Description

Dean Health Plan, a member of SSM Health, believes that health insurance companies should put people first. That’s why we work so hard to help you prevent sickness in the first place and enhance your overall well-being. Or, if you should face an illness or injury, we’ll be there to help you effectively manage your health conditions.

When you choose Dean, you benefit from having insurance that’s integrated with your medical care. It’s a different kind of health care model that combines providers and coverage to better care for you.

Dean Health Plan has you covered with 30 hospitals and many conveniently-located primary care sites in 20 counties throughout southern Wisconsin. Take advantage of one of the largest provider networks in southern Wisconsin with:

  • 2,400+ providers
  • 180+ primary care clinic locations, with many owned by SSM Health Medical Group
  • 600+ specialty care clinics

What’s New for 2020

Last year we launched Virtual Visit – personalized care from a local SSM Health provider straight from your smart phone or computer. A Virtual Visit, which has a zero copay , is intended for limited non-urgent health care needs. This treatment option expanded to cover 14 conditions and will soon expand to 24 conditions. Visit deancare.com/virtualvisit 24/7 for conditions we treat and/or to answer a brief questionnaire and get started with care.

We are excited to announce the addition of the following provider systems in Dodge, Juneau and Crawford counties: Mile Bluff Medical Center and Crossing Rivers Health into the Dean Network, allowing additional provider hospital and primary care options in Mauston, Necedah, New Lisbon, Prairie du Chien and Fennimore. This addition brings 28 primary care providers and 12 specialists, including orthopedics, general surgery, gynecology and podiatry. In Dodge County, Beaver Dam Community Hospital clinics in Beaver Dam, Horicon and Juneau were added to the network.

We continue to partner with the State of Wisconsin Group Health Insurance Program, Navitus Health Solutions and StayWell (your Well Wisconsin program administrator) to offer you a pilot program focused on diabetes management.  Visit deancare.com/members/state-of-wisconsin-employees/living-healthy-plus-state-of-wisconsin to learn more about the program and how you may be eligible for $0 copay quarterly office visits with a qualified primary or endocrinology provider and $0 copay for quarterly hemoglobin A1c labs.

Covered acupuncture visits is a newly offered pilot program being introduced January 1, 2020.  Under this program, members are eligible for 10 acupuncture visits per contract period with an approved acupuncture provider within our network.  These visits are covered the same as a visit with your primary care provider .

Provider Directory

Go to deancare.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 1-800-279-1301.

Referrals, Authorizations, Out-of-Network

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.     

Emergency and Urgent Care

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 Nurseline

Dean On Call: 1-800-576-8773

Virtual Visits

You can access Virtual Visit for non-urgent, personalized care from a local SSM Health provider straight from your smart phone or computer. Visit deancare.com/virtualvisit 24/7 for conditions we treat and/or to answer a brief questionnaire and get started with care.

Major Health Systems

  • SSM Health Hospitals and Dean Medical Group
  • Agnesian HealthCare (a member of SSM Health)
  • Monroe Clinic Hospital & Clinics (a member of SSM Health)
  • Columbus Community Hospital
  • Fort HealthCare

Full Service Areas

Columbia County, Dane County, Dodge County, Fond Du Lac County, Grant County, Green County, Green Lake County, Iowa County, Jefferson County, Juneau County, Lafayette County, Richland County, Rock County, Sauk County, Walworth County, Waukesha County

Limited Service Areas

Adams County, Crawford County, Marquette County, Vernon County, Illinois, Iowa
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