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Health insurance and Virtual Care

Dean Health Plan

The medical benefits portion of the medical plans are administered by Dean Health Plan Administrative Services (aka Dean Care/ASO) and the pharmacy benefits portion of the medical plan is administered by CVS Caremark. 

Prevea’s medical plan provides for quality health care and 100% coverage for in-network preventive care. Premiums are based on the number of people you cover, and your employment status (full-time, part-time). All eligible employees have access to our Traditional EPO or EPO high deductible health plan (HDHP) administered through Dean Health Plan Administrative Services. Those benefit eligible employees whom live outside of the Prevea360 provider network have access to enroll in our PPO high deductible health plan (PPO HDHP). The PPO HDHP medical plan uses the First Health Network.

After you have enrolled for medical plan coverage, watch your mail as you will receive an ID card. You will need to present this card to obtain medical and prescription drug services. Your ID card acts as both your medical and prescription ID Card.

For more information about Prevea 360's rules about transparency in coverage please visit their website

Network information (Traditional EPO, EPO HDHP & PPO HDHP option)

PPO Medical Plan – Preferred Provider Network 

For the Prevea PPO Medical Plan (the medical plan made available to employees who reside in Wisconsin, but outside the Prevea360 service area), the medical plan uses the First Health Network. For employees/families who reside outside of Wisconsin, the medical plan uses the First Health Network network of providers. 

How to find an In-Network First Health Provider: 

  1. Visit www.deancare.com/aso to get started 

  2. Scroll down and click See ASO for Members 

  3. Scroll down and under Find a Doctor click the link for First Health 

  4. Click Locate a Provider or Create a Directory 

  5. Under Network Options click First Health Network 

  6. Click Start Now 

  7. Select Provider Type 

  8. Enter your search criteria 

  9. Click Search Now

Click here to verify PPO eligibility per the ZIP code listing.

If you have any questions or need assistance, please call the Dean Care Customer Service Center at (877) 234-4516.
For the Prevea Traditional EPO & EPO HDHP Medical Plans (these medical plans are available to employees who reside in the Prevea360 service area), the Prevea medical plan uses the Prevea360/ASO provider network.

How to find an In-Network Prevea360 Provider:

  • Visit  www.deancare.com/aso to get started 
  • Scroll down and click See ASO for Members 
  • Scroll down and under Find a Doctor click the link for Prevea360 ASO Network
  • Click Locate a Provider or Create a Directory 
  • Under Network Options click Prevea360 ASO Network
  • Click Start Now 
  • Select Provider Type 
  • Enter your search criteria 
  • Click Search Now
If you have any questions or need assistance, please call the Dean Care Customer Service Center at (877) 234-4516.

Prevea Health medical plans available to employees

Below is a brief outline of the medical plan designs offered to eligible employees. Please refer to the summary plan description for complete plan details.
2022 medical plan employee contributions
To view the 2023 outline of the medical plan designs offered to eligible employees click here.

During this year’s Open Enrollment, all employees enrolled in a Prevea medical plan are required to fill out the 2023 Spouse Medical Insurance Coverage Statement. The form will need to be completed, signed by the spouse’s employer, and returned to Prevea Human Resources- Benefits, within 30 days of enrollment for plan year 2023, in order to avoid a spousal surcharge. 

  • Click here for more information on the Spousal Surcharge & REQUIRED Spouse Medical Insurance Coverage Statement (this statement must be returned to Prevea Human Resources- Benefits Team within 30 days from date of enrollment) 

Prevea Partnered Health (PPH) discounts are available to those enrolled in the EPO HDHP and Traditional EPO. Appointments in urgent care, primary care (family medicine, internal medicine, and pediatrics) and physical and occupational therapy are available at these locations.

  • Click here for the Prevea Partnered Health flyer for the EPO HDHP 
  • Click here for the Prevea Partnered Health flyer for the Traditional EPO 
  • Prevea Partnered Health discounts are not available to those enrolled in the PPO HDHP plan

 

Do you have a primary care physician?

Establishing a relationship with a primary care physician (PCP) is important. Your PCP will be familiar with your medical history, coordinate all aspects of your care.  A PCP includes those who practice internal medicine, are family or general practitioners, or are OB-GYNs.  Together, you and your physician determine how best to improve your overall well-being.  Please note that Prevea Clinic will not have access to any specific, personally identifiable health information. 

Program Instructions:

  • Find an In-Network Prevea360 Provider online at  www.deancare.com/aso if you don’t already have one. Scroll down and click See ASO for Members.  From there, scroll down and under Find a Doctor, click the link for Prevea360 ASO Network.  Under Select Plan Type click ASO Network.  Enter your provider search criteria.  You can also call Dean Care Customer Service at 877-234-4516 for assistance.
  • Call to schedule a routine physical exam visit.  Tell your doctor’s office that the visit should be coded as a routine physical exam.  Your health plan through Prevea Clinic will pay for one preventative/routine physical exam visit per year at 100%.
  • Complete the routine physician exam with your PCP between 11/01/2022 to 10/31/2023
  • At your visit, have your physician complete and sign the  Prevea PCP Engagement form.
  • If you have already had a routine physical exam between 06/01/2022 to 10/31/2022, this visit will qualify for meeting the criteria for plan year 2024 premium incentive.  Please see instructions on the  Prevea PCP Engagement form.
  • Submit completed forms by no later than 11/01/2023
    • Return your form to Human Resources- Benefits Team either via interoffice mail to HR-Benefits Team @ Hansen/HR or Fax to: 920.496.4717 Attn: HR_ Benefits Team.

A monthly employee medical plan premium surcharge will apply effective 01/01/2024 if you do not participate in the 2023 PCP engagement program.   

Covered employees, hired on or after Nov. 2, 2022, are not required to participate in the program in 2023, however will be subject to a medical plan premium surcharge if not participating in future plan years (2024, etc.). 

In order to show proof of participation in the PCP engagement program, you will need to take the Prevea PCP Engagement form to your preventive doctor’s visit and submit to HR-benefits as proof of participation in the 2023 program. If no form is submitted a non-PCP engagement surcharge will apply to the employee for plan year 2024. Click Here for the  Prevea PCP Engagement form

 

Prescription drug coverage through National Rx/Caremark

Check drug costs and drug coverage information at CVS Caremark

To ensure plan members are spending health care dollars wisely, CVS can help:

  • Search for a drug
  • Confirm coverage
  • Understand cost
  • Explore lower-cost options
Once registered for the www.caremark.com website as mentioned above, enter your drug name, strength and quantity needed to determine if the medication is covered under the plan, and if so, information on the member cost will be shown. If a lower cost covered medication could be an alternative for the original medication that was searched, that information will also be displayed at the bottom of the search results.

CVS Caremark makes it easy to fill your prescriptions with retail network pharmacies around the United States. Follow these online instructions to locate an in-network pharmacy in your area:

Visit www.caremark.com to get started

  1. Register and create an account (our member ID as found on your ID card or SSN will be needed)
  2. After registering, click Pharmacy Locator in the upper right-hand corner of your dashboard
  3. Enter your ZIP code or city/state to find an in-network pharmacy near you

For a list of national in-network pharmacies through CVS Caremark, click here.


If you have any specific questions regarding participating pharmacies or other questions related to covered medications, call CVS Caremark Customer Service at (866) 818-6911  (open 24 hours a day, 7 days a week).
For the Prevea EPO and PPO Medical Plans, as mentioned earlier, pharmacy benefits are administered through National Rx/Caremark. To obtain reimbursement under the plan for pharmacy related expenses it is important to ensure you're using an in-network pharmacy.

Virtual Care

Treatment for minor conditions is available with no appointments necessary. Virtual Care is a convenient and affordable option for a variety of medical services. Access quality health care online from the comfort of home, during your lunch break or while traveling.
  • $15* per visit will apply for Prevea Health employees, their spouses and dependents covered under the Prevea—sponsored medical plan
  • Board-certified doctors are available by web
  • Treat flu allergies, sinus infection, rash, sore throat and more

*The $15 fee does not apply towards your medical deductible and max out-of-pocket amounts.

  • Visit www.prevea.com/virtualcare to complete an online health interview 
  • A provider reviews the interview usually within one hour and creates a treatment plan
  • You are notified when the results are available
  • Accessible 24/7
  • If you cannot be treated online, you will not be responsible for the $15 fee
  • If a prescription is part of your treatment plan, you’ll be able to send your prescription to the pharmacy of your choice

Benefits guides

Please find a copy of the 2022 Benefits Guide by clicking here or  viewing the PDF, which contains language and disclosure requirements as required by the Employee Retirement Income Security Act (ERISA), as well as other laws affecting employer group health and welfare plans. Please retain a copy for your records. If you wish to receive a paper copy of this document, or have questions with its content, please reach out to Human Resources

Please find a copy of the 2023 Benefits Guide by  clicking here which contains language and disclosure requirements as required by the Employee Retirement Income Security Act (ERISA), as well as other laws affecting employer group health and welfare plans. Please retain a copy for your records. If you wish to receive a paper copy of this document, or have questions with its content, please reach out to Human Resources

Questions or need help making changes?

Contact the benefits team.