YOUR PREVENTIVE CARE
YOUR NETWORK
Care to keep you healthy
Coverage that travels with you
Traveling services You don’t need to take insurance coverage worries with you on your vacation. We have you covered for urgent and emergency care worldwide. We’ll cover services provided in an urgent care facility and/or emergency room while you’re out of the Dean Health Plan service area, subject to policy copayments, coinsurance, deductibles and maximum allowable fees. No referral or prior authorization needed. If you’re unable to get to an in-network plan provider, please go to the nearest urgent care or emergency center for treatment. Please notify us as soon as possible by calling Member Services at 1 (800) 279-1301 ( TTY :711) . An in-network provider should resume all follow-up care. If you’re out of the area and not able to see an in-network plan provider, call your primary care provider to discuss the urgent/emergent services you received and any follow-up services that were recommended by your out-of-network provider. You must have an approved prior authorization for services to be covered. Your primary care provider can submit a request for medically necessary services with the out-of- network provider. Out-of-area dependents † Your kids may be out of sight, but we know they are never out of mind. You have coverage for your dependent children (up to age 26) who are living in another community. • Away at college • Traveling adventures • Internships • Living out-of-state Complete and submit an out-of-area dependent form and access our out-of-area provider search at Deancare.com/OutofArea . † Out-of-area dependent coverage for non-urgent and non-emergency care applies to large group employer (51+ employees) plans only; please check with your employer’s benefits administrator if you have questions.
We do more than pay the medical bill. At the heart of our preventive care philosophy is a promise that you’ll get the support you need to remain as healthy as possible and help prevent disease. Annual preventive visit This type of visit can bring to light health concerns so they can be addressed before they get worse. That’s what preventive care is all about. • Allows your primary care provider to get to know you and your health care needs • Helps you prevent or manage illnesses, diseases or other health problems • Includes important preventive services, such as patient counseling, referrals to specialists and recommendations for other preventive care to get Preventive care * In addition to an annual preventive visit for all ages, we encourage and cover: • Immunizations - doses and age-specific vaccines vary • Screenings for breast, cervical and colon cancer • Annual sexually transmitted infection (STI) counseling for adults and adolescents • Cholesterol screening for all ages and more Visit Deancare.com/PreventiveCare for a complete list of covered preventive services. * Information presented here is meant to supplement – not replace – the advice and care of health care professionals. To see your specific preventive care coverage details, please review your Member Certificate (sometimes called a “Member Policy”) and Summary of Benefits and Coverage documents. Details for covered preventive services may change. For coverage questions, contact Member Services. See page 2 for contact details.
Visit DeanCare.com or call 1 (800) 279-1301 ( TTY : 711) | 13
12 | 2024 Group Member Guide
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