Payment for Out-of-Network Care

While most plans cover urgent and emergency care when you are out of the network, some services are subject to a maximum allowable fee. A maximum allowable fee is defined as the difference between the amount Dean Health Plan pays and the amount that the provider bills. You may be responsible for the difference. This includes follow-up care that was prior authorized. Please reference your Group Member Certificate and Benefit Summary for more information. If you have questions regarding your coverage, please call our Customer Service Department at 608-828-1301 or toll-free at 800-279-1301. You can access your plan documents on our Website at www.deancare.com.

Back to Top