Traveling This Summer? Learn About Out-of-Area Coverage
Summer is finally here, and with the summer
sun come vacations, swimming and
other outdoor activities. Play it safe this
summer and learn the answers to these
questions regarding travel and your health
coverage:
- What should I do if I have an urgent or emergency situation?
- What happens when I am outside the Dean Health Plan (DHP) service area?
- How do I get reimbursed for urgent or emergency care I received while out of the country?
Understand Types of Care
Urgent care is care you need sooner than a routine doctor’s visit. Examples of urgent care include broken bones, sprains, minor cuts, minor burns, drug reactions and nonsevere bleeding. Urgent care is not emergency care.Emergency care is needed as a result of the sudden or unexpected onset of conditions that could result in serious jeopardy to your health. Such emergencies include heart attack, stroke, severe shortness of breath and significant blood loss.
Know Your Coverage
DHP will cover urgent and emergency services while you are out of the DHP service area (including out of the country), subject to policy copayments, co-insurance, deductibles and maximum allowable fees.If you require urgent or emergency
care outside the DHP service area and are
unable to get to a plan provider, go to the
nearest urgent care or emergency center
for treatment. Notify our Customer Service
Department by the next business day after
your visit or admission at
If you have an HMO plan, all followup care should be done by a DHP plan provider. If you are out of the area and unable to travel back due to medical reasons to see a plan provider, call your primary care practitioner to request a referral to an out-of-area provider. Out-of-area services require prior approval by DHP.
The Dean On Call Nurse Line,
If you have questions about your benefits
for urgent or emergency care, followup
care, or available providers, you can
visit www.deancare.com or call Customer
Service at
Coverage for Overseas Emergencies
Emergencies can happen when you least expect it. Make sure you know how to get reimbursed for medical care that you pay for out-of-pocket.Dean Health Plan (DHP) covers urgent and emergency care for members who are out of the area or overseas, subject to any policy deductible, co-insurance, copayments and maximum allowable fee.
To reimburse you for services
overseas, DHP requires a
completed foreign claim form
and an itemized bill, written in
English with the current U.S.
exchange rate noted. Please
complete the form to help
us process your claim more
efficiently. You can obtain this
form and get specific information
about your benefits either
by calling Customer Service at
lead to an external site |