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2015 Individual & Family Plans
Care for
Special Circumstances
Get the Right Care
We ask our members to select a primary care provider (or location) within the Dean network upon enrollment. This is
because at Dean Health Plan, all of our coverage options emphasize a proactive, preventive approach to care—one in which
a primary care provider oversees all aspects of an individual’s health care needs and keeps him or her well through regular
visits. Your primary care provider should be your first choice for care whenever possible. When a more immediate need
arises, however, you do have other options, including urgent care centers and emergency room service.
Out-of-Area Care
With Dean Health Plan, there’s no need to take health insurance worries on vacation. Both urgent and emergency care
are covered by Dean Health Plan if a member is not able to return to the service area for immediate treatment. It’s also
a good idea to familiarize oneself with the types of ailments that can be treated as urgent care vs. emergency care. Visit
deancare.com/rightcare for details.
Prior Authorization
As our members navigate their health care, it’s important to note there are certain medical services or provider visits that
will require prior authorization by Dean Health Plan. These authorizations are required so our Medical Affairs team can
make sure our members are getting the appropriate care.
Getting Help with Care Decisions
When you need to discuss issues or have questions related to using health care services, such as prior authorization, Dean
Health Plan is available to help. Simply contact the Customer Care Center. A staff member will connect you to our Medical
Affairs Department if he or she is unable to address your questions.
PRIMARY
CARE
URGENT
CARE
EMERGENCY
CARE