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Published on March 18, 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.

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_WEB14v4_CMS Approved
DeanCare Gold (Cost) is an HMO plan with a Medicare contract.  Enrollment in DeanCare Gold depends on contract renewal.


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

2014 Enrollment Forms

Application Instructions

Enrollment Application Form

Automatic Transfer of Funds

Acknowledgment Form

Notice to Applicant

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We're Here to Help!

If you have Medicare Coverage questions or would like assistance completing the application forms please contact one of our licensed insurance agent/brokers below.

Laura IversonLaura Iverson
(800) 356-7344

Mary OlsonMary Olson
(800) 356-7344
ext. 4242

DeanCare Gold information is available in alternate formats and languages. Please call our Customer Care Center at:
(888) 422-3326 or
TTY (877) 733-6456.
October 1, 2013 -
February 14, 2014
Hours: Monday - Sunday
8:00am to 8:00pm
February 15, 2014 - September 30 2014
Hours: Monday - Friday
8:00am to 8:00pm

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