Missed Appointments
It is important that you and your family keep all your
health care appointments. If you are not able to keep
the appointment, call your provider’s office and let them
know as soon as possible. Otherwise, the provider may
refuse to reschedule your appointment.
Changing Your Provider
If you are unhappy with the provider you are seeing,
you can pick a different provider at any time. Call the
Customer Care Center at (800) 279-1301, and they will
help you choose a new provider.
Getting a Referral
Sometimes you may need to see another provider. Your
PCP and DHP must say it is okay, and give the other
provider a written referral. You are required to use DHP
providers. You need a written referral from the HMO
to see a provider not associated with DHP. DHP will
mail you a copy of the referral letting you know if it
was approved or denied. You must have a copy of the
approved referral to have coverage.
NOTE: If you see a provider that is not a DHP provider
without an approved referral from the HMO, you may
be billed for those services.
Second Medical Opinions
A second medical opinion on recommended treatments
may be appropriate in some cases. Contact your
provider or our Customer Care Center at (800) 279-1301
for information.
Emergency Care
Emergency care is care that is needed right away.This may be caused by an injury or sudden illness.
Here are examples of Emergency Care:
Choking
Trouble breathing
Serious broken bones
Unconsciousness
Severe or unusual bleeding
Suspected poisoning
Suspected heart attack
Suspected stroke
Severe pain
Severe burns
Prolonged or repeated seizures
Convulsions
If you need emergency 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.
Please Read this Section Carefully
YOU ANDYOUR FAMILY NEEDTO KNOWWHATTO DO IN AN EMERGENCY.
Learn what to do before an emergency occurs.
deancare.com
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