Table of Contents
A
Ambulance . . . . . . . . . . . . . . 7
Making an Appointment With Your PCP . . . 2
Missed Appointments . . . . . . . . . 3
B
If You Are Billed . . . . . . . . . . . . 6
When You May Be Billed For Services . . . 6
C
Chiropractic Services . . . . . . . . . 13
Complaints, Grievances and Appeals . . . 12
Comprehensive Physical Exam . . . . . . 8
Copayments . . . . . . . . . . . . . 6
Your Civil Rights . . . . . . . . . . . . 1
D
Dean Health Plan Member Advocate . . . 8
Dean On Call . . . . . . . . . . . . . 4
Dental Services . . . . . . . . . . . 13
Dental Emergency . . . . . . . . . . 13
E
Emergency Care . . . . . . . . . . . 3
Reporting Emergency Care From
A Non-Dean Health Plan Provider . . . . 4
F
Fair Hearings
(When Benefits are Denied) . . . . . . 12
Family Planning Services . . . . . . . . 13
Your ForwardHealth ID Card . . . . . . . 2
H
HealthCheck . . . . . . . . . . . . . 7
HMO Exemptions . . . . . . . . . . . 7
I
Important Phone Numbers . . . . . . . 1
Other Insurance . . . . . . . . . . . . 6
L
Living Will or Power of Attorney for
Health Care . . . . . . . . . . . . . 8
M
Right to Medical Records . . . . . . . . 8
Member Newsletter . . . . . . . . . . 8
Member Rights . . . . . . . . . . . . 1
If You Move . . . . . . . . . . . . . 7
O
Ombuds Program . . . . . . . . . . .12
Out-of-Area Medical Care . . . . . . . . 5
Out-of-State Services . . . . . . . . . 5
P
Physician Incentive Plan . . . . . . . . 13
Pregnant Women and Deliveries . . . . . 5
Prescription Drugs . . . . . . . . . . 13
Primary Care Provider (PCP) . . . . . . . 2
Provider Credentials . . . . . . . . . 13
Making an Appointment With
Your Primary Care Provider . . . . . . . 2
Changing Your Primary Care Provider . . . 3
R
Getting a Referral . . . . . . . . . . . 3
S
Second Medical Opinions . . . . . . . . 3
Services Covered By
Dean Health Plan . . . . . . . . . 9 - 12
Specialized Medical Vehicle . . . . . . . 7
T
Transportation . . . . . . . . . . . . 7
U
Urgent Care . . . . . . . . . . . . 3 - 4
W
Welcome to Dean Health Plan . . . . . . . . . . . . 2
When You Are Away From Home . . . . . 5
deancare.com
BadgerCare Plus Member Handbook
