« For Employees

Medical insurance and Virtual Care

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 Smith RX.

Prevea’s medical plan provides for quality healthcare 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 HDHP High EPO plan, HDHP EPO plan, or the Traditional EPO Plan  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 (HDHP High EPO plan, HDHP EPO plan, & Traditional EPO options)

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: 

  • Visit ASO Members - DHP  (www.Deancare.com/Members/members-ASO/ASO-Member)
  • Find and click on First Health in the middle-left side of the page under Find a Doctor
  • Now you are on the First Health website provider finder page. Click Start Now
  • Select the provider type (selecting all providers will yield more results)
  • Choose one of two options:
    • Zip code and adjust the distance from 5-100 miles
    • Select a state: You can narrow down your search by county and/or city
  • Select Search Now for immediate results  (show more options) to narrow your search by the following:
    • Physician or facility name: text field allows you to type in the name of the doctor (last name) or hospital (first name)
    • Specialty: type of select up to five specialties to include
    • If you need more detail on specialties, choose the “specialty Definitions” link at the bottom of the web page
    • Condition: type or select a condition
    • Focus: type or select up to five focus codes to include
  • Select Search Now
  • A user guide can be found on the bottom of the First Health website which contains additional instructions for refining your search results


It is important to note that providers are regularly added and removed from the network. Before you schedule an appointment, please verify that the provider you chose is listed as a participating provider. Prior to your appointment, you should also double-check that you’re seeing a participating provider. These steps will help you avoid additional charges.

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 HDHP High EPO, HDHP EPO, or the Traditional EPO 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:
  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 descriptions on myADP for complete plan details. 

To view the 2027 outline of medical plan designed offered to eligible employees click here.

Prescription drug coverage through Smith Rx

For the medical plans offered by Prevea Health, pharmacy benefits are administered through SmithRx.  To obtain reimbursement under the plan for pharmacy related expenses it is important to ensure your using an in-network pharmacy.

In the Member Portal you can: 
•    View your plan details and summary of benefits 
•    Download your SmithRx ID card and add to your digital wallet 
•    See your prior authorization status 
•    Use “Find My Meds”to find the lowest-cost pharmacy for your prescription 
•    Access the Member Resource Library

Accessing the Member Portal
•    Visit https://www.member.mysmithrx.com
•    Enter your personal email address and click “continue”
•    New users will be prompted to create an account. You will need your member ID number or the last 4 digits of your SSN. 
•    After you submit the form online, you will receive an email to confirm your email address. 
•    Click the "Sign in to your account" link in that email to complete registration. 

If you have any specific questions regarding participating pharmacies or other questions related to covered medications, call SmithRx Member Support Team at (844) 454-5201.

SmithRx partners with over 65,000 retail pharmacies across the nation including the major national chains, regional chains, grocers and independent pharmacies. In addition, we have three preferred mail order pharmacies and two specialty pharmacies. You can always find the pharmacy with the best price by using the Find My Meds search tool in the Member Portal at mysmithrx.com: 

  1. Visit https://www.smithrx.com/members to get started
  2. Register and create an account (our member ID as found on your ID card)
  3. After registering, click “Find My Meds” in the upper right-hand corner of your dashboard
  4. Enter your zip code or city/state to find an in-network pharmacy near you


If you have any specific questions regarding participating pharmacies or other questions related to covered medications, call SmithRx Member Support Team at (844) 454-5201.

To ensure plan members are spending healthcare dollars wisely, SmithRx can help:
  • Search for a drug
  • Confirm coverage
  • Understand cost
  • Explore lower-cost options
Once registered for the https://www.smithrx.com/members website, enter your drug name, strength and quantity needed to determine if the medication is covered under the plan, and if so, you can provide your location to find pharmacies in your area and information on the member cost will be shown.

Member Portal at mysmithrx.com: 
  1. Visit https://www.smithrx.com/members to get started
  2. Register and create an account (our member ID as found on your ID card)
  3. After registering, click “Find My Meds” in the upper right-hand corner of your dashboard
  4. Enter your zip code or city/state to find an in-network pharmacy near you

If you have any specific questions regarding participating pharmacies or other questions related to covered medications, call SmithRx Member Support Team at 844-454-5201.
Members can utilize SmithRx Essential Formulary Drug LookUp tool by clicking here.
All of Prevea High Deductible Health Plans (HDHP) offer low, to no cost maintenance medications that appear on SmithRx Preventative Drug List.
Do you take medication every day for diabetes, asthma, or another condition? These are called maintenance medicines. If you take medicine like this, you can get up to a 90-day supply delivered directly to your home. SmithRx contracts with three preferred vendors for mail order: Amazon Pharmacy, Mark Cuban CostPlus Drug Company, and Costco. These options are a fast and convenient way to get the prescription drugs you need. The service is included with your Prevea medical insurance plan.

Amazon Pharmacy | Register at www.amazon.com/smithrx. 
Doctors can send prescriptions via electronic prescribing, fax or phone:
Name/E-scribe: Amazon Pharmacy Home Delivery
Amazon Pharmacy Fax: 512-884-5981
Amazon Prescriber and Pharmacy Line; 855-206-3605

Cost Plus Drugs: Cost Plus Drugs (CPD) pharmacy is another in-network mail order option. Members can check the Cost Plus website to see if generic medications are available there for a lower cost than what they are paying at retail. Additionally, the SmithRx team may reach out to members about transitioning certain medications to CPD. 
Patients can see whether their medications are available at https://costplusdrugs.com/medications. Contact the pharmacy by calling 833-926-3384 or completing the form at costplusdrugs.com/contact/support, or contact HealthDyne (NPI:1295412286)at (888)479-2000. 
Once your script has been sent by your prescriber to Cost Plus Drug Company, members can register at costplusdrugs.com.

Costco Pharmacy: Patients can get started at rx.costco.com to create a free Costco Pharmacy account. When placing refill requests, they need to select the “mail order”delivery option at checkout. 
Doctors can send prescriptions via escribe. Members may also log into their Costco Pharmacy account and request the Rx be moved from the old pharmacy to Costco.
We know that specialty drugs can be complicated. That’s why SmithRx has partnered with Costco Specialty Pharmacy to provide members with custom care, clearer guidance, and peace of mind.  Our goal is to help you manage your condition confidently and live a healthier, happier life. Their experienced pharmacists and care team understand your chronic condition and the drug used to treat it, as well as partner with your doctor to make sure your prescription use is safe and effective. 

Members can create an account on the Costco Pharmacy Member Portal (www.smithrx.com/specialty) to manage prescriptions, request refills, and track orders. You can also contact the Costco Pharmacy Member Customer Service Team at 855-213-0070.
SmithRxʼs Drug Pathway programs help you access cost-saving options, often reducing medication costs to little or no cost at all. Continuously evolving, Drug Pathways ensures members get the best prices on their medications.
 
Connect Access (CA-T & CA-S) Capture manufacturer coupon savings on traditional and specialty medications. Members have a low or $0 copay on prescriptions while also helping employers save on pharmacy benefit costs.
Access Plus Leverages advocacy foundations and grant programs to reduce cost when a high-cost specialty medication is not covered under the pharmacy benefit. We assist members in navigating and applying to these different programs.
Cost Plus Drugs Cost Plus Drugs is building an innovative pharmacy model that delivers medications as cost, plus a straightforward 15% markup, along with a $5 dispensing fee and shipping. Cost Plus Drugs carries over 6,000 medications and is continuing to expand their drug list weekly.
Autoimmune Through this pathway, SmithRx members can now access low cost, FDA-approved biosimilars such as Yusimry, a biosimilar for Humira, and Starjemza, a biosimilar for Stelara, through Cost Plus Drugs and Costco Specialty Pharmacy. FDA-approved biosimilars have no clinically meaningful differences in terms of safety and effectiveness from their brand-name counterparts, while offering a more affordable option for members with autoimmune conditions.
Multiple Sclerosis (MS) Through this pathway, members will transition to the lowest- cost Multiple Sclerosis treatment options on the market through Cost Plus Drugs.
Low-Cost Insulin (LCI) This pathway helps reduce insulin costs at the pharmacy by transitioning to generic and biosimilar insulin products.
Referral Partner Program (340B) Provides members with lower net costs for eligible program medications. By providing access to discounted medications, the 340B program helps eligible healthcare organizations stretch their resources further, enhance patient care, and improve health outcomes.
Anyone enrolled in the medical plan is eligible for SmithRx Drug Pathway Programs. There are no costs to participate. A dedicated team of Drug Pathway specialists proactively identifies medications that qualify for the program and reaches out to you to offer enrollment support in the option that provides the lowest net cost for your medication.

Enrollment Process  
If eligible for a Drug Pathway program, you will be assigned a dedicated agent to assist you throughout the entire enrollment process.  
  • The Drug Pathway team will reach out via phone call, SMS text and/or a notification in the SmithRx Member portal to notify you if any of your medications are eligible cost savings.
  • The Drug Pathway Team will help you complete enrollment over the phone or online.
  • The Drug Pathway Team will inform you once the program enrollment was successful. 
If you have any questions or need assistance, the SmithRx Drug Pathway Team is here to help! You can reach out to us at 844-385-7612 or connect@smithrx.com.

Virtual Care

  • $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

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 healthcare online from the comfort of home, during your lunch break or while traveling.

Benefits guides

Click here for the 2027 Benefit Guide

Questions or need help making changes?

Contact Shari Baer at Shari.Baer1@prevea.com or Marcy Clark at Marcy.Clark@prevea.com