How to Get Medical Care When You
Are Away From Home
Follow these rules if you need medical care but are
too far away from home to go to your assigned PCP or
clinic.
For Severe Emergencies, Go to the Nearest
Hospital, Clinic or Doctor
For urgent or routine care away from home, you must
get approval from us to go to a different provider, clinic
or hospital. This includes children who are spending
time away from home with a parent or relative. Call
us at (800) 279-1301 for approval to go to a different
provider, clinic or hospital. After hours, you can call
Dean On Call, our 24-hour nurse line at (800) 57-NURSE
or (800) 576-8773.
Out-of-State Services
Wisconsin BadgerCare Plus and DHP cover services
provided only in the United States, Canada and Mexico.
If you travel outside of Wisconsin and need emergency
services, health care providers can treat you and
send claims to DHP. You may have copayments for
emergency services provided outside Wisconsin, but
the charges for Medicaid covered services will be no
more than charges for services in the network. Routine
care is not covered when you are outside of Wisconsin.
Pregnant Women and Deliveries
If you become pregnant, please let Dean Health Plan
and your Income Maintenance Consortia know right
away. This is to make sure you get the extra care you
need. You may also not have copays when you are
pregnant.
You must go to a DHP hospital to have your baby.
Talk to your DHP provider to make sure you understand
which hospital you are to go to when it’s time to have
your baby.
Also, talk to your provider if you plan to travel in your
last month of pregnancy. Because we want you to have
a healthy birth and a good birthing experience, it may
not be a good time for you and your unborn child to be
traveling. Your DHP provider knows your history and is
the best provider to help you have a healthy birth. Do
not go out of area to have your baby unless you have
approval from DHP.
You may also wish to pick a provider for your child
before you give birth. We will be able to help you pick a
provider for your child.
Before you travel outside of Wisconsin,
please call the Customer Care Center at
(800) 279-1301 to find out how to get health
care services when you are away from home.
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