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BadgerCare Plus Frequently Asked Questions

Q. How do I find a doctor?

A. Each member of your family must pick a doctor. You can pick one doctor to treat your whole family, or each member can have their own doctor. If you need help in picking a doctor that's right for you, please call our Customer Care Center at (800) 279-1301. If you do not choose a doctor or clinic, we will pick one for you. You can always change your doctor at any time. If you already have a doctor, a Customer Care Specialist can also tell you if your doctor is a Dean Health Plan BadgerCare Plus doctor or you can use the Find a Doctor feature of this website to search for your doctor.

It is important to call your doctor first when you need care. This doctor will manage all of your health care needs. There are HMO doctors who are sensitive to the needs of many cultures. To pick a Primary Care Provider or to switch to a different provider, please call our Customer Care Center.

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Q. What pharmacies (drugstores) will fill my prescriptions?

A. Your pharmacy benefit is provided by the State of Wisconsin. You can go to any pharmacy that accepts your ForwardHealth ID card. If you have a question about pharmacy services, please contact Member Services at (800) 362-3002.

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Q. Are there any other special services available to me?

A. All members have access to Dean On Call, our nurse line that is available to help answer your health care questions 24 hours a day, 7 days a week at 1 (800) 57-NURSE (1-800-576-8773). You'll also receive health education through our member newsletter: Check Up. There are also disease management programs available to you. To find out more about these benefits that our members share, please call our Customer Care Center at (800) 279-1301.

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Q.What enrollment rules must I follow?

A. You must choose a primary care provider or clinic. You can choose a different doctor or clinic for each member covered by Dean Health Plan, or you may share the same doctor. You can select your primary care provider or receive help in picking a doctor that's right for you by calling our Customer Care Center at (800) 279-1301. Please call your primary care provider or Customer Service before you see any other doctor. Your doctor must give the other doctor a written referral. The other doctor must have a copy of the written referral in order to see you.

Chiropractic and dental care are not provided by Dean Health Plan. You can visit any chiropractor or dentist that will accept your ForwardHealth ID card.

If you need translation services, call our Customer Care Center (800) 279-1301. A Customer Care Specialist will identify the language you need. They will connect you to a three-way call between you, the Customer Care Specialist and the interpreter.

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Q. Do you offer transportation to my doctor appointment?

A. Non-emergency medical transportation are rides to covered medical appointments such as a doctor or mental health appointment. If you have no other way to get a ride, you can get a ride to BadgerCare Plus services. If neighbors, friends, relatives or voluntary organizations can give you a ride to your appointment, you will not be able to get rides through the transportation manager. Please call 1-866-907-1493 to see if you qualify for a ride.

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Q. What if I receive a bill in the mail?

A. Dean Health Plan only pays providers for medical services. If you get a bill, immediately contact the provider who is billing you. It may only be a request for more information about your BadgerCare Plus status or it could be a bill for co-pays.

Dean Health Plan pays your provider for the services you receive. A provider cannot require you, your relatives, or others to pay additional charges for these covered services. Providers know the limits placed on their services. The provider is required to explain if Dean Health Plan does not cover any of the services before the service is provided.

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Q. What is Urgent Care?

A. Urgent Care is care you need sooner than a routine doctor's visit. Urgent Care is not Emergency Care. Unless your doctor tells you to, do not go to a hospital emergency room for urgent care. Some examples of Urgent Care are:

  • Most broken bones
  • Bruises or sprains
  • Minor cuts
  • Minor burns
  • Most drug reactions

If you need urgent care, call Dean Health Plan's Customer Care Center at (800) 279-1301. After hours, you can call Dean On Call, our 24-hour nurse line at (800) 576-8773. We will tell you where you can get care. You must get urgent care from Dean Health Plan doctors unless you get our approval to see a non Dean Health Plan doctor. Remember, do not go to a hospital emergency room for urgent care unless you get approval from Dean Health Plan first.

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Q. What is Emergency Care?

A. Emergency care is medical care that is needed right away. This may be caused by an injury or sudden illness. Some examples of Emergency Care are:

  • Choking
  • Trouble breathing
  • Serious broker bones
  • Unconsciousness
  • Severe or unusual bleeding
  • Suspected poisoning
  • Suspected heart attack
  • Suspected stroke
  • Severe pain
  • Prolonged or repeated seizures
  • Convulsions

If you need urgent care, go to a Dean Health Plan provider for help if you can. But, if the emergency is severe, go to the nearest provider (hospital, doctor or clinic). You may want to call 911 or your local police or fire department emergency services if the emergency is severe.

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HealthCheck Screenings for Children

What is a HealthCheck?

Regular checkups are an important way to keep your child healthy. Even if your child looks and feels healthy, he or she may have a hidden health problem. HealthChecks help detect problems early and provide proper treatment before the problem becomes serious.

HealthCheck is a free health checkup for kids under age 21 who are on Wisconsin BadgerCare Plus. HealthChecks include: physical exams, nutrition and development assessments, appropriate immunizations (shots), eye exams, lead test and important information about safety.

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Where can my child get a HealthCheck screen?

As long as your child is under age 21 and is covered by Wisconsin BadgerCare Plus, you can make a appointment for a health screening through your regular doctor. Most health departments also offer HealthCheck screens and shots. You should call your doctor or health department to make an appointment. If you need transportation to the checkup, please call our Customer Care Center at (800) 279-1301.

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When should my child get a HealthCheck screen?

How often your child has a HealthCheck depends on his or her age. Use the list below to determine when you should schedule your child's next appointment:

  • 1 month old
  • 2 months old
  • 4 months old
  • 6 months old
  • 9 months old
  • 12 months old
  • 15 months old
  • 18 months old
  • 2 years old
  • 2 1/2 years old
  • 3 years old
  • Every year from 4-20 years old

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Where you can get care

Dean Health Plan sends you a provider directory and a member handbook once you are enrolled with us. Sometimes this information gets lost and you may not know who to choose a primary care provider. If you ever have any questions about Dean Health Plan, please call our Customer Care Center at (800) 279-1301, Monday-Thursday 7:30 a.m. to 5 p.m. and Friday 8 a.m. to 4:30 p.m. They are there to help you and answer your questions!

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