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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2019 Local Health Plan Insurance Program
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2019 It's Your Choice - Local Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2019

Local Health Plan
Insurance for Employees
and Retirees
(PO6, PO16)

Dean Health Insurance


What’s New for 2019

Dean Health Plan now offers personalized care from a local SSM Health provider straight from your smart phone or computer. And there’s no copay! It’s called Virtual Visit, and is intended for non-urgent health care needs. Visit 24/7 to answer a brief questionnaire and get started.

While current health needs are top of mind, it’s also important to plan for future health care issues, as well. That’s why Dean Health Plan offers free Advance Care Planning sessions. Discussing your wishes now ensures that you and your loved ones are prepared for future decision-making. Learn more at

SSM Health is now the sponsor for Agnesian HealthCare and Monroe Clinic. As a unified organization, we provide exceptional health care services to meet the needs of our patients. The same excellent providers and staff continue to serve their communities.

Provider Directory

Go to to access a provider directory. Select “Online” or “Printable” under "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

Adams, Columbia, Dane, Dodge, Fond du Lac, Grant, Green, Green Lake, Iowa, Jefferson, Juneau, Lafayette, Marquette, Richland, Rock, Sauk, Walworth and Waukesha counties.
Limited provider availability in: Crawford and Vernon 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 Services

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

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: 9/7/2018 9:17:19 AM