Description

Dean Health Plan, a member of SSM Health, believes that health insurance is about more than helping people when they’re sick. That’s essential, but so is helping people remain well! That’s why we work so hard at prevention and enhancing your overall well-being. 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 31 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:

  • 2,500+ providers
  • 190+ primary care clinic locations, with many owned by SSM Health Medical Group
  • 700+ specialty care clinics

What’s New for 2021

It’s more important than ever to get care quickly and safely. That’s why Virtual Visit is such an important option. 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 covers more than 24 conditions. Visit deancare.com/virtualvisit 24/7 for conditions we treat and/or to answer a brief questionnaire and get started with care.

If complex specialty care is required, Dean Health Plan is ready to help with personalized assistance. Dean Health Plan has a special team at the ready, helping you navigate the health care system so you can get the care you need without the added stress of figuring out how to get it. Complex Case Management is available for any member in need.

To help you maintain your good health, we offer a free Video Wellness Library and monthly wellness webinars with trusted, valuable information accessible 24/7 by visiting deancare.com/livinghealthy

Provider Directory

Go to deancare.com/wi-employees to access a provider directory. Select “Online” or “2021 Printable Provider Directory” 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 Nurse Hotline (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.

Most often primary care providers (PCP) should be your first choice for care both because they are familiar with your medical history and because a scheduled office visit is the most cost-effective method of care.

When a more immediate need arises, you do have other options. Visit deancare.com/rightcare for assistance in making the right choice when it comes to your need for care, ensuring that you receive the right care in the right place at the right cost.

Mental, Behavioral Health and Substance Abuse

A prior authorization is required for the following mental health and substance use services:

  • Detox
  • Inpatient
  • Residential
  • Partial Hospitalization/Day Treatment
  • Intensive Outpatient
  • In-home therapy

For members with mental health and substance use disorders, Dean Health Plan's behavioral health and substance use case management provides an individualized approach. The goal is to help you manage your health and live your best life. Learn more by visiting Behavioral health and substance use.

24-Hour Nurseline

Nurse Hotline: 1-800-576-8773

Virtual Visits

With SSM Health Virtual Visit, we make it simple to get care on your schedule.  No appointment.  No waiting rooms.  Accessible 24/7.  Complete an online health interview (5-15 minutes) from your smart phone, tablet or computer. A provider from SSM Health reviews your responses and creates a treatment plan, which may include a prescription, if necessary.  Visit deancare.com/virtualvisit 24/7 for conditions we treat and/or to get started with care.  Virtual Care/Virtual Visit is a non-face-to-face and non-real-time communication-based technology service.

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)
  • Prairie Ridge Health
  • Fort HealthCare

Full Service Areas

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

Limited Service Areas

Adams County, Crawford County, Green Lake County, Marquette County, Walworth County, Illinois, Iowa
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