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:

  • 4,700+ practitioners
  • 190+ primary care clinic locations, with many owned by SSM Health Medical Group
  • 700+ specialty care clinics

What’s New for 2022

SSM Health St. Mary’s Hospital – Madison has been verified as a Level II Trauma Center by the American College of Surgeons. This achievement recognizes SSM Health’s dedication to providing exceptional care to patients, including those most critically injured.

As a Level II Trauma Center, St. Mary’s Hospital has the resources and staff to care for patients with serious life or limb-threatening injuries. Services include 24/7 access to:

  • In-house coverage by the trauma team, including a trauma surgeon and advanced practice provider
  • OB high-risk coverage, including a high-risk NICU 
  • On-call neurosurgeons, orthopedic traumatologists, cardiothoracic surgeons, interventional radiologists, oral and maxillofacial surgeons and other specialty surgeons and physicians
  • On-site anesthesia providers, trauma-trained surgical services team with a dedicated trauma operating room 
  • Expanded Emergency Department capabilities with state-of-the-art trauma bays
  • Social work coverage

Watch for web updates at deancare.com/wi-employees to bring you the most up-to-date information on available resources to help you achieve your health and wellness goals.  These programs are independent of your WebMD Well Wisconsin programs.

Health and Wellness Tools & Resources

  • Daily Habits: Select a goal or habit you want to start or improve and hold yourself accountable with a Daily Habit plan that offers tips and tricks along the way. Some things you can track include social connectedness, better sleep and back health.
  • Mental Health podcasts: Learn about topics ranging from financial wellness to mental health.
  • Sync your device: Check out the device connection center to sync your apps and devices.
  • Health Trackers: Various trackers for sleep, steps walked, blood pressure, etc.

Wellness Events Calendar

Access live monthly webinars, book club discussions and more that cover the eight dimensions of well-being, held virtually for you to attend from anywhere.

Provider Directory

Go to deancare.com/wi-employees to access a provider directory. Select “Online” or “Printable Provider Directory” under "Providers and Information." To request a printed directory be mailed to you, call 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 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 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.

More Ways to Access Mental Health

If you or someone you know is struggling, you are not alone. Dean Health Plan offers many supports, services and treatment options within our network. Visit deancare.com/wellness/behavioral-health for additional information.

Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. Find out what telepsychiatry means and how it works. You can find an in-network provider at deancare.com/doctors.

Learn more about Dean Health Plan telepsychiatry at deancare.com/news/what-is-telepsychiatry.

24-Hour Nurseline

Nurse Advice Line: deancare.com/members/dean-on-call

Our 24-Hour Nurse Advice Line is a free telephone service for Dean Health Plan members and/or Dean Medical Group patients. It's available 24 hours a day, 365 days a year. If you're not sure you need to see a doctor—or you're wondering if you have a problem—give us a call at 800-576-8773.

Experienced registered nurses on our 24-hour Nurse Advise Line are always available to answer your questions and concerns.  When responding to your call, they draw on years of clinical experience in many medical specialties.

Virtual Visits

E-visit - $ the lowest-cost option

SSM Health Express Virtual Care – Health Care that Fits your Life

SSM Health Express Virtual Care now offers two convenient virtual options to access care on your time. SSM Health Express Virtual Care offers online assessment and treatment for a wide range of conditions, from minor illnesses and injuries to urgent needs. Common conditions treated:

  • Abrasions and contusions
  • Allergies
  • Cold, cough, flu
  • Diaper rash
  • Head lice
  • Heartburn
  • Minor aches, pains, infections
  • Minor sprains and strains
  • Rashes and minor bumps
  • Sinus infection
  • Skin conditions – insect stings and bites
  • Urinary Tract Infections (UTI)

 

SSM Health Express Virtual Care is available to anyone – whether you're an established SSM Health patient or seeing us for the first time, we've got you covered. Choose the option that’s right for you.

Video Visit – For urgent needs, use video visits to be quickly connected with an expert SSM Health Provider (PCP copay applies).

e-Visit – Connect with an e-visit for minor medical needs. Complete a simple online form and an SSM Health provider will follow up electronically with a treatment plan ($0 copay for non-HDHP members).

Visit ssmhealth.com/access/express-virtual-care or deancare.com/virtualvisit for more information and/or to 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)
  • Prairie Ridge Health
  • Fort HealthCare

Full Service Areas

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

Limited Service Areas

Illinois, Iowa