Dean Health Plan is focused on a holistic approach to your well-being, meeting you where you are and providing benefits and support to help maintain balance in your life. That’s why we work so hard at prevention and enhancing your overall wellness with a strong care network – featuring the providers of SSM Health. When you choose Dean, you benefit from having your clinical team of physicians, specialists and pharmacies and your health plan working together, working for you. It’s a different kind of health care model where providers and coverage coordinate to better care for you.
Dean Health Plan has you covered with 32 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:
- 5,200+ practitioners
- 200+ primary care clinic locations, with many owned by SSM Health Medical Group
- 950+ specialty care clinics
What’s New for 2023
SSM Health’s new South Madison Campus Clinic building opened for patient care on February 21, 2022. We are honored and excited to bring this investment in the health care services available to patients in the heart of Madison, where we have cared for generations of patients. The 5-story, 180,000 square foot building includes Family Medicine, Pediatrics, Internal Medicine, Obstetrics/Gynecology, Pelvic Health, Diabetes Education and Nutrition, Cancer Care with Infusion Services, Breast Care, Palliative Care, Health Psychology, Infection Prevention, Wound Care, Orthopedics, Sports Medicine, Podiatry, Physical Therapy, Occupational Therapy, Speech Therapy, Audiology and ENT. These specialties are fully supported through on-site ancillary services including imaging, lab and pharmacy services.
Go to Dean's Resources for State of Wisconsin members page 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 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 Choosing the right care 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:
- 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 the Behavioral health page 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 through the Find a Doctor page.
Learn more about Dean Health Plan telepsychiatry.
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.
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:
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 the SSM Health Express Virtual Care page or the E-visit page 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