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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2016 State of Wisconsin Group Health Insurance Program
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Wisconsin Department Of Employee Trust Funds It's Your Choice 2016


Local Health Plan
Insurance for Employees
and Retirees
(PO6)


Dean Health Insurance

1-800-279-1301
deancare.com/wi-employees

What’s New for 2016

The Dean Health Insurance service area will expand in 2016 to include Marquette County. The Living Healthy program returns via WebMD, providing valuable health information, tools for managing your health and support when you have questions. You can trust that our content is timely and credible. Watch for more details coming soon.

Our extensive provider network makes it easy to find a doctor who is best for you.

With deancare.com, it’s become faster than ever to find a provider near you. The online provider directory now displays the in-network provider or location that is closest to you when you search by ZIP code. A new interactive map, supported by Google Maps, shows at a glance all the types of locations available—and where to find them.

Provider Directory

Go to deancare.com/wi-employees to access a provider directory. Select “Online Provider Directory” or “Printable Provider Directory.” To request a printed directory be mailed to you, call 1-800-279-1301.

Referrals, Prior Authorizations, Out-of-Network Care

Referrals are not needed when receiving care from in-network providers. Prior authorization is required for certain services, procedures and for out-of-network providers before you receive care. You will receive written notification of the approval or denial for the prior authorization. You may check the status of your request at DeanConnect. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-279-1301 prior to the appointment.     

Service Area

Qualified: Adams, Columbia, Dane, Dodge, Fond du Lac, Grant, Green, Iowa, Jefferson, Richland, Rock, Sauk and Waukesha counties.
Non-qualified: Green Lake, Juneau, Lafayette, Marquette, Vernon and Walworth counties.

Emergency and Urgent Care Outside Service Area

If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact the Customer Care Center at 1-800-279-1301, if possible, when you receive emergency care from an out-of-network provider. If assistance is needed to determine the appropriate level of care outside of normal working hours, contact the 24-hour Dean On Call Advise Line (available to Wisconsin residents only) by calling 1-800-576-8773.  Follow-up care must be received by an in-network provider unless otherwise approved by Dean Health Insurance.

Mental, Behavioral Health and Substance Abuse

Prior authorization and/or referrals are not required for Outpatient Mental Health Services when seeking services from an in-network provider. Inpatient Mental Health must be prior authorized.

24-Hour Nurse Line

Dean On Call: 1-800-576-8773

Disclaimer:
Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 9/11/2015 6:53:04 PM