Administrative Services (ASO) Medical Management - Dean Health Plan

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Dean ASO Medical Management

Sample ID cards

For specific information, contact the group’s customer service number located on the ID card or under the group number on the Medical Management website.
Dean EPO | Dean PPO | Prevea360 EPO | Prevea360/HealthEOS EPO

Prior authorization summary

To determine group specific prior authorization requirements, click on the Group # as listed on the member’s ID card. Please carefully select the Group #, prior authorizations are different based on the plan the employer offers.

DHP9293

Below are Prior Authorization requirements for Group # DHP9293.
For further questions, contact Customer Service at (800) 952-7416. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

DHP13103KX

Below are Prior Authorization requirements for Group # DHP13103KX.
For further questions, contact Customer Service at (888) 895-1188. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

  • Prior Authorization List
  • Radiology Prior Authorization
  • Medical Injectables
  • Federally Mandated Contraceptive Services Coverage
    DHP13103KX has certified they are eligible for an accommodation under the Affordable Care Act (ACA) that allows their Medical & Pharmacy plan to refrain from covering the contraceptive services for women that are required under the ACA. This accommodation requires Dean Health Plan, as the administrator for DHP13103KX, to provide coverage for approved contraceptive services without charging a copayment, coinsurance, or deductible for all eligible members under DHP13103KX Health Plan. DHP13103KX will not contract, arrange, pay, or refer for such coverage. See the Contraceptive Services Coverage page for additional information on contraceptive coverage.

DHP15600

Below are Prior Authorization requirements for Group # DHP15600.
For further questions, contact Customer Service at (877) 234-4578. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

DHP18510

Below are Prior Authorization requirements for Group # DHP18510.
For further questions, contact Customer Service at (877) 366-3900. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

  • Prior Authorization List
  • Radiology Prior Authorization
  • Medical Injectables
  • Federally Mandated Contraceptive Services Coverage
    DHP18510 has certified they are eligible for an accommodation under the Affordable Care Act (ACA) that allows their Medical Pharmacy plan to refrain from covering the contraceptive services for women that are required under the ACA. This accommodation requires Dean Health Plan, as the administrator for DHP18510, to provide coverage for approved contraceptive services without charging a copayment, coinsurance, or deductible for all eligible members under DHP18510 Health Plan. DHP18510 will not contract, arrange, pay, or refer for such coverage. See the Contraceptive Services Coverage page for additional information on contraceptive coverage.

DHP33240

Below are Prior Authorization requirements for Group # DHP33240.
For further questions, contact Customer Service at (877) 559-2432. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

DHP33640

Below are Prior Authorization requirements for Group # DHP33640.
For further questions, contact Customer Service at (888) 577-7724. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

EPO Plan Choice Plan Basic Plan Teamster EPO Plan Teamster Choice Plan Medical Injectables

DHP33870

Below are Prior Authorization requirements for Group # DHP33870.
For further questions, contact Customer Service at (877) 230-7579. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

DHP33950

Below are Prior Authorization requirements for Group # DHP33950.
For further questions, contact Customer Service at (888) 779-2432. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.

DHP38660

Below are Prior Authorization requirements for Group # DHP38660.
For further questions, contact Customer Service at (800) 758-8146. Note: DHP uses medical policies as criteria for all medical reviews with DeanASO product line.



DHP-WE003A

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