• Commercial Medical Provider Networks
  
• Medicare Provider Networks
  
• Dental Networks
  
• Participating Dental Agreements

Participating

The Participating Traditional Network is the largest Regence BCBSU network and supports all traditional and indemnity products. Physicians, other health care professionals and facilities (providers) must participate with this network to be eligible to participate with any other Regence BCBSU network.

Preferred

Three Preferred networks, Preferred BlueOption Network, Preferred ValueCare Network and Preferred FocalPoint^SM Network, offer our members greater choice in providers while receiving the highest benefit levels.

These Preferred networks support members on the following group and Individual products:

Employer Group Products

Individual and Family Products

Preferred BlueOption

The following hospitals are included in the Preferred BlueOption Network:

Preferred ValueCare

In addition to group and Individual products, Preferred ValueCare is also the Preferred network for Federal Employee Program (FEP) and BlueCard^® members.

• FEP members should utilize the ValueCare Network as their Preferred network for providers, as well as for non-hospital facility services for their highest benefit. All hospitals in the state are available to FEP members at their highest benefit level.
• BlueCard^® members with a “PPO in the suitcase” icon on their member card should utilize providers and hospitals in the ValueCare Network for their highest benefit. BlueCard members with a blank suitcase may receive services from any Participating provider or hospital in the state.

The following hospitals are included in the Preferred ValueCare Network table:

Preferred FocalPoint

Regence, MountainStar, the University of Utah and targeted providers who refer the majority of their members to MountainStar and the University of Utah providers, have partnered to create this focused network. This network is by invitation only.

FocalPoint is geographically centered along the Wasatch Front with facilities from Brigham City to Payson. The following hospitals are included in the Preferred FocalPoint Network:

Learn more about Preferred FocalPoint.

Medicare Provider Networks

Regence MedAdvantage

Our Regence MedAdvantage products use the Regence BlueCross BlueShield of Utah MedAdvantage Network for in-network services with no referral requirements to access specialty care. Regence MedAdvantage provides all Part A and B benefits with additional covered services in one plan.

Dental Networks

Contracting and Participating Dental Agreements
Regence contracts with dentists and oral surgeons, forming dental networks to meet our members' needs. In return we offer predictable reimbursement amounts and schedules, direct payment, and a pool of potential patients.

Participating Dental

The Participating Dental Network serves our members enrolled in our participating fee-for service dental plans in Utah. Participating dentists are reimbursed according to our maximum allowable fee schedule. Payments and a remittance statement (which explains payment for services provided to our members) are sent directly to participating dental offices each week.

Preferred Dental

The Preferred Network serves members covered under the Federal Employee Program (FEP) and the Caring Foundation. Payments and remittance advices (voucher explaining payment for services provided to our members) are sent directly to contracted dental offices each week.

The Caring Foundation for Children Dental Program

The Caring Foundation for Children Dental Program is a non-profit 501 (c)(3) organization administered by Regence BCBSU. The Caring Foundation provides free dental care to low-income, uninsured children whose families cannot afford private coverage and receive no government assistance such as Medicaid or CHIP. Families whose children meet eligibility guidelines (income thresholds, uninsured status, and under 18 years of age) receive a maximum of $1000 of dental care per child per year for one year. Benefits are provided at no cost to qualified families. The Caring Foundation utilizes our Preferred dental network for services. You may contact the Caring Foundation at (801) 333-5850 or toll free 1 (888) 589-5437 for more information.

Participating Dental Agreements

Regence BlueCross BlueShield of Utah (Regence BCBSU) contracts with dentists and oral surgeons to form dental networks to meet our members’ needs. In return, we offer predictable reimbursement amounts and schedules, direct payment, and a pool of potential patients.

To participate on our dental networks:

• Review the list of provider types to determine if we contract with your specialty and if the network is open to participation.
• Complete a Dental Provider Application
  • Login to Provider Center
  • Download the Provider Application in the Reference Library
  • If you do not have a Provider Center account, please register
• Sign up for eContracting

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