Privacy Policy 2023 Dean Health Plan, Inc. A member of SSM Health. Member number, first name, last name from your member ID card. Dean Health Plan, Inc. Company Profile | Madison, WI | Competitors Shop Individual & Family Plans - Dean Health Plan Visit, Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. These categories show how you and your plan share costs. Medicare plans are available to all Medicare beneficiaries. In 60 minutes or less during regular business hours, you can reach a trusted provider when you need them most. Healthplanradar.com is owned and operated by a private company, Amabo LLC, and is not affiliated with the federal government health insurance marketplace healthcare.gov or state-based marketplaces. The goal is to help you manage your health and live your best life. We are doing some exceptional work here at SSM Health, and we invite you to join us in working toward our Mission. Select Search Provider Directory or Provider Directory (PDF). Visitssmhealth.com/access/express-virtual-careordeancare.com/virtualvisitfor more information and/orto get started with care. It's refreshing to know SSM Health supports me in whatever path I choose to take. Find out what telepsychiatry means and how it works. Obamacare health insurance plans are plans which are eligible for reduced costs with a subsidy tax credit. Contact Info (800) 279-1302 (608) 836-1400 (800) 356-7344 The HMO Network is available in the following counties: Adams, Columbia, Crawford, Dane, Dodge, Fond Du Lac, Grant, Green, Green Lake . Visitdeancare.com/wellness/behavioral-healthfor additional information. "Our ability to invest in Dean Health Plan is one way we are achieving our vision of serving more communities and demonstrating our unwavering commitment to high quality affordable health care," John Naylor, the Medica chief executive, said in a statement. You'll be part of a dynamic team working who is dedicated to providing exceptional care. View 2023 Direct Plan Options (PDF). From the nurses on the floor, to the techs, transportation, and food service staff, everyone is great to work with. We are committed to delivering exceptional health care services and revealing God's healing presence to everyone we serve. See 2023 Marketplace Plan Options (PDF) Go todeancare.com/wi-employeesto access the SMP provider directory. Internet Explorer is no longer supported. To understand what services are offered at a particular location, call the location directly. Four different medical plan options through Dean Health Insurance. Gold plans are ideal and cost-efficient if you anticipate going to your provider or pharmacy frequently. 2023 Individual & family plan book(En Espaol), 2023 Marketplace plan options(En Espaol), Summary of Benefits and Coverage (SBC) Documents, See our transparency in coverage information, Use our calculator to find if you qualify for reduced premiums or cost sharing, You're currently uninsured or newly eligible to individual coverage, You do not qualify for reduced or cost-sharing premiums because of your income, You're looking for more insurance plan options and additional benefits, If you want a quick, hassle-free way to buy, Low copays for office visits and many prescription drugs, Affordable deductible and coinsurance options, An easy way to build a relationship with a provider. All rights reserved. Customizable account setup . Apply for Wisconsin health insurance coverage at eHealthInsurance. Find a Doctor - Prevea 360 It is based on several different factors, but household income is the main factor. If assistance is needed to determine the appropriate level of care outside of normal working hours, contact Prevea Care After Hours at1-888-277-3832. Whether youre looking for a lower-premium plan, to limit your overall out-of-pocket, or even just for a catastrophic safety net plan, were here for you. (888) 323-1644. You may check the status of your request at. It's available 24 hours a day, 365 days a year. "I think the fundamental center point of this is really investing in the communities together for something we can improve and make a difference in," said Scott Reid, Medica's senior vice president for business and strategy development. e-Visit Connect with an e-visit for minor medical needs. Administrative Services Only (ASO) provider portal allows you to review group reports, check eligibility status, claims and accumulator balances. Health insurance services through Dean Health Plan. Obamacare plans are only offered through the federal government exchange marketplace healthcare.gov or some States have their own exchange marketplace website. Dean Health Plan: Employee Directory | ZoomInfo.com You can find an in-network provider atdeancare.com/doctors. OCI Comprehensive Health Rates for 2022 - Wisconsin The Obamacare subsidy is really a tax credit, and it is formally known as the Advanced Premium Tax Credit (APTC). As one of the largest integrated health care delivery systems in the country, Dean Health Systems provides a full range of medical care services to patients throughout southern Wisconsin. New networks: For 2023, we are optimizing the structure of our Prevea360 provider network offerings, adding a second comprehensive provider network option for State of WI Group Health Insurance Program members to select giving you the right option for your care needs whether youre in eastern or western Wisconsin. You want a lower-cost option but still want to see doctors in your community. Last year, Medica reported $126.9 million in operating income on $4.53 billion of revenue. All rights reserved. Dean Health Plan in Madison, WI 53717 - (800) 279-1302 Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. Prevea360 Health Plan, brought to you by Wisconsin-based Dean Health Plan, is a better kind of health care coverage. We have health insurance plans to fit your lifestyle and budget. Remember that government price breaks are not available with the Safety Net Plan. View a short video introduction to key features. You, the member, must ensure that your, For members with mental health and substance use disorders, Dean Health Plan'sbehavioral health and substance use case management provides an individualized approach. . Safety Net Plans or Catastrophic Plans are available for those who: Our Safety Net Plan offers a high deductible and three FREE office visits. If you're not sure you need to see a doctoror you're wondering if you have a problemgive us a, Skin conditions insect stings and bites, ssmhealth.com/access/express-virtual-care, for more information and/orto get started with care, Wisconsin Strong: Your Financial Security, Employer Forms, Brochures and Publications. Affordable deductible and coinsurance options. Search . Health emergencies dont happen between 9 and 5. Access to confirm claims submission and receipt. This may be the plan for you. Find out what telepsychiatry means and how it works. We are one of the largest integrated health care delivery systems in the country. Community is important to us. Visit. Learn more by visitingBehavioral health. It's available 24 hours a day, 365 days a year. at 3750 N. Investors Court, Grand Chute opened for patient care in late July. The HDHP Access Plan may have higher out-of-pocket expenses. Visitdeancare.com/wellness/behavioral-healthfor additional information. When you select a primary care location for a Tier 1 copay benefit, your office visit copay is lower than traditional office copays. The HMO Network is a good choice if: You want a full breadth of coverage in 20 Wisconsin counties. The health insurer now puts its total membership at about 1.5 million people. Find a Business; Add Your Business; . The investment in ongoing training and education sets SSM Health apart from other healthcare organizations. See 2023 Direct Plan Options (PDF). At SSM Health, we are driven by our Mission. This is NOT a complete list. Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. Minnetonka-based Medica invested more than $200 million in 2021 to acquire a majority stake in Dean Health Plan, a Wisconsin-based health insurer that fits with Medica's push to sell more coverage by partnering with health systems in the Midwest and beyond. Our roots are local. All copays, deductibles, and coinsurance for covered expenses still apply. All prior financial examination reports are public record and a copy of the report may be requested through OCI Records. Contact Us - Dean Health Plan Oklahoma, and Wisconsin. Unlike most health care providers, Prevea360 offers the best of three worldsa strong network of providers, innovative hospitals and comprehensive insurance coverageall working for you. This is the perfect environment for anyone seeking to make a meaningful impact in the healthcare field. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-877-230-7555prior to the appointment. If you need assistance accessing information or documents on the Dean Health Plan website and require the information be provided in an alternate format, please contact our call center at 1-800-279-1301 (TTY: 711). Yes, a plan can be available as both an Obamacare and an Off-Exchange plan. If you choose to see an out-of-network provider, we will pay charges up to our maximum allowable fee. Contact the Customer Care Center at1-877-230-7555, if possible, when you receive emergency care. Health Insurance Plans by Dean Health Plan in Wisconsin | Health Plan Radar. Our health plan programs and services are designed to meet the unique health care needs of our members, and we take pride in going above and beyond to put members first. The HDHP Access Plan may have higher out-of-pocket expenses. Individual: 01/01/2022: Dean Health Plan, Inc. Small Group: 01/01/2022: Group Health Cooperative of Eau Claire: Small Group: . It's available 24 hours a day, 365 days a year. Classification ( NTEE ) Public Health Program (Includes General Health and Wellness Promotion Services) (Health General and Rehabilitative) Nonprofit Tax Code Designation: 501 (c) (4) Defined as: Civic leagues, social welfare organizations and local . Freetransportation. Visit Find A Doctor to easily find excellent doctors available in our network. H9096_deancarecom_M Recruitment Updates. Advertisement from our partner. If you're not sure you need to see a doctoror you're wondering if you have a problemgive us acall at 800-576-8773. In addition, broker, agents, and web brokers are required to sell plans at the same market price. Find out what telepsychiatry means and how it works. This new clinic location features the latest in design, technologies and amenities for exceptional patient care and experience. If you fail to get prior authorization for any medically necessary covered service which requires an authorization, a penalty of 50% of the allowed amount, up to a $500 maximum per occurrence, is applied or the service may be denied for failure to obtain an authorization. An easy way to maintain or build your relationship with your provider. 10 zipper merge crash, Minneapolis buskers divided over new pay-to-play rules, Owatonna LGBTQ group calls for mayor's resignation over 'homophobic' actions, The life of a gun: Tracing its path from Texas to the black market to a mass shooting in St. Paul, Gophers basketball recruit Asuma closes AAU career with a bang, Got a Jeep? Dean Health Plan corporate office is located in 1277 Deming Way, Madison, Wisconsin, 53717, United States and has 1,993 employees. I enjoy working at a teaching hospital, like SSM Health Saint Louis University Hospital. If a member prefers to get primary care in eastern Wisconsin, then they should select . The main difference between Obamacare plans and Off-Exchange plans is that only Obamacare plans are eligible for a subsidy tax credit to reduce costs. Dean Health Plan Today, Dean Health Plan is one of the largest and most diversified HMOs in the Midwest, and maintains a position of leadership in insurance services through a physician-led integrated health system that improves the health status of its members and delivers a superior level of service and care. Dean Health Plan provides coverage to about 476,000 people overall, which is roughly half the size of Medica. Since 1983, Dean Health Plan has been here helping southern Wisconsin residents make the most of their coverage. We proudly serve the State of Wisconsin Group Health Insurance Program, offering plans that deliver high-quality, cost-effective care. We do not offer every plan available in your area. From hosting blood drives to collecting school supplies, our employees participate in a variety of volunteer efforts throughout the year to make local life a little better for everyone. ST LOUIS, MO 63132-2946 | Tax-exempt since Dec. 2019. All rights reserved. Dean Health Plan - Prevea360 East. Providers in your network may offer a wide range of language services. Providers in your network may offer a wide range of language services. Working with trauma patients in Med Surg is a truly rewarding experience for me. If you have a question regarding when to seek urgent care or emergency services, contact the 24-hourNurse Advice Line(available to Wisconsin residents only) by calling 800-576-8773. The Copay Plus plans feature: See 2023 Marketplace Options (PDF) For 2023, we are optimizing the structure of our Prevea360 provider network offerings, adding a second comprehensive provider network option for State of WI Group Health Insurance Program members to select giving you the right option for your care needs whether youre in eastern or western Wisconsin. Privacy Policy 2023 Dean Health Plan, Inc. A member of SSM Health. The managers are exceptional leaders who inspire growth and development, and I'm proud to have learned so much from them. Option 1 - Dean Health Plan - Prevea360 East. Medica, which announced the deal in August, disclosed transaction details in a recent financial statement reviewed by the Star Tribune. SSM Health Dean Medical Group. Find out what telepsychiatry means and how it works. The goal is to help you manage your health and live your best life. My team members are amazing and the culture is just wonderful! I have many close relationships that go beyond the office. If you're not sure you need to see a doctoror you're wondering if you have a problemgive us a call at 800-576-8773. It's available 24 hours a day, 365 days a year. Despite the departure of WEA Trust from the program, members will have more health plan choices. If you're not sure you need to see a doctoror you're wondering if you have a problemgive us a, Skin conditions insect stings and bites, ssmhealth.com/access/express-virtual-care. for more information and/orto get started with care. Thats why we work so hard at prevention and enhancing your overall wellness with a strong care network featuring preferred providers within the First Health network. Privacy Policy 2023 Dean Health Plan, Inc. A member of SSM Health. If your health care provider recommends that you have a service or procedure that needs prior authorization, your health care provider should submit a prior authorization request form to us. However, if you choose to seek care from an out-of-network provider you will be responsible for paying higher out-of-pocket costs. To be eligible for a subsidy to reduce the monthly premium costs of Obamacare plans, you must meet the following requirements. Dean Health Systems owns and operates a network of more than 60 clinics that provide specialty and primary care. Common Spirit has operations in Phoenix, Reid said, so the product launch in Arizona this year extends the existing relationship with Medica. We continue to build upon our legacy of healing. A prior authorization is required for the following mental health and substance use services: For members with mental health and substance use disorders, Dean Health Plan'sbehavioral health and substance use case management provides an individualized approach. Access Plan by Dean | ETF - Wisconsin Department of Employee Trust Funds Learn more about Prevea360 Health Plan telepsychiatry at prevea360.com/News/What-is-telepsychiatry. My co-workers are not just friendly, they're genuine and supportive. When a more immediate need arises, you do have other options. If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. See 2023 Direct Options (PDF). Formed in 1983, the company offers PPO, HMO, and POS insurance plans as well as public health insurance programs for clients throughout south central Wisconsin. Ssm Health Plan - Nonprofit Explorer - ProPublica Dean Health Plan has earned a place in the U.S. News & World Report list of America's Best Health Plans 2005. It'savailable 24 hours a day, 365 days a year. You can find an in-network provider at, Learn more about Prevea360 Health Plan telepsychiatry at, prevea360.com/News/What-is-telepsychiatry. Receive a diagnosis, a treatment plan and a prescription for certain common conditions from the comfort of home via smart phone or computer. Virtual care is available to members through age 75. Call 888-277-3832 or 920-496-4700 anytime to speak with a registered nurse. Visit our choosing a plan FAQ page to learn more. If you need assistance accessing information or documents on the Dean Health Plan website and require the information be provided in an alternate format, please contact our call center at 1-800-279-1301 (TTY: 711). See provider directory. Copy charges do apply. If you call a phone number or click a link shown on our website, we may receive compensation. Middleton-Cross Plains Area School District. doxo is the simple, protected way to pay your bills with a single account and accomplish your financial goals. Visit, Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. SMP will continue to be available in Florence County. When registering as a first-time user you will need: In circumstances where laws are in place to protect a minor child, you may not be able to access certain information on the member portal. Experienced registered nurses on our 24-hour Nurse Advise Line are always available to answer your questions and concerns. Wisconsin's exchange remains among the most robust in the country, with 13 insurers offering plans for 2023 (there were 14 in 2022, but WPS Health Plan left the exchange at the end of 2022). Enrollment in Dean Advantage depends on contract renewal. Visit, Telemedicine continues to grow every day and more specialties are finding ways to provide virtual options for patients. We must receive the prior authorization request at least 15 business days before the date of your service or procedure. SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. Dean Health Plan offers network options based on your location, the coverage level you're selecting and your care needs. It is the members responsibility to make sure your health care provider requests prior authorization. The sticker price on Ford's F-150 Lightning electric pickup is being lowered by thousands of dollars due to increased plant capacity, falling costs for battery raw materials and internal efforts to scale production by the Detroit automaker. Dean Health Plan, Inc. We offer: BadgerCare Plus (Medicaid) in 29 counties in eastern Wisconsin, covering more than 150,000 adults and children. The IYC Access Plan, offered by Dean Health Plan, will reimburse for covered services at 70% of our maximum allowable fee, subject to a $500 individual, $1,000 family deductible up to an out-of-pocket limit of $2,000 individual and $4,000 family. SSM Health Express Virtual Care Health Care that Fits your Life. Despite being a large hospital, it has a warm and welcoming atmosphere that makes you feel like you're part of a close-knit community. Medica paid $232.7 million for a 55% stake in the Wisconsin-based carrier in a deal that closed Dec. 1. View 2023 Marketplace Plan Options (PDF) To understand what services are offered at a particular location, call the location directly. The goal is to help you manage your health and live your best life. EIN: 83-1979548. We must receive the prior authorization request at least 15 business days before the date of your service or procedure.
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