2021 State of Wisconsin - Group Health Insurance Program - Dean Health Plan
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Have questions? We are here to Help Call Call our Customer Care Center for questions about your benefits a nd more. 800-279-1301 (TTY: 711) Monday – Thursday: 7:30 am – 5 pm Friday: 8 am to 4:30 pm Click Visit deancare.com/contact-us and click the Dean Health Plan button Come In* Our Insurance Desk is open Monday through Friday, 8 am to 4:30 pm. Come in to our Health Plan Office or one of the following SSM Health Dean Medical Group locations: • Health Plan Business Office: 1277 Deming Way, Madison • East: 1821 S. Stoughton Road, Madison • West: 752 N. High Point Road, Madison • Fish Hatchery Clinic:1313 Fish Hatchery Road, Madison • Janesville East:3200 E. Racine Street, Janesville *During the current public health crisis, these are offered by phone or video. INSURANCE PROGRAM Why Choose Dean 4 STATE OF WISCONSIN 2021 GROUP HEALTH Convenient Tools and Resources 6 New Member Checklist 7 The Dean Provider Network 8 Understanding Your Benefits 9 Claims and Payment Explanation of Benefits Health Insurance Kit 101 10 Where to Go for Care 11 Urgent and Emergency Care Authorizations Member Rights and Responsibilities 13 2 Plan Details 14 Privacy and Confidentiality 14
Serving You for More than 30 Years Dean Health Plan is proud to serve the State of Wisconsin Group Health Insurance Program! Over three decades ago, we responded to the needs of the state by creating managed care plans and effectively managing the cost and quality of that care. Choose benefits that go above and beyond like free virtual visits on most plans, urgent care visits that cost no more than your primary care physician, free digital wellness programs and more: Access to Providers Dean Health Plan has been providing award-winning health care coverage since 1983. Our network is staffed with health care professionals who are dedicated to helping you and your loved ones remain as healthy as possible, even when you’re on the road. 24-Hour Nurse Advice Line Answers to your health-related questions are available 24/7/365. If you’re not sure where to go for care or you have a health concern, experienced registered nurses at Dean On Call are here to help. Call 800-57-NURSE (800-576-8773).* *D ue to licensing regulations, 24-Hour Nurse Advice Line’s triage services are only available to Wisconsin residents. For any life-threatening emergencies, always dial 911.
Accredited by National Committee for Quality Assurance Accreditation is by the National Committee for Quality Assurance (NCQA). NCQA is an independent, not-for-profit organization that evaluates nearly 1,500 health plans nationwide based on more than 50 standards of care and service to determine health plan accreditation. Learn more at ncqa.org. Dean’s HMO Plans are rated 4.5 out of 5. NCQA’s Private Health Insurance Plan ratings for 2019—2020 help consumers easily compare health plans based on quality of care and service. Dean Health Plan’s rating of 4.5 is in the top 17% of Commercial plans in Wisconsin and the top 8% in the nation. Care Management While you should always start with your primary care provider for non- emergency care, sometimes you might need additional help navigating through the health care system. That’s where the Dean Health Plan Care Management team comes in. If you’re diagnosed with a chronic health condition have a complex health care or behavioral health need, we can help guide you to the most appropriate method of care and ensure your needs are met and your questions and concerns are addressed. Learn more about Care Management at deancare.com/caremanagement. Virtual Visit Care is just a click a way. Virtual Visit brings you free care from the comfort of home. Now you can reach trusted SSM Health providers with convenient online access for common medical conditions like: cold/flu, sinus infections, bladder infections and more. Learn more at deancare.com/virtualvisit. INSURANCE PROGRAM STATE OF WISCONSIN 2021 GROUP HEALTH deancare.com/wi-employees or etf.wi.gov 4
Convenient Tools and Resources Get the information you need, when you need it. Find it within member tools that easily connect you to health information, benefit details and much more. ❯❯ Activate these accounts today! deancare.com/newmember Member Portal Your online Your online member portal health record View your insurance plan details Send and receive secure messages with your primary care provider Request member ID cards or download a digital copy Schedule appointments Change your primary care clinic Get lab results Review past claim details and more Request prescription refills and more View and pay your medical bill Visit deancare.com/login Visit deancare.com/mychart and use your member number from to activate your account. your ID card to activate your account. ? Online Answers DEANCARE.COM/ 800-279-1302 OR WI-EMPLOYEES Visit deancare.com/wi-employees for links to important member documents with details of your benefits and coverage. There you’ll also find a link for our online directory so you can search for a provider, clinic or pharmacy near you. 5
New Member Checklist Begin your experience with Dean Health Plan by taking a few simple steps. Complete this checklist to unlock resources and take important actions so you can get the most out of being a member. This checklist is helpful even if you are continuing your coverage with Dean Health Plan. Activate Your Accounts Choose a Primary Care Provider Get access anytime to your personal health Choose a primary care provider (PCP) who is information with your MyChart account. Have right for you. Go online or call our Customer Care your health insurance and member information Center at 800-279-1301. Fostering an open and available at your fingertips with your Member honest relationship with a primary care provider Portal account. See page 6 to learn more. whom you can trust is an important part of Dean’s integrated care model. Review Your Health Care Benefits Together, the “It’s Your Choice” materials from Transfer Your Medical Records the Wisconsin Department of Employee Trust Once you’ve chosen a primary care provider and Funds (ETF) and the “Summary of Benefits made an initial appointment, have your medical and Coverage” documents from Dean Health records sent over from your previous clinic. Plan specifically outline the benefits, services, Simply fill out an “Authorization to Release exclusions and limitations under your policy. Protected Health Information” form, available at The same Guide is issued for each of the many deancare.com/members under Member Forms, State of Wisconsin Group Health Insurance and give it to your previous provider. He or she will Program plans, but the Summary reflects transfer the records to your new Dean provider. Dean Health Plan’s specific benefits, so be sure to read both. Visit deancare.com/wi-employees Let Us Know if You Have Health Concerns to access them online. Please also see etf.wi.gov If you have a chronic health condition or have a for more information. complex health care need, we encourage you to take advantage of our Care Management services. Visit deancare.com or call the Customer Care Center at 800-279-1301 for more information. INSURANCE PROGRAM STATE OF WISCONSIN 2021 GROUP HEALTH Visit our State of Wisconsin Group Health Insurance Program website to access your policy’s specific benefits and coverage details: deancare.com/wi-employees 6
The Dean Provider Network As a Dean Health Plan member, you have access to o search the directory, select Online under •T more than 2,000 in-network providers throughout Provider Directory. our 20-county service area. Visit our State of •T o download an electronic copy of the directory, Wisconsin Group Health Insurance Program select Printable under Provider Directory. website at deancare.com/wi-employees for the online provider directory to easily find excellent •Y ou may also call our Customer Care Center doctors available in our network. Please see the at 800-279-1301 to request a copy to be mailed back inside cover of this book for a detailed to you. service area map. Providers in the Network SSM Health Dean Medical Group Madison and Beyond Where Quality Soars SSM Health Dean Medical Group is a major We continue to lead the pack in a variety of key provider of health care to Madison and its measures linked to prevention and management of surrounding communities. Our reach goes beyond chronic conditions, as compiled by the Wisconsin the capital city with more than two dozen clinic Collaborative for Healthcare Quality in 2019. Go to locations, all owned by SSM Health. wchq.org to see how we compare. To complement our clinics, more than 2,000 Hospitals You Can Trust other doctors across southern Wisconsin have SSM Health St. Mary’s Hospital – Madison, SSM Health joined the Dean Health Plan network. In addition St. Mary’s Hospital – Janesville and SSM Health to unsurpassed access, patients enjoy consistent, St. Clare Hospital – Baraboo offer high-quality care high-quality care that’s been recognized in a and an exceptional patient experience. SSM Health variety of independent measures. Our health plan, St. Mary’s Hospital – Madison was named one of clinics and hospitals have a long tradition America’s Best Hospitals™ for 2019. St. Mary’s Hospital of collaborating to provide you with the care is one of just seven Wisconsin hospitals to receive you need, where and when you need it. We this honor. It was also named one of the nation’s work together – for you. 100 Top Hospitals by IBM Watson Health™. SSM Health St. Mary’s Hospital – Janesville was named one of America’s Best Hospitals for both Obstetrics and Emergency Care by Women’s Choice ? DEANCARE.COM/ Award. And SSM Health St. Clare Hospital – Baraboo 800-279-1302 OR WI-EMPLOYEES was a recipient of the 2019 Healthgrades Outstanding Patient Experience Award which is given to the top 15% of hospitals nationwide. 7
Understanding Your Benefits The State of Wisconsin Group Health Insurance Program is a network-based plan. That means your primary care provider from our Dean Health Plan network oversees all aspects of your health care needs and emphasizes preventive care to keep you as healthy as possible. Please refer to the State of Wisconsin Group Health Insurance Program’s “It’s Your Choice” materials and your “Summary of Benefits and Coverage” from Dean for details. deancare.com/wi-employees or etf.wi.gov Your place to go for policy information, including: • Provider listings • Plan information and details •D ean Health Plan Communication – copies of letters and other correspondence sent to members Claims and Payment If you have another insurance company that is the primary payer, you will need to send the Filing Claims Explanation of Benefits (described below) to Time is valuable to all of us; that’s why Dean Dean Health Plan or to your health care provider. Health Plan minimizes the amount of paperwork required for our members. In most cases, claims Explanation of Benefits (EOB) are submitted directly to Dean Health Plan by The EOB contains important information providers or clinic staff. On occasion, if you’re including the total amount charged, the amount traveling out of the area or have a college-age paid by Dean Health Plan, and the amount that is dependent, for example, it may be necessary for your (the member’s) responsibility. You may access you to submit a claim for reimbursement. When all of your EOBs online at any time through your submitting the claim, please be sure to follow these Member Portal account. Go to deancare.com/ guidelines: wi-employees and click Account Login at the top right corner of the page. Remember, an EOB is not 1. S end an itemized bill from the provider of a bill. services. If services were received outside of the United States, you will need to submit the Common Insurance Terms original bill along with an itemized bill that has been translated into English and indicate the Do you know the ABCs of health insurance? It’s appropriate currency exchange rate at the OK—the language of health insurance can be hard to understand at times. Yet every day, it’s INSURANCE PROGRAM time the services were received. STATE OF WISCONSIN 2021 GROUP HEALTH becoming more and more important for health 2. Send the bill within 60 days of receiving the care consumers to have a basic knowledge of the services to: industry’s terminology. Dean Health Plan Attn: Claims Department We’ve spelled out these terms in plain English so P.O. Box 56099 you can make smart decisions that will benefit Madison, WI 53705 you and your family. Go to deancare.com/ insuranceterms to see a full list of terms explained. 8
Getting the Right Care Your primary care provider is here to help you with basic medical needs. Plus, you have options for specialty and other types of care. Knowing your care options in advance is not only good for your health—it’s also better for your budget. Learn more at deancare.com/rightcare. Virtual Visit • Acid reflux • Ringworm (tinea) • Allergies & hay fever • Swimmer’s ear Get care for certain common conditions from the (otitis externa) • Bladder infections comfort of home via smart phone or computer at • Tick bite deancare.com/virtualvisit. Receive a diagnosis, a • Cold/flu, sinus infections • Diaper rash • Tobacco cessation treatment plan and a prescription. • Lice • Vaginal yeast infection • Motion sickness • Whooping cough (pertussis) The lowest-cost option. • Pink eye • And more Primary Care Annual Preventive Office Managing Visits and checkups chronic conditions Need care? Call your primary care clinic for an appointment. Same-day appointments are usually available. Your primary care provider may offer Flu and other recommended Migraines immunizations some appointments via telemedicine. Common reasons to visit include: Less severe issues like earaches, cold or flu The lower-cost option. symptoms and sore throat Urgent Care Out-of-Area Care: Both urgent and emergency care are covered by Dean Health Plan if you or your covered family If a same-day appointment is not available to treat your illness or injury at your primary care member are traveling and unable to return to the service area clinic, you may be directed to Urgent Care. for immediate treatment. In addition, qualified dependent children residing outside of the Dean Health Plan service area are covered Possible higher-cost option. for all health care services included in your plan’s covered benefits.* Emergency Care Heart attack symptoms Head injury or For a life-threatening illness or injury, go to the (chest pain, shortness sudden confusion of breath, nausea/vomiting) nearest emergency room or call 911. Tell your primary care provider that you went to the ER. You may need follow-up services. Common Stroke symptoms (slurred speech, sudden Severe abdominal pain reasons to visit include: weakness and vision loss, and dizziness) The high-cost option. ? What is a Virtual Visit versus a Telehealth Visit? A virtual visit is an instant visit and is not scheduled DEANCARE.COM/ 800-279-1302 OR in advance. A virtual visit is a free care option with Dean Health Plan. Members complete a series of WI-EMPLOYEES online questions and a provider will follow up via phone or video chat, depending on your specific needs. A full list of conditions treated via virtual visit can be found at deancare.com/virtualvisit. For a telehealth visit, members schedule an appointment in advance with a provider. Members meet with their provider via video chat, or in some circumstances, on the phone. These visits are billed to insurance and members pay their normal visit copay. 9
Care Decision Assistance We can help if you have questions related to using health care services. Call our Customer Care Center at 800-279-1301 (TTY: 711) and our representative will connect you to our Medical Affairs Department if he or she is unable to address your questions. The Customer Care Center is open Monday – Thursday, 7:30 am to 5 pm, and Friday, 8 am to 4:30 pm. If you have an urgent need outside those hours, leave a message with the Customer Care Center and your call will be returned within one business day. We can assist members who do not speak English. Behind the Scenes at Dean Ways we’re helping you get the right care Prior Authorization As you navigate your health care, it’s important to note that there are certain medical services or provider visits that will require prior authorization by Dean Health Plan. These authorizations are required so our Medical Affairs team can make sure you are getting the appropriate care. A good rule to remember is that any time you seek services with an out-of-network provider, you will need to obtain a prior authorization. Utilization Management When you need to discuss issues or have questions related to the requirement of an authorization for a particular service, Dean Health Plan is here to help. Contact the Customer Care Center at 800-279-1301 (TTY: 711), and you will be connected to the Utilization Management department. This department ensures you receive the appropriate and necessary care for your condition. Utilization Management staff members are available Monday through Friday, 8 am to 4:30 pm. If you have an urgent need outside of those hours, please leave a message with the Customer Care Center and your call will be returned within one business day. New Medical Technology Every year Dean Health Plan evaluates new medical technology and reviews existing technology to determine if any changes or updates are needed to guidelines outlining appropriate use. During this process, we review requests for ongoing care or treatment recommendations for all utilization management decisions, including medical, behavioral health care, pharmaceuticals and medical devices. Dean Health Plan follows the review process set by the National Commission for Quality Assurance (NCQA). Based upon the results of the technology assessment, we will draft or revise medical policies if necessary. INSURANCE PROGRAM For help to translate or understand this information, please STATE OF WISCONSIN 2021 GROUP HEALTH call 800-279-1301 (TTY: 711). 10
How insurance works: Health insurance 101. We provide you with tools to learn where your health care dollars go, and we try to make it as easy as possible to understand your financial responsibilities.* Your policy may use a system of cost sharing that can include a copay, coinsurance, deductible or any combination of the three. DEDUCTIBLE 1 Each time you receive medical services, you’ll pay the bill towards these services up to a certain amount. This amount is your deductible, which is what you must pay for covered health care services each year before we begin to pay. COINSURANCE† 2 Once you’ve paid the deductible amount, your insurance will then start splitting the cost of additional medical services with you. This is known as 2 coinsurance, where you only pay a percentage or part of the total cost of services and we’ll pay the rest. 1 Deductible and Coinsurance Limit – There’s a dollar limit to the amount you’ll pay towards your deductible and coinsurance. COPAYS 3 A copay is a fixed dollar amount, which you pay at the time you receive medical services (for things like an office visit) and prescriptions. All your * Not all of the cost-sharing terms listed copays add up toward your Maximum Out-of-Pocket total. here apply to all members. Refer to your Member Policy document to understand Maximum Out-of-Pocket – There’s a dollar limit to all your cost which apply to you. sharing. You reach this amount by means of your deductible, plus † Coinsurance is your share of the costs of a your coinsurance, plus your copays. Once this limit is reached, you’ll covered health care service. It’s calculated as a pay nothing on subsequent covered medical charges for the remainder percent of the allowed amount for the service. of your policy year. ? DEANCARE.COM/ 800-279-1302 OR WI-EMPLOYEES 11
Member Rights & Responsibilities You deserve the best service and health care possible. Rights and responsibilities help foster cooperation among members, practitioners and Dean Health Plan. Members have the right to: Members have the responsibility to: •B e treated with respect and recognition of their • Read and understand the materials provided by dignity and right to privacy. Dean Health Plan concerning their health care •R eceive a listing of Dean Health Plan participating benefits. Dean Health Plan encourages members practitioners in order to choose a Primary Care to contact Dean Health Plan if they have any Physician. questions. •P resent a question or complaint or grievance to • Present their ID card in order to identify Dean Health Plan, about the organization or the themselves as Dean Health Plan members before care it provides, without fear of discrimination or receiving health care services. repercussion. • Notify Dean Health Plan of any enrollment status •R eceive information on procedures and policies changes such as family size or address You must regarding their health care benefits. also communicate enrollment status changes to your employer so that your system of record can •T imely responses to requests regarding their be updated. health care plan. • Supply information (to the extent possible) •R equest information regarding Advance that the organization and its practitioners and Directives. providers need in order to provide care. •P articipate with practitioners in making decisions •F ollow plans and instructions for care that they about their health care. have agreed on with their practitioners. •A candid discussion of appropriate or medically • Understand their health problems and necessary treatment options for their conditions, participate in developing mutually agreed upon regardless of cost or benefit coverage. treatment goals to the degree possible. • Receive information about the organization, its • Fulfill financial obligations as they relate to any services, its practitioners and providers, and copays, deductibles and/or premiums as outlined members’ rights and responsibilities. in your policy. •M ake recommendations regarding the • Provide information about any other health organization’s members’ rights and INSURANCE PROGRAM insurance coverage you have so that Dean STATE OF WISCONSIN responsibilities policies. 2021 GROUP HEALTH Health Plan can coordinate benefits with the • Receive a copy of the Dean Health Plan Notice of other insurance plan(s). Privacy Practices, which describes how medical information about you may be used or disclosed and how you can get access to this information. The notice is available at deancare.com/privacy. 12
Plan Details Limitations & Exclusions If after contacting us, you continue to feel a decision has adversely affected your coverage, For a list of services, treatments, equipment or benefits or relationship with Dean Health Plan, supplies that are excluded (meaning no benefits you may file a grievance (sometimes called an are payable under the Plan Benefits); or have some appeal). For details on how to file or for more limitations on the benefit provide, please refer to information about these procedures, please visit the State of Wisconsin Group Health Insurance Grievances & Appeals under Helpful Links at Program’s “Its Your Choice” materials, under the bottom of deancare.com/wi-employee. Or Uniform Benefits Exclusions and Limitations. feel free to contact the Customer Care Center at 800-279-1301 with any questions about Complaints, Grievances the process. and Appeals Process We know that at times you may have questions As a member of the State of Wisconsin Group and concerns about benefits, claims or services Health Insurance Program, you also have the you have received from Dean Health Plan. Sharing right to request an administrative review through your concerns will help us to identify areas of ETF if an independent review organization has improvement or clarification needed in our not rendered a decision on your grievance that is processes or documents as well as help clear up final and binding. Refer to your “It’s Your Choice” areas of confusion with your benefits or coverage. materials for details on this process. When a question or concern arises, we encourage you to reach out to our Customer Care Center Privacy & Confidentiality Statement at 800-279-1301. Our Customer Care Specialists Dean Health Plan is required by law to maintain will make every effort to resolve your concern the privacy of your personal health and financial promptly and completely. Your input matters, and information (collectively referred to as “nonpublic we encourage you to call with any concerns you personal information”) and provide you with may have regarding your health care. written notification of our legal duties and privacy practices concerning that information. Please visit our website at deancare.com/privacy or give us a call at 800-279-1301 to request a copy.
Dean Health Plan Network Looking for a provider? Hospitals LEGEND Beaver Dam Hospital and Primary Care Provider location Community Hospital Primary Care Provider location only Beloit Memorial Hospital Hospital only Crossing Rivers Health, Adams Primary Care/Urgernt Care Provider location Prairie du Chien Hospital, Urgent Care and Primary Care Provider location Necedah Divine Savior Healthcare, Friendship Marquette Portage Juneau Westfield Green Mt. Calvary Edgerton Hospital & New Lisbon Lake Ripon Fond du Lac Health Services Elroy Mauston Fond du Lac Finley Hospital, Dubuque, IA Oxford Brandon Fort Healthcare, Inc., Markesan Waupun Fort Atkinson Vernon Hillsboro Wonewoc Wisconsin Dells Grant Regional Health Center, Fox Lake Brownsville Campbellsport Lancaster Reedsburg Portage Pardeeville Randolph Dodge Gundersen Boscobel Area Baraboo Columbia Beaver Dam Mayville Hospital & Clinic Sauk Rio Gunderson Moundview Richland Center Crawford Plain Prairie du Sac Lodi Columbus Juneau Memorial Hospital, Friendship Richland Memorial Hospital of Sauk City Watertown Lafayette County, Darlington Spring Green Dane Mile Bluff Medical Center, Boscobel Muscoda Sun Prairie Waterloo Oconomowoc Waunakee Marshall Sussex Mauston Lake Mills Pewaukee Prairie du Chien Black Earth Deerfield Monroe Clinic Hospital Hartland Brookfield Wauwatosa Iowa Madison Johnson Creek Fennimore Highland Cottage Grove Jefferson Delafield Waukesha New Berlin Oconomowoc Verona Memorial Hospital Montfort Dodgeville Cambridge Jefferson Waukesha Muskego Prairie Ridge Health Oregon Stoughton Grant Mineral Point Belleville Fort Atkinson Eagle Mukwonago Reedsburg Area New Glarus Edgerton Whitewater Medical Center Lancaster Blanchardville Milton Richland Hospital, Platteville Argyle Green Evansville Walworth Richland Center Darlington Albany Rock Ripon Medical Center Cuba City Lafayette Monroe Brodhead Janesville Darien Delavan Sauk Prairie Healthcare Shullsburg Beloit Clinton Southwest Health Center, Dubuque, IA Platteville Lena, IL Durand, IL Galena, IL Freeport, IL Roscoe, IL St. Agnes Hospital, Peosta, IA Fond du Lac IOWA Elizabeth, IL ILLINOIS St. Joseph’s Health Services – Gundersen Lutheran, Hillsboro SSM Health St. Clare Hospital, - Baraboo SSM Health St. Mary’s Hospital, - Janesville Dean Health Plan offers a current and comprehensive listing of physicians, SSM Health St. Mary’s Hospital, - Madison specialists, pharmacies and more at deancare.com/doctors. Important Stoughton Hospital Upland Hills Health, Dodgeville contact information such as phone numbers and locations are listed on Watertown Regional Medical Center our website. Find a listing of our plan hospitals at right and our primary Waupun Memorial Hospital care locations on the reverse side of this sheet. Waukesha Memorial Hospital Willow Creek Behavioral Health, Green Bay Dean Health Plan is a Qualified Health Plan issuer in the Health Insurance Marketplace. Visit deancare.com/doctors To find a provider today.
LEGEND Urgent Care Location ADAMS BROWNSVILLE MUSCODA DARLINGTON HARTLAND FRIENDSHIP Fond du Lac Regional Clinic Muscoda Health Center Primary Care Clinic - Darlington ProHealth Care Gundersen Moundview Clinic – Brownsville Gundersen Boscobel Area SHULLSBURG Medical Associates FOX LAKE Hospital & Clinic Primary Care Clinic - Shullsburg MUKWONAGO COLUMBIA Fond du Lac Regional Clinic PLATTEVILLE ProHealth Care COLUMBUS – Fox Lake MARQUETTE Medical Associates Southwest Health SSM Health Dean – Platteville Clinic OXFORD Timothy G McAvoy MD HORICON Medical Group Divine Savior Healthcare Beaver Dam Community Hospital MUSKEGO Elizabeth Larson, MD GREEN Crossroads Clinic Horicon Clinic ProHealth Care Poser Clinic ALBANY JUNEAU RICHLAND Medical Associates Prairie Ridge Health Clinic Monroe Clinic – Albany Beaver Dam Community Hospital RICHLAND CENTER Timothy G McAvoy MD - Columbus Juneau Clinic BRODHEAD Richland Hospital Clinic NEW BERLIN LODI Monroe Clinic – Brodhead WRMC Juneau Clinic Nezih Z Hasanoglu DO Lodi Medical Clinic MONROE ROCK MAYVILLE ProHealth Care Monroe Clinic BELOIT PARDEEVILLE Fond du Lac Regional Clinic Medical Associates Beloit Health System – Divine Savior Clinic – Mayville NEW GLARUS Beloit Clinic OCONOMOWOC PORTAGE RANDOLPH Monroe Clinic – New Glarus Beloit Area Community Lake Country Pediatrics SSM Health Dean Medical Group Randolph Community Clinic GREEN LAKE Health Center Philip M Marden MD Divine Savior Healthcare WATERTOWN MARKESAN Convenient Care ProHealth Care UW Health Portage Meade Medical Clinic Fond du Lac Regional Clinic West Side Medical Center Medical Associates (2) ProHealth Care Medical – Markesan PEWAUKEE CRAWFORD CLINTON Associates Trinity Integrative PRAIRIE DU CHIEN IOWA Beloit Health System – Crossing Rivers Health Clinic Watertown Family Practice Clinton Clinic Family Medicine DODGEVILLE Prairie du Chien Watertown Medical Clinic SSM Health Dean Medical Group EDGERTON SUSSEX Wisconsin Physicin Services Dodgeville Medical Center SSM Health Dean Medical Group ProHealth Care DANE Medical Associates WRMC Doctors Court Clinic Upland Hills Health Center EVANSVILLE BELLEVILLE WRMC Center for SSM Health Dean Medical Group WAUKESHA UW Health Belleville HIGHLAND Women’s Health Doenier Family Medicine CAMBRIDGE Upland Hills Health Clinic JANESVILLE WAUPUN – Highland SSM Health Dean Medical Group Pediatric Healthcare Fort HealthCare Community Pediatrics Practice Management Group – Cambridge Clinic MINERAL POINT MILTON Fond du Lac Regional SSM Health Dean Medical Group ProHealth Care COTTAGE GROVE Edgerton Hospital – Milton Clinic Clinic – Waupun Medical Associates (4) Wildwood Family Clinic Mineral Point Medical Center Mariano Rosales, MD SAUK ProHealth Care DEERFIELD JEFFERSON BARABOO Medical Associates SSM Health Dean Medical Group FOND DU LAC Moreland Family Medicine FORT ATKINSON SSM Health Dean Medical Group BRANDON MADISON SSM Health Dean Medical Group PLAIN Timothy G McAvoy, MD Fond du Lac Regional SSM Health Dean Medical Group Fort HealthCare Center Plain Medical Clinic Waukesha Pediatric Associates Clinic - Brandon - Fish Hatchery for Women’s Health CAMPBELLSPORT PRAIRIE DU SAC STATE OF ILLINOIS SSM Health Dean Medical Group Fort HealthCare Internal Fond du Lac Regional Clinic Prairie Clinic OB/GYN DURAND, IL - East Medicine & Pediatrics – Campbellsport REEDSBURG Monroe Clinic – Durand SSM Health Dean Medical Group UW Health Fort Atkinson - West FOND DU LAC Reedsburg Area Medical Center FREEPORT, IL JEFFERSON Access Community – Erdman Fond du Lac Regional Clinic SAUK CITY Monroe Clinic – Freeport Fort HealthCare Jefferson Access Community – Evjue Clinic Fond du Lac Regional Clinic Prairie Clinic Monroe Clinic – Highland – North JOHNSON CREEK Women’s Care Access Community SPRING GREEN Fond du Lac Regional Clinic Fort HealthCare Center for – Wingra Clinic River Valley Medical Clinic GALENA, IL – West Women’s Health UW Health Northeast Spring Green Medical Center Midwest Medical Center MT. CALVARY Fort HealthCare Johnson Creek Wildwood Family Clinic Upland Hills Health Clinic LENA, IL Fond du Lac Regional Clinic WRMC Johnson Creek Clinic MARSHALL – Spring Green Monroe Clinic – Lena – Mount Calvary LAKE MILLS Prairie Ridge Health Clinic WISCONSIN DELLS ROSCOE, IL RIPON Fort HealthCare Lake Mills - Marshall SSM Health Dean Medical Group Beloit Health System – Fond du Lac Regional Clinic WRMC Lake Mills Clinic OREGON Northpointe Clinic – Ripon WATERLOO VERNON SSM Health Dean Medical Group HILLSBORO ELIZABETH, IL Ripon Medical Primary SSM Health Dean Medical Group STOUGHTON Care Services St. Joseph’s Health Services – Midwest Medical Center WRMC Waterloo Clinic SSM Health Dean Medical Group Gundersen Lutheran STATE OF IOWA GRANT JUNEAU SUN PRAIRIE WALWORTH DUBUQUE, IA BOSCOBEL SSM Health Dean Medical Group ELROY Grand River Medical Group Gundersen Boscobel DARIEN VERONA Elroy Family Medical Center Hospital & Clinics Beloit Health System – Tri - State Family Practice UW Health Verona St Joseph’s Health Services – Darien Clinic CUBA CITY UnityPoint Clinic Family Medicine Gundersen Lutheran WAUNAKEE Southwest Health DELAVAN – Pennsylvania SSM Health Dean Medical Group MAUSTON UnityPoint Clinic- East Center Clinic SSM Health Dean Medical Group Mile Bluff Clinic WISCONSIN HEIGHTS FENNIMORE WHITEWATER UnityPoint Clinic- West ©2020 Dean Health Plan, Inc. • 516028_R03_2008 Wisconsin Heights Clinic NECEDAH Crossing Rivers Health Clinic SSM Health Dean Medical Group PEOSTA, IA Fennimore Necedah Family Medical Center DODGE Fort Healthcare Center for UnityPoint Clinic Family Walk-in High Point Family Medicine NEW LISBON Women’s Health Care – Peosta BEAVER DAM New Lisbon Family SSM Health Dean Medical Group LANCASTER Fort HealthCare Internal Medical Center Medicine & Pediatrics - Beaver Dam Family Medical Center WONEWOC If you would like a printed copy Beaver Dam Grant Regional WAUKESHA Community Clinic St Joseph’s Health Services – of the provider directory, please Community Hospital BROOKFIELD Gundersen Lutheran call our Customer Care Center at Beaver Dam Clinic High Point Family Medicine ProHealth Care Community Pediatrics LAFAYETTE (800) 279-1301. Please keep in MONTFORT Medical Associates mind that the online directory Prairie Ridge Health Clinic Upland Hills Health ARGYLE DELAFIELD has the most up-to-date listing - Beaver Dam Clinic – Montfort Primary Care Clinic - Argyle Lake Country Pediatrics of providers. UW Health Beaver Dam BLANCHARDVILLE ProHealth Care UW Health Beaver Dam Monroe Clinic – Blanchardville Medical Associates Internal Medicine
Dean Health Plan, Inc. | 1277 Deming Way | Madison, WI 53717 800-279-1301 (TTY: 711) | deancare.com/wi-employees ©2020 Dean Health Plan, Inc. • 597601_R01_2008
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