pdent blue cross coverage

0000049726 00000 n Preventive care like exams and cleanings. 0000139675 00000 n Anthem's medical plans offer healthcare coverage you and your family can rely on. - Coverage for children up to the end of the month in which the member turns 19. . 0000107492 00000 n We provide health insurance in Michigan. 0000001675 00000 n In the United States, Puerto Rico and U.S. Virgin Islands. . 0000009480 00000 n Download or print your benefit information. 2020-09-09T21:17:19-07:00 Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists:. Limited to three times a year in combination with routine cleaning. 2021 SUMMARY OF BENEFITS 0000107561 00000 n takes the health and well-being of our members, providers, our associates and our business partners seriously. This out-of-pocket maximum is the most youll have to pay during a calendar year for covered pediatric dental services. Stage 4: Catastrophic coverage Once you've spent $6,550 out-of-pocket on prescription drugs in a plan year, you will pay a small copay or coinsurance for the . Why Blue Cross Blue Shield dental connections? Preventive care programs designed to determine if a health condition is present even if a member has not experienced symptoms of the problem. 0000075858 00000 n External link You are leaving this website/app (site). In Texas, Medicaid is the program that will offer the most comprehensive dental coverage, especially for children (anyone under 21). Please call 1-888-288-2738 and we'll help. 0000039957 00000 n 0000007922 00000 n Blue Cross and Blue Shield of Texas (BCBSTX) covers emergency dental services your child gets in a hospital or ambulatory surgical center. Individuals attempting unauthorized access will be prosecuted. t@^@#"Z|2]>q/CS"f 24Dg:y2 Complete your health care coverage with a dental plan from Blue Cross and Blue Shield of . Access educational information on a wide range of dental topics including pediatric care, prevention and dental treatments. 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. A value-added discount program that provides Blue Cross and Blue Shield members with discounts and content on health and wellness, family care, financial services and healthy travel . BlueCard links participating healthcare providers and the independent Blue Cross Blue Shield companies across the country through a single electronic network for claims processing and reimbursement . Plan Type: PDENT BlueCare Dental Connection Take Advantage of Dental and Discount Programs As a valued member, you have access to a variety of tools and resources to help you and your loved ones manage your oral health and save money through our discount programs. 0000049889 00000 n 0000045487 00000 n Calling BlueCard Eligibility will facilitate efficient payment for the provider. 0000059102 00000 n External link You are leaving this website/app (site). A joint federal and state program that provides hospital expense and medical expense coverage to the low-income population and certain aged and disabled individuals. 0000072686 00000 n /E!{"I+e1m5 Ni!V4H b~G}.5]W=7)Rxk[L9S7)cb?4 01=G35`{uio)}li.\ Ne:~Mo)ccpsYSG#xE^-x9L)qEK,duLGJNek. Posted: Apr 25, 2023 / 03:27 PM CDT. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com, 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). 0000011650 00000 n Blue Cross Blue Shield FEP Dental The application of managed care principles (techniques to reduce costs and improve quality of heallthcare) to 24-hour coverage. Get access to your agent portal.Register Now. UYUy>vcUbR!|ilJg 0 endstream endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <> endobj 22 0 obj <> endobj 23 0 obj [/DeviceN[/Cyan/Magenta/Black]/DeviceCMYK 53 0 R 55 0 R] endobj 24 0 obj <> endobj 25 0 obj <> endobj 26 0 obj <>stream The process of obtaining all the information necessary to determine the appropriate amount to pay on a given claim. 0000006259 00000 n Our health plan advisors can help you choose a plan, calculate your costs and tell you whether you're eligible for a subsidy. PDF File is in portable document format (PDF). Your employer should be able to provide a benefit booklet for you which will provide some details of your coverage. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Find a planto get a quote. 0000010545 00000 n 0000063121 00000 n The Medicare+Choice delivery option that includes health maintenance organizations, or HMOs (with or without a point-of-service component), preferred provider organizations (PPOs) and provider-sponsored organizations (PSOs). In addition, some sites may require you to agree to their terms of use and privacy policy. Basic services like fillings and root canals. A group of healthcare providers that agrees to deliver coordinated care, meeting performance benchmarks for quality and affordability in order to manage the total cost of care for their member populations. 0000010126 00000 n But you'll pay less if you see a Tier 1 PPOin-network dentist. Not Registered? Established by the Balanced Budget Act, this program is designed to provide health assistance to uninsured, low-income children either through separate programs or through expanded eligibility under state Medicaid programs. A dental service plan that allows a member to use either a dental health maintenance organizations (DHMO) network dentist or to seek care from a dentist not in the health maintenance organization's (HMO) network. If you are a BCBSTX STAR member and you would like to receive or learn more about dental services for adults ages 21 and older, please call DentaQuest directly for assistance. The direct care provider should file claims to the local Blue Cross Blue Shield company. 0000009905 00000 n Covered once per tooth per lifetime. Call Dentaquest at 1-800-516-0165,MCNA Dental at 1-800-494-6262or UnitedHealthcare Dental at 1-800-822-5353. 0000041603 00000 n 0000062841 00000 n All Rights Reserved. Sealants are covered once per fully erupted first and second permanent molar every 36 months for members to the end of the month of their 16th birthday. Keep in mind they aren't based on actual prices. BlueCare Dental ConnectionSM is a program benefit that provides members with education and intervention through support tools and educational mailings. The Voluntary Plan is available for groups of 151+ employees. The member's location at the time of service is irrelevant. 2 0 obj <>/Metadata 7 0 R/Names 8 0 R/OpenAction 6129 0 R/Outlines 6130 0 R/PageLayout/OneColumn/PageMode/UseOutlines/Pages 838 0 R/StructTreeRoot 2595 0 R/Type/Catalog/ViewerPreferences<>>> endobj 3 0 obj <>/Font<>>>/Fields[]>> endobj 7 0 obj <>stream 0000107898 00000 n External link You are leaving this website/app (site). 0000003994 00000 n Matthew Vannatta, Arkansas Blue Cross and Blue Shield Vice President of Consumer and Retail Markets talks to Nichole about changes to health coverages post-pandemic and how BCBS might be able to help. Nova Scotia. Treatment that is provided to a patient who is able to return home after care without an overnight stay in a hospital or other inpatient facility. 0000076327 00000 n A diagnostic and treatment process that a clinician should follow for a certain type of patient, illness or clinical circumstance. ;m* Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Dental exams The group must also offer an alternate dental option to HMO. We will cover all overseas services at the in-network level for all members. 'on[/b,k"=|g/my6Johp!?yuv9R`LZM8eW$@'I#Z%%@CX2`A6*a)TtAMb?|,*+9 ?B%UFV)l)ypvwIH rtB!gvdPW;R13LmVDwfeLki]CxEb5n>OT|~_Yz[pw\;Oh1O70A|S|S? 0000107951 00000 n Only members with this identifier can access the benefits of BlueCard PPO. After reaching that limit for the year, you pay for 100% of your dental care. There are more than 3,600 Tier 1 PPO dentists in Michigan, and more than 130,000 nationwide. Please note, this is a summary of features of Blue Cross Blue Shield FEP . 0000001276 00000 n How can bcbstx Star members get help with dental services? endstream endobj 74 0 obj <> endobj 75 0 obj <> endobj 76 0 obj <>stream 0000015051 00000 n 0000006015 00000 n The integration of financing and delivery of healthcare within a system that seeks to manage the accessibility, cost and quality of that care. Standard Option members already receive this benefit. 0000045351 00000 n An individual or organization that offers care directly to the member. You pay50%after deductible before meeting your out-of-pocket max, and $0 after meeting your out-of-pocket max. 0000017747 00000 n Log in and look. Addresses the health and lifestyle needs of consumers through unique partnerships and experiences designed exclusively for Blue365 members. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Register Now, Not registered? 0000010274 00000 n Box 986030, Boston, MA 02298. 4 After a 12-month waiting period, cover is extended to major procedures including dentures, implants, crowns and orthodontics - all subject to an annual maximum of $1,500. 0000023853 00000 n Crowns, onlays, veneer fillings See also precertification. The use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. 0000088585 00000 n It is often proven by eliminating other diseases and possibilities. 0000034533 00000 n The health plan physician executive who is responsible for the quality and cost-effectiveness of the medical care delivered by the plan's providers. and Prevention (CDC), and state and local public health departments. Any dental plan offered by an organization that provides a benefit plan that differs from a traditional fee-for-service plan. Refers to any Blue Cross and/or Blue Shield Plan. Oral surgery What are the side effects of Thiazolidnedions. All Canada. BlueCare Dental PPOSM has one of the largest dental PPO networks of general and specialty dentists in both Illinois and nationally, which offers members flexibility in choosing a provider. You pay 50% after deductible before meeting your out-of-pocket max, and $0 after meeting your out-of-pocket max. Preventive care programs designed to monitor and promote the administration of vaccines to guard against childhood illnesses, such as chicken pox, mumps and measles, as well as adult illnesses, such as pneumonia and influenza. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. If you have a significant life event, you may still be able to get 2023 coverage through special enrollment. For more information, please contact your account executive at 1-505-837-8787 or toll-free at 1-800-672-9700. Fully-Insured Small Group Summary of Dental Benefits. Call: 833-901-1364 Learn more. 0000006502 00000 n Limited to once every 24 months for primary teeth, and once every 48 months for permanent teeth. 0000003587 00000 n Table of Contents. 0000107816 00000 n Blue Cross Blue Shield of Massachusetts, P.O. A healthcare system that assumes or shares both the financial risks and the delivery risks associated with providing comprehensive medical services to a voluntarily enrolled population in a particular geographic area, usually in return for a fixed, prepaid fee. An organization that provides dental care to its members through a network of dentists who offer discounted fees to the plan members. An employer that has offices or branches in more than one location, but offers uniform healthcare coverage of benefits to all of its employees. For more information on specific coverage you can contact customer service. Second Opinion is a television series that features panels of doctors, patients and related experts tackling real-life complex medical cases. 0000014199 00000 n Get access to your agent portal. The MCO (managed care organization) committee that evaluates proposed policies and action plans related to clinical practice management, including changes in provider contracts, compensation and changes in authorization procedures. Call Dentaquest at 1-800-516-0165, MCNA Dental at 1-800-494-6262 or UnitedHealthcare Dental at 1-800-822-5353. HVKH+Djj+r%VF9dje;!h]_gLP8a "&SDi^&=.k)VU_? |7 There is no waiting period for pediatric dental. 2016-09-06T07:14:49-05:00 Provider Finder from Blue Cross and Blue Shield of Texas (BCBSTX) is a fast, easy-to-use tool that improves member experience when theyre looking for in-network health care providers. Allows members to use pre-tax dollars for certain eligible medical and dependent care expenses. The focus is simple: offer employers multiple dental plan designs that allow greater flexibility to choose a design that best suits their needs at a reasonable price. One option is Adobe Reader which has a built-in reader. trailer <<52597CAB61384F8F8DEED1C6F907D3A3>]/Prev 159881>> startxref 0 %%EOF 63 0 obj <>stream Also known as drug cards or prescription cards. An important component of BlueCare Dental Connection is the Dental Wellness CenterTM*, which will be available to members and offers online resources and support tools that allow members to: Note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. startxref Register Now, Not registered? As a member of Blue Cross Blue Shield FEP Dental, we aim to provide the highest level of service available. collect outside the U.S. BCBS FEP Dental has a larger nationwide network with nearly half a million provider access points. 0000009079 00000 n A flat amount the member must pay before the insurer will make any benefit payments. The Pacific Blue Cross Mobile app helps you manage your benefits and improve the health & wellbeing of you and your family. Have us call you by filling outthis online form. HealthEquity has . HUQs6~W:Yc%v9^n.R`s?x%X:i2A-}'o$n @(LkPW[BTn e"+POlkk-boX:\(%r)%|z>n!RL&i q9zy JRah#J~xB2Wz 1e9d`\d"I`:=&8',a4$ldXaC]Z-2mJutPtX1nVXc "h|e2e4"*D=I A private medical expense insurance policy that provides reimbursement for out-of-pocket expenses, such as deductibles and coinsurance payments, or benefits for some medical expenses specifically excluded from Medicare coverage. Call your child's Medicaid dental plan to learn more about the dental services they offer. 44 0 obj <> endobj The broad range of activities that an MCO and its employees undertake to support the delivery of the promised benefits to members and ensure member satisfaction. Acrobat Distiller 11.0 (Windows) Dollar amounts set by MCOs (managed care organizations) that limit the amount a member has to pay out of his/her own pocket for particular healthcare services during a particular time period. The name Affordable Care Act refers to the final, amended version of the law. PPO. r9J2InHV`@Lb`\a%diF`3200h f`ig`` a hb```e`` l@Q>l e I#r^ 0000075153 00000 n The evaluation of health questionnaires submitted by all proposed plan members to determine the overall insurability of the group. 0000045512 00000 n These services are covered six months after you first join a Blue Dental plan. We provide health insurance in Michigan. Provides greater healthcare transparency by delivering detail about healthcare trends and best practices, resulting in healthier lives and affordable access to safe and effective care. If you're not familiar with the health insurance terms used on a summary of benefits and coverage, here's a Glossary of Health Coverage and Medical Terms. 0000006892 00000 n One option is Adobe Reader which has a built-in reader. A federal government program established under Title XVIII of the Social Security Act of 1965 to provide hospital expense and medical expense insurance to elderly and disabled persons. 0000006632 00000 n Outside the United States. 0000005867 00000 n Coverage for treatments varies depending on the member's benefit plan. General medical care that is provided directly to a patient without referral from another physician. Once you have identified your rating area, you can view premium amounts for our available plans in the A process through which an organization validates credentialing information from the organization that originally conferred or issued the credentialing element to the practitioner. Below are answers to some of the frequently asked questions. For more information on specific coverage you can contact customer service. Blue Cross Blue Shield awards this designation to medical facilities that have demonstrated expertise in delivering quality healthcare in the areas of: bariatric surgery, cardiac care, complex and rare cancers, spine surgery, transplants and knee and hip replacement. To view this file, you may need to install a PDF reader program. PII does not include publicly available information that is lawfully made available to the general public from federal, state or local government records or widely distributed media. Use ourProvider Finderto search for doctors and pharmacies near you. contact your local Blue Cross Blue Shield company. DentaQuest can help members find in-network providers and get authorizations for dental services. All Rights Reserved. With BlueCare Dental PPO, you'll get: One of the highest maximum annual benefit levels available - up to $1,500 per person per year Up to a 20% discount, up to a maximum savings of $1,000 for orthodontic services at participating dentists For more information on coverage and benefits, view the BlueCare Dental Outline of Coverage Your clients can choose the best dental plan(s) that meets the needs of their employees. Bitewing X-rays 0000069906 00000 n BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. endstream endobj 66 0 obj <> endobj 67 0 obj <>stream BlueCare Dental HMOSM is a Chicago metropolitan based program that emphasizes preventive and diagnostic care. Both products have multiple plan options. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Glossary of Health Coverage and Medical Terms, Important Information About Medicare Plans.

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q/CS"f 24Dg:y2 Complete your health care coverage with a dental plan from Blue Cross and Blue Shield of . Access educational information on a wide range of dental topics including pediatric care, prevention and dental treatments. 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. A value-added discount program that provides Blue Cross and Blue Shield members with discounts and content on health and wellness, family care, financial services and healthy travel . BlueCard links participating healthcare providers and the independent Blue Cross Blue Shield companies across the country through a single electronic network for claims processing and reimbursement . Plan Type: PDENT BlueCare Dental Connection Take Advantage of Dental and Discount Programs As a valued member, you have access to a variety of tools and resources to help you and your loved ones manage your oral health and save money through our discount programs. 0000049889 00000 n 0000045487 00000 n Calling BlueCard Eligibility will facilitate efficient payment for the provider. 0000059102 00000 n External link You are leaving this website/app (site). A joint federal and state program that provides hospital expense and medical expense coverage to the low-income population and certain aged and disabled individuals. 0000072686 00000 n /E!{"I+e1m5 Ni!V4H b~G}.5]W=7)Rxk[L9S7)cb?4 01=G35`{uio)}li.\ Ne:~Mo)ccpsYSG#xE^-x9L)qEK,duLGJNek. Posted: Apr 25, 2023 / 03:27 PM CDT. If you have any questions or comments regarding the Dental Wellness Center website, you should direct them to go2dental.com, 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). 0000011650 00000 n Blue Cross Blue Shield FEP Dental The application of managed care principles (techniques to reduce costs and improve quality of heallthcare) to 24-hour coverage. Get access to your agent portal.Register Now. UYUy>vcUbR!|ilJg 0 endstream endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <> endobj 22 0 obj <> endobj 23 0 obj [/DeviceN[/Cyan/Magenta/Black]/DeviceCMYK 53 0 R 55 0 R] endobj 24 0 obj <> endobj 25 0 obj <> endobj 26 0 obj <>stream The process of obtaining all the information necessary to determine the appropriate amount to pay on a given claim. 0000006259 00000 n Our health plan advisors can help you choose a plan, calculate your costs and tell you whether you're eligible for a subsidy. PDF File is in portable document format (PDF). Your employer should be able to provide a benefit booklet for you which will provide some details of your coverage. Sending a letter to Blue Cross Blue Shield FEP Dental, P.O. Find a planto get a quote. 0000010545 00000 n 0000063121 00000 n The Medicare+Choice delivery option that includes health maintenance organizations, or HMOs (with or without a point-of-service component), preferred provider organizations (PPOs) and provider-sponsored organizations (PSOs). In addition, some sites may require you to agree to their terms of use and privacy policy. Basic services like fillings and root canals. A group of healthcare providers that agrees to deliver coordinated care, meeting performance benchmarks for quality and affordability in order to manage the total cost of care for their member populations. 0000010126 00000 n But you'll pay less if you see a Tier 1 PPOin-network dentist. Not Registered? Established by the Balanced Budget Act, this program is designed to provide health assistance to uninsured, low-income children either through separate programs or through expanded eligibility under state Medicaid programs. A dental service plan that allows a member to use either a dental health maintenance organizations (DHMO) network dentist or to seek care from a dentist not in the health maintenance organization's (HMO) network. If you are a BCBSTX STAR member and you would like to receive or learn more about dental services for adults ages 21 and older, please call DentaQuest directly for assistance. The direct care provider should file claims to the local Blue Cross Blue Shield company. 0000009905 00000 n Covered once per tooth per lifetime. Call Dentaquest at 1-800-516-0165,MCNA Dental at 1-800-494-6262or UnitedHealthcare Dental at 1-800-822-5353. 0000041603 00000 n 0000062841 00000 n All Rights Reserved. Sealants are covered once per fully erupted first and second permanent molar every 36 months for members to the end of the month of their 16th birthday. Keep in mind they aren't based on actual prices. BlueCare Dental ConnectionSM is a program benefit that provides members with education and intervention through support tools and educational mailings. The Voluntary Plan is available for groups of 151+ employees. The member's location at the time of service is irrelevant. 2 0 obj <>/Metadata 7 0 R/Names 8 0 R/OpenAction 6129 0 R/Outlines 6130 0 R/PageLayout/OneColumn/PageMode/UseOutlines/Pages 838 0 R/StructTreeRoot 2595 0 R/Type/Catalog/ViewerPreferences<>>> endobj 3 0 obj <>/Font<>>>/Fields[]>> endobj 7 0 obj <>stream 0000107898 00000 n External link You are leaving this website/app (site). 0000003994 00000 n Matthew Vannatta, Arkansas Blue Cross and Blue Shield Vice President of Consumer and Retail Markets talks to Nichole about changes to health coverages post-pandemic and how BCBS might be able to help. Nova Scotia. Treatment that is provided to a patient who is able to return home after care without an overnight stay in a hospital or other inpatient facility. 0000076327 00000 n A diagnostic and treatment process that a clinician should follow for a certain type of patient, illness or clinical circumstance. ;m* Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage and need to find care outside the United States. Dental exams The group must also offer an alternate dental option to HMO. We will cover all overseas services at the in-network level for all members. 'on[/b,k"=|g/my6Johp!?yuv9R`LZM8eW$@'I#Z%%@CX2`A6*a)TtAMb?|,*+9 ?B%UFV)l)ypvwIH rtB!gvdPW;R13LmVDwfeLki]CxEb5n>OT|~_Yz[pw\;Oh1O70A|S|S? 0000107951 00000 n Only members with this identifier can access the benefits of BlueCard PPO. After reaching that limit for the year, you pay for 100% of your dental care. There are more than 3,600 Tier 1 PPO dentists in Michigan, and more than 130,000 nationwide. Please note, this is a summary of features of Blue Cross Blue Shield FEP . 0000001276 00000 n How can bcbstx Star members get help with dental services? endstream endobj 74 0 obj <> endobj 75 0 obj <> endobj 76 0 obj <>stream 0000015051 00000 n 0000006015 00000 n The integration of financing and delivery of healthcare within a system that seeks to manage the accessibility, cost and quality of that care. Standard Option members already receive this benefit. 0000045351 00000 n An individual or organization that offers care directly to the member. You pay50%after deductible before meeting your out-of-pocket max, and $0 after meeting your out-of-pocket max. 0000017747 00000 n Log in and look. Addresses the health and lifestyle needs of consumers through unique partnerships and experiences designed exclusively for Blue365 members. With BlueCare Dental PPO, members have the option to receive care from dentists who are not in the network. Register Now, Not registered? 0000010274 00000 n Box 986030, Boston, MA 02298. 4 After a 12-month waiting period, cover is extended to major procedures including dentures, implants, crowns and orthodontics - all subject to an annual maximum of $1,500. 0000023853 00000 n Crowns, onlays, veneer fillings See also precertification. The use of electronic information and telecommunications technologies to support long-distance clinical health care, patient and professional health-related education, public health and health administration. 0000088585 00000 n It is often proven by eliminating other diseases and possibilities. 0000034533 00000 n The health plan physician executive who is responsible for the quality and cost-effectiveness of the medical care delivered by the plan's providers. and Prevention (CDC), and state and local public health departments. Any dental plan offered by an organization that provides a benefit plan that differs from a traditional fee-for-service plan. Refers to any Blue Cross and/or Blue Shield Plan. Oral surgery What are the side effects of Thiazolidnedions. All Canada. BlueCare Dental PPOSM has one of the largest dental PPO networks of general and specialty dentists in both Illinois and nationally, which offers members flexibility in choosing a provider. You pay 50% after deductible before meeting your out-of-pocket max, and $0 after meeting your out-of-pocket max. Preventive care programs designed to monitor and promote the administration of vaccines to guard against childhood illnesses, such as chicken pox, mumps and measles, as well as adult illnesses, such as pneumonia and influenza. You are about to leave Blue Cross and Blue Shield of Alabama's website and enter a website operated by HealthEquity. If you have a significant life event, you may still be able to get 2023 coverage through special enrollment. For more information, please contact your account executive at 1-505-837-8787 or toll-free at 1-800-672-9700. Fully-Insured Small Group Summary of Dental Benefits. Call: 833-901-1364 Learn more. 0000006502 00000 n Limited to once every 24 months for primary teeth, and once every 48 months for permanent teeth. 0000003587 00000 n Table of Contents. 0000107816 00000 n Blue Cross Blue Shield of Massachusetts, P.O. A healthcare system that assumes or shares both the financial risks and the delivery risks associated with providing comprehensive medical services to a voluntarily enrolled population in a particular geographic area, usually in return for a fixed, prepaid fee. An organization that provides dental care to its members through a network of dentists who offer discounted fees to the plan members. An employer that has offices or branches in more than one location, but offers uniform healthcare coverage of benefits to all of its employees. For more information on specific coverage you can contact customer service. Second Opinion is a television series that features panels of doctors, patients and related experts tackling real-life complex medical cases. 0000014199 00000 n Get access to your agent portal. The MCO (managed care organization) committee that evaluates proposed policies and action plans related to clinical practice management, including changes in provider contracts, compensation and changes in authorization procedures. Call Dentaquest at 1-800-516-0165, MCNA Dental at 1-800-494-6262 or UnitedHealthcare Dental at 1-800-822-5353. HVKH+Djj+r%VF9dje;!h]_gLP8a "&SDi^&=.k)VU_? |7 There is no waiting period for pediatric dental. 2016-09-06T07:14:49-05:00 Provider Finder from Blue Cross and Blue Shield of Texas (BCBSTX) is a fast, easy-to-use tool that improves member experience when theyre looking for in-network health care providers. Allows members to use pre-tax dollars for certain eligible medical and dependent care expenses. The focus is simple: offer employers multiple dental plan designs that allow greater flexibility to choose a design that best suits their needs at a reasonable price. One option is Adobe Reader which has a built-in reader. trailer <<52597CAB61384F8F8DEED1C6F907D3A3>]/Prev 159881>> startxref 0 %%EOF 63 0 obj <>stream Also known as drug cards or prescription cards. An important component of BlueCare Dental Connection is the Dental Wellness CenterTM*, which will be available to members and offers online resources and support tools that allow members to: Note: The information provided by the BlueCare Dental Connection program is not a substitute for professional health care. startxref Register Now, Not registered? As a member of Blue Cross Blue Shield FEP Dental, we aim to provide the highest level of service available. collect outside the U.S. BCBS FEP Dental has a larger nationwide network with nearly half a million provider access points. 0000009079 00000 n A flat amount the member must pay before the insurer will make any benefit payments. The Pacific Blue Cross Mobile app helps you manage your benefits and improve the health & wellbeing of you and your family. Have us call you by filling outthis online form. HealthEquity has . HUQs6~W:Yc%v9^n.R`s?x%X:i2A-}'o$n @(LkPW[BTn e"+POlkk-boX:\(%r)%|z>n!RL&i q9zy JRah#J~xB2Wz 1e9d`\d"I`:=&8',a4$ldXaC]Z-2mJutPtX1nVXc "h|e2e4"*D=I A private medical expense insurance policy that provides reimbursement for out-of-pocket expenses, such as deductibles and coinsurance payments, or benefits for some medical expenses specifically excluded from Medicare coverage. Call your child's Medicaid dental plan to learn more about the dental services they offer. 44 0 obj <> endobj The broad range of activities that an MCO and its employees undertake to support the delivery of the promised benefits to members and ensure member satisfaction. Acrobat Distiller 11.0 (Windows) Dollar amounts set by MCOs (managed care organizations) that limit the amount a member has to pay out of his/her own pocket for particular healthcare services during a particular time period. The name Affordable Care Act refers to the final, amended version of the law. PPO. r9J2InHV`@Lb`\a%diF`3200h f`ig`` a hb```e`` l@Q>l e I#r^ 0000075153 00000 n The evaluation of health questionnaires submitted by all proposed plan members to determine the overall insurability of the group. 0000045512 00000 n These services are covered six months after you first join a Blue Dental plan. We provide health insurance in Michigan. Provides greater healthcare transparency by delivering detail about healthcare trends and best practices, resulting in healthier lives and affordable access to safe and effective care. If you're not familiar with the health insurance terms used on a summary of benefits and coverage, here's a Glossary of Health Coverage and Medical Terms. 0000006892 00000 n One option is Adobe Reader which has a built-in reader. A federal government program established under Title XVIII of the Social Security Act of 1965 to provide hospital expense and medical expense insurance to elderly and disabled persons. 0000006632 00000 n Outside the United States. 0000005867 00000 n Coverage for treatments varies depending on the member's benefit plan. General medical care that is provided directly to a patient without referral from another physician. Once you have identified your rating area, you can view premium amounts for our available plans in the A process through which an organization validates credentialing information from the organization that originally conferred or issued the credentialing element to the practitioner. Below are answers to some of the frequently asked questions. For more information on specific coverage you can contact customer service. Blue Cross Blue Shield awards this designation to medical facilities that have demonstrated expertise in delivering quality healthcare in the areas of: bariatric surgery, cardiac care, complex and rare cancers, spine surgery, transplants and knee and hip replacement. To view this file, you may need to install a PDF reader program. PII does not include publicly available information that is lawfully made available to the general public from federal, state or local government records or widely distributed media. Use ourProvider Finderto search for doctors and pharmacies near you. contact your local Blue Cross Blue Shield company. DentaQuest can help members find in-network providers and get authorizations for dental services. All Rights Reserved. With BlueCare Dental PPO, you'll get: One of the highest maximum annual benefit levels available - up to $1,500 per person per year Up to a 20% discount, up to a maximum savings of $1,000 for orthodontic services at participating dentists For more information on coverage and benefits, view the BlueCare Dental Outline of Coverage Your clients can choose the best dental plan(s) that meets the needs of their employees. Bitewing X-rays 0000069906 00000 n BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. endstream endobj 66 0 obj <> endobj 67 0 obj <>stream BlueCare Dental HMOSM is a Chicago metropolitan based program that emphasizes preventive and diagnostic care. Both products have multiple plan options. Site Map|Feedback|Download Adobe Acrobat Reader, Learn more about a Healthier Michigan.org, Glossary of Health Coverage and Medical Terms, Important Information About Medicare Plans. %20Welcome Back Message To Boss From Vacation, Olympus Has Fallen President Death, Articles P
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