It's Your Choice 2019
Dean Health Insurance- Prevea360 Health Plan1-877-230-7555
What’s New for 2019
Prevea360 Health Plan is brought to you by Dean Health Plan, a member of SSM Health. Access to care is now easier and more convenient. Our new programs let you make clinic appointments online, talk to a health care professional 24/7 and reserve your spot in line for an urgent care appointment. Here are some quick details:
* Due to licensing regulations, Prevea Care After Hours triage services are only available to residents of Wisconsin.
Prevea360 offers coordinated care via a strong network of providers and innovative hospitals—all working for you.
Go to prevea360.com/wi-employees to access a provider directory. Select “Online” or “Printable” under "Provider Directory." To request a printed directory be mailed to you, call 1-877-230-7555.
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 MyPrevea.com. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 877-230-7555 prior to the appointment.
Brown, Door, Kewaunee, Manitowoc, Menominee, Oconto and Sheboygan 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 Prevea360 at 1-877-230-7555, if possible, when you receive emergency care. If assistance is needed to determine the appropriate level of care outside of normal working hours, contact Prevea Care After Hours at 1-888-277-3832. Follow-up care must be received by an in-network provider unless otherwise approved by Prevea360.
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
Prevea Care After Hours: 1-888-277-3832
This page was last modified on: 8/21/2018 6:33:03 AM