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Published on November 14, 2014

DeanCare Gold Shared Value (Cost) Plan

The Shared Value plan offers the same coverage benefits and wellness programs as our Enhanced plan, with copays and lower monthly premiums.

2015 Plan Summary of Benefits

2015 DeanCare Gold Shared Value Plan's Evidence of Coverage

2014 Plan Summary of Benefits

2014 DeanCare Gold Shared Value 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 Shared Value (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_WEB15v2_CMS Approved
DeanCare Gold (Cost) is an HMO plan with a Medicare contract.  Enrollment in DeanCare Gold depends on contract renewal.

APPLY TODAY!

Happy CoupleEach of the following forms must be completed and mailed or faxed to Dean Health Plan, Inc.

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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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

We're Here to Help!

If you are new to DeanCare Gold or DeanCare Select, have questions about signing up or would like assistance completing the application forms, please contact one of our licensed insurance agent/brokers below.

Laura IversonLaura Iverson
(800) 356-7344,
ext. 4129
laura.iverson@deancare.com

Mary OlsonMary Olson
(800) 356-7344,
ext. 4242
mary.olson@deancare.com

If you are a current DeanCare Gold or DeanCare Select member and have questions about your 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
P.O. Box 56099
Madison, WI 53705