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Published on May 12, 2015

DeanCare Gold Basic (Cost) Plan

The DeanCare Gold Basic plan offers the same coverage as Medicare with Dean Health Plan Providers.

2015 Plan Summary of Benefits

2015 DeanCare Gold Basic Plan's Evidence of Coverage

Additional information on DeanCare Gold plans please see the Important Information and Plan Overview pages.


There are also services that are limited or not covered by DeanCare Gold Enhanced (Cost). These services include, but are not limited to: homemaker services; private duty nursing; surgical treatment for morbid obesity, unless medically necessary and covered under Original Medicare; routine dental care; routine foot care; private duty nursing; homemaker services; cochlear implants, unless medically necessary according to Original Medicare guidelines; and custodial care, such as help in walking, getting in and out of bed, eating, dressing, bathing, and taking medicine. For a complete list of limited or excluded services, please contact our Customer Care Center.

H5264_WEB15v6_CMS Approved
DeanCare Gold (Cost) is an HMO plan with a Medicare contract. Enrollment in DeanCare Gold depends on contract renewal.


Just need the DeanCare Gold (Cost) enrollment forms and prefer not waiting for a free packet to arrive? You may print the materials yourself and mail or fax them back to Dean Health Plan.

2015 Enrollment Forms

Application Instructions

Enrollment Application Form

Automatic Transfer of Funds

Acknowledgment Form

Notice to Applicant

DeanCare Gold Provider Directory

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We're Here to Help!

Have questions about your DeanCare Gold or DeanCare Select Medicare insurance coverage? Please contact the Customer Care Center at (888) 422-3326 (TTY: 711).

Oct 1, 2014 – Feb 14, 2015
Mon – Sun 8 a.m. to 8 p.m.

Feb 15, 2015 – Sept 30, 2015
Mon – Fri 8 a.m. to 8 p.m.

For DeanCare Gold information in alternate formats and languages, please call our Customer Care Center.

Mailing Address:
Dean Health Plan
PO Box 56099
Madison, WI 53705