Group Health Insurance Plan Options

The Dean Health Plan HMO Plan is more than just medical coverage for you and your employees - it means you can also count on us for:

Coordination of Your Employee's Health Care

A member's primary care provider coordinates all aspects of care, including referrals to specialists when necessary. This helps avoid the possibility of duplicated services, incompatible drugs and unnecessary changes that can occur when multiple physicians' services are utilized.

Streamlined Administration

The HMO Plan is virtually paperwork free - that means no claims for you to file!

Emphasis on Prevention

DHP encourages your employees to be proactive about their health care. So preventive care, such as routine physical exams, mammograms, Well Baby checkups and more are covered. We also offer many Wellness programs, to keep them and their families as healthy as possible. This dedication to health care can translate to premium savings for your business.

Comprehensive Benefits

Our extensive network of providers helps keep costs down so your employees receive the best health care coverage at an affordable price.

The Dean Health Plan Point of Service plan allows members to choose their own physician, while providing the comprehensive benefits of managed care:

• High-quality health care.
• Wellness and preventive programs.
• Lower out-of-pocket costs and no
  paperwork when using Dean Health
  Plan providers.

Your employees are free to see the doctors of their choice, regardless if they are Dean network providers. They are not required to choose a primary care provider and no referral is needed to see a specialist. However, when your employees receive care from a Dean Health Plan network providers, they will enjoy lower out-of-pocket costs. And, of course, staying within our network also means no claims for them to file.

Many services, including routine office visits, preventive care, diagnostic procedures, oral surgery, chiropractic, podiatry and fertility treatments do not require prior approval.

To take advantage of the higher benefit level, many Point of Service members choose Dean providers for routine care, with the comfort of knowing they will be covered should they ever need to see a specialist outside of our network.

The Dean Health Plan PPO product is a cost-containment benefit program utilizing extensive local, regional and national provider networks made up of hospitals, clinics and physicians throughout the PPO service area.

Dean Health Plan negotiates fixed and maximum fees for services with our PPO network providers. Utilizing health care providers within the PPO network saves money for you and your employees.

Your employees also enjoy the flexibility to choose nonparticipating providers; however coverage benefits are reduced and out-of-pockets expenses are greater.

The Focus plan is available to employer groups of all sizes and offers a unique cost-saving feature.

A comprehensive health care coverage that utilizes only the Dean Health System (Dean Medical Centers) network providers in Dane County may be the ideal cost-containment strategy for your business.

The network for this plan features St. Mary's Hospital, along with the necessary specialty providers required to cover the full realm of health care services.

This plan is an HMO design so your employees must choose a primary care provider to obtain coverage.

Dean's Consumer Driven plans were developed to provide options that encourage your employees to become more involved in health care decision making.

These plans feature deductibles, co-insurance and copays on most services and are offered with an option to include a health care reimbursement account (HRA) to offset your employee's out-of-pocket costs.

The HRA portion of the plan is administered through Employee Benefits Corporation (EBC), which we have partnered with to provide an integrated product for you and your employees alike.

Chamber Group health insurance is for businesses that are located in the Dean Health Plan service area and have two to 99 employees.

To begin coverage in our Chamber program, businesses need to become a member of their local Chamber of Commerce. Monthly enrollment is available, so you can start experiencing the benefits of the Chamber program with no waiting. Visit our Chamber Membership page for more information on this program.

Dean Health Plan Administrative Services delivers the flexibility, efficiency and technology you would expect from a third party administrator and combines this with the care management and cost containment expertise of a managed care plan.

• Covers approximately 9,000 members
• Access to DeanASO Network that
   includes over 1,400 doctors, 150 clinics
   sites and 25 plan hospitals
• Wellness and care management programs
• Comprehensive web portal with over 70
  customizable reports

What sets Dean Health Plan’s Administrative Services apart from a traditional TPA is the commitment to deliver the needed cost management capabilities through an in-house medical leadership team. This means Dean Health Plan's Administrative Services designs a plan based on each company's specific cost drivers, culture and data analysis.