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Published on May 12, 2015

About DeanCare Gold (Cost)

Thank you for your interest in DeanCare Gold. Our plans are offered by Dean Health Plan, Inc., a Medicare Cost Managed Care organization. The Summary of Benefits you will find on this website tell you some of the features of our plans. They do not list every service we cover or list every limitation or exclusion. To review a complete list of our benefits, please see the plan's Evidence of Coverage (Enhanced / Shared Value / Basic).

You Have Choices in Your Health Care

DeanCare Gold is a Medicare approved HMO. You must use plan providers, except for emergency and urgent care, or when you receive a referral to a non-plan provider. You may receive services from non-plan providers for other than these situations, but you will be responsible for payment of all Medicare deductibles and co-insurance, as well as any other charges prescribed by the Medicare program. DeanCare Gold materials are available in alternative formats.

Medicare Cost Insurance

The Wisconsin Insurance Commissioner has set minimum standards for Medicare Cost insurance. These plans meet these standards. For an example of these standards and other important information, see the "Wisconsin Guide to Health Insurance for People with Medicare." Do not buy this plan if you did not get that guide.

Dean Health Plan, Inc. is Contracted with Medicare to Provide Medicare Benefits

DeanCare Gold offers three plans, an Enhanced plan, a Shared Value plan, and a Basic plan. The Basic plan provides only basic Medicare-covered hospital and physician benefits. The Enhanced and Shared Value plans also provide basic Medicare-covered benefits, but include benefits beyond those provided by Medicare (such as, but not limited to, routine hearing and vision tests, routine physical exams and hearing aids). Please contact our Customer Care Center at (888) 422-3326 (TTY: 711), for additional information about these plans.

Right to Disenroll From Plan

You may disenroll from DeanCare Gold at any time for any reason. However, it may take a few weeks to process your disenrollment, update your Medicare record and return you to the Original Medicare program. Your disenrollment will become effective on the day you return to Original Medicare or enroll in another Medicare plan. You will receive written confirmation from Dean Health Plan, Inc. of your disenrollment effective date, and Dean health Plan, Inc. will return any paid, unused premium to you.

Read Your Evidence of Coverage Carefully

The plan comparisons on this website are only summaries describing DeanCare Gold's most important features. The Evidence of Coverage is the insurance contract. You must read the Evidence of Coverage itself to understand all of the rights and duties of both you and Dean Health Plan, Inc.

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

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

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Eyeglass and Hearing Aid Benefit

Dean Health Plan provides coverage for hearing aids and eyeglasses for Enhanced and Shared Value DeanCare Gold members. Note: this benefit does not apply to the DeanCare Gold Basic plan.

Plan Eyeglasses Providers

Plan Hearing Aid Providers