurance benefits for orthodontia can vary depending on the patient's age, so make Say "claims" when the system asks why you're calling. You can write to us by finding your ZIP code with the relevant mailing address. 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). Here are some resources for locating an appropriate practitioner or provider when making a referral or authorization request. You'll have access to reward programs that seek to transform health care. For more details, like benefits, limitations and exclusions, please read your certificate of coverage. The automated system is available anytime. Need help understanding our plans? Read our manuals to learn more about our programs, policies and procedures. California Dental Network 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. 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. require a referral from a General Dentist prior to scheduling 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. To report fraud, waste or abuse, call our hotline: 1-800-437-3803 P.O. Though many General Dentists provide dentures in their offices, patients who have unique Just keep in mind you'll need to go through the prompts before you're connected to someone. Register Now, Not registered?