Dean Health Plan Medicare Insurance Review & Complaints: Health Insurance (2024)

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Dean Health Plan offers health insurance for individuals and groups in connection with Dean Health Systems. The health system and plans provide health care to residents of south-central Wisconsin.

This Dean Health Plan Medicare insurance review will look at the available Medicare plans and how to get Dean Health Plan Medicare quotes.

Before you buy Dean Health Plan Medicare insurance, make sure you compare your options. Enter your ZIP code right now to compare rates.

About Dean Health Plan

Dean Health System was born from the private practice of Dr. Joseph Dean, who opened a clinic in Madison, Wisconsin in 1904. He formed Dean Corporation with his brother, Dr. James Dean, in 1929 and opened the first Dean Clinic. The brothers operated a free clinic at a local hospital to provide care throughout the Depression. A family business, several other Dean doctors worked in the clinics until 1979, when the last of the Deans retired.

The Dean Clinic had, in the meantime, grown to serve a large area, offer multiple specialties and services. The 1982 merger with East Madison Clinic resulted in the creation of the second division of the Dean Clinic.

The first HMO health plan, DeanCare, was made available in 1983. Expansion continued, and in 1995 Dean Health Systems, Inc. was created, moving the group of hospitals and medical centers from family practice to a for-profit corporation.

Dean Health System was purchased by SSM, a major Catholic health system, in 2013. They continue to offer a full range of medical services across to more than 400,000 members in Wisconsin. Dean health plans include major medical and Medicare options, all of which are HMO plans.

Dean Health Plan Medicare Plans

Dean offers several Medicare Advantage plan options as well as their DeanCare Select Medicare Supplement plans. They vary by location, so for the purpose of this review we entered the same zip code as Dean’s Madison, WI headquarters.

Dean Health Plan Medicare Advantage

Our search returned five different HMO Medicare Advantage options, all of which include prescription drug coverage.

Dean Advantage Essential is the company’s $0 premium plan, meaning there is no additional premium above and beyond the base Medicare premium. This plan has copays of $0 for a primary care visit and $50 for specialists. Inpatient hospital stays have a copay of $400 per day for the first four days. The plan includes basic dental coverage, but nothing beyond standard Medicare for hearing and vision. There is a $415 pharmacy deductible that applies to Tiers 2 and up, and Tier 1 drugs start at a $9 copay.

Dean Advantage Assurance has copays of $0 for primary care and $40 for specialists. The hospital copay is $325 a day for the first four days. This plan includes basic dental and vision and adds an eyewear allowance as well. Prescriptions start at $6 for Tier 1, and there is a $350 deductible applied only to Tiers 3 and up.

Dean Advantage Balance has copays of $0 for primary care and $25 for specialists. The inpatient hospital copay is $250 a day for the first four days. This plan includes more comprehensive vision, dental, and hearing coverage, and has prescription copays starting at $3. The $200 pharmacy deductible applies to Tiers 3 and up.

Dean Advantage Harmony is also a $0 premium plan and has no copay for primary care visits and a $20 copay for specialist visits in-network. As an HMO-POS plan, there is some out of network coverage available. Inpatient hospital stays have a daily copay of $150 for the first four days. Dental, hearing, and vision coverage are all included, and there is no prescription deductible. Tier 1 drugs start at a $3 copay.

The most expensive of the plans is Dean Advantage Complete. This HMO plan has no copays for primary care and only $10 copays for specialists. Comprehensive dental, hearing, and vision coverage are included, and prescription coverage is the same as the Harmony plan.

Although it is listed for current members, we didn’t see the Dean Health Plan Medicare Gold (DeanGold) in the current plan offerings.

Read more: Dean Health Plan Insurance Review & Complaints: Health Insurance

Dean Health Plan Medicare Supplement

On our last search, the DeanCare Select Medicare Supplement plan option was returned for our search. Currently, there’s no mention of it except for existing plan members.

This plan, based on Wisconsin’s standard Medicare Supplement plan requirements (which differ from most states) covers Medicare Part A and B coinsurance and deductibles and pays for the first three pints of blood each year. It also provides some coverage for emergency medical foreign travel expenses.

There is no separate Dean Health Plan Medicare Part D coverage available, it can only be purchased with Medicare Advantage.

Dean Health Plan Medicare Rates

Dean offers rates right along with the plan information in their search.

As mentioned above, there are two $0 premium plans available, the Essential and the Harmony. From there the premiums increase, starting at $40 a month for the Assurance plan and going up to $226 a month for the Complete plan. There are a good range of price points here, allowing each individual to choose a balance between out of pocket costs and monthly premiums.

We could not obtain any Select plan rates on this search.

These rates are not comparable on a national level, since the company only writes coverage in a specific part of Wisconsin. We did find them to be pretty reasonable overall, however, given the coverage offered for the price. It is worth noting that HMO plans are usually more affordable due to the more limited network of care.

Dean Health Plan Medicare Claims Process

Ease of Filing a Claim (Online, Over the Phone, Mobile Apps)

Dean Health Plan offers a straightforward claims process for its Medicare plans. The ease of filing a claim can vary depending on the specific plan and the healthcare provider you visit. In most cases, claims are handled directly with the providers, especially with HMO plans, where billing and claims processes are typically managed by the healthcare facilities.

This means that as an insured individual, you may not have to file claims yourself for covered services. However, it’s essential to check the details of your specific plan to understand the claims process fully.

Average Claim Processing Time

Dean Health Plan does not provide specific information regarding the average claim processing time on their website. The processing time for claims can vary depending on the complexity of the claim and the provider’s responsiveness. Typically, health insurance providers aim to process claims efficiently to ensure that policyholders receive timely reimbursements or coverage for medical services.

Customer Feedback on Claim Resolutions and Payouts

Dean Health Plan’s customer feedback regarding claim resolutions and payouts is generally positive. The National Committee for Quality Assurance gives Dean’s HMO and HMO-POS Medicare plans an overall 4.5-star rating out of 5, indicating a high level of satisfaction with their services.

While there may be occasional complaints or issues, Dean Health Plan appears to provide satisfactory claim resolutions and payouts based on customer reviews and ratings.

Digital and Technological Features of Dean Health Plan Medicare

Mobile App Features and Functionality

Dean Health Plan offers a mobile app that provides convenient features and functionality for policyholders. While specific details may vary, common features in health insurance mobile apps include the ability to view your policy information, find in-network healthcare providers, access digital ID cards, check claim statuses, and even schedule appointments or contact customer support.

The mobile app aims to enhance the overall customer experience by providing easy access to important information and services on the go.

Online Account Management Capabilities

Policyholders with Dean Health Plan can enjoy robust online account management capabilities. These typically include the ability to log in to a secure online portal to access and manage your policy details, view claims history, make premium payments, update personal information, and request customer support.

Online account management streamlines administrative tasks and allows policyholders to have more control over their insurance accounts.

Digital Tools and Resources

Dean Health Plan offers various digital tools and resources to help policyholders make informed decisions about their healthcare. These resources may include online provider directories, prescription drug formularies, cost calculators, and educational materials.

Dean Health Plan Medicare Ratings and Consumer Reviews

Dean Health Plan’s Better Business Bureau (BBB) rating has taken a dive since our last review from a B+ to a D-. The BBB docks the company for five complaints filed against the business, 1 of which was not responded to and 2 more that were not resolved. Five complaints in the past three years is really a low volume of complaints even for a smaller health insurance company, but the BBB docks heavily for not responding to or resolving complaints.

Things look better at the National Committee for Quality Assurance, which gives Dean’s HMO and HMO-POS Medicare plans both an overall 4.5 stars out of 5.

For the 2020 plan year, Medicare gives Dean the same ranking – 4.5 out of 5 stars. Both of these ratings go a long way towards balancing the BBB’s low grade for the company and tend to carry more weight.

Dean has an overall 2.2-star rating based on 20 Google reviews. There are a handful of positive reviews, but the mainly negative comments cite difficulty with getting treatment covered by the plan. We did not see any comments directly related to Medicare coverage.

Overall, we see no red flags and some high ratings from trusted sources in Medicare Advantage coverage.

Dean Health Plan Medicare: The Bottom Line

Dean Health Plans has a range of Medicare Advantage plans to suit every budget, and it is likely a good choice for anyone who does not mind the network limitations of an HMO plan. In spite of being docked by the BBB, they have sold ratings elsewhere, which leaves us with a positive impression of the company’s reputation.

While affordable Dean Health Plan Medicare insurance is easy to find, you should always compare rates. Enter your ZIP code to get free Medicare quotes now.