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DeanCare Gold Enhanced (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DeanCare Gold Enhanced (Cost). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DeanCare Gold Enhanced (Cost) in 2026, please refer to our full plan details page.
DeanCare Gold Enhanced (Cost) is a Cost plan offered by Medica Holding Company available for enrollment in 2025 to people living in Select counties in south central WI. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that DeanCare Gold Enhanced (Cost) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about DeanCare Gold Enhanced (Cost).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For DeanCare Gold Enhanced (Cost), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
We don't have information on the Maximum Out-Of-Pocket cost for this plan. You can call our licensed insurance specialists by clicking "Call to Enroll" below for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for DeanCare Gold Enhanced (Cost)
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Drug Coverage
Prescription drugs are not covered by DeanCare Gold Enhanced (Cost).
Additional Benefits
The DeanCare Gold Enhanced (Cost) plan offers comprehensive medical coverage with no copay and no coinsurance for most primary care, specialist, and hospital services. Members enjoy no-cost benefits for inpatient and outpatient hospital stays, emergency care, primary care visits, and preventive services. Additionally, crucial benefits like home health care, dialysis, and skilled nursing facility stays are covered with no copay and no coinsurance. For specialized care, the plan features no-copay routine vision and hearing benefits, which include an annual eyewear allowance and coverage for hearing aids. Dental care is also covered with no copay for preventive services up to a $300 annual limit, while comprehensive dental services require a 50% coinsurance. While standard ambulance services are excluded, the plan does offer unlimited round-trip transportation to plan-approved medical locations with no copay and no coinsurance.
Inpatient Hospital See details
DeanCare Gold Enhanced (Cost) partially covers inpatient hospital services with no copay and no coinsurance for both acute and psychiatric stays, though upgrades and non-Medicare-covered stays are not covered. Acute care includes unlimited additional days, while psychiatric care offers up to 175 additional days per benefit period.
Outpatient Services See details
DeanCare Gold Enhanced (Cost) covers outpatient hospital, ambulatory surgical center, and outpatient blood services with no copay and no coinsurance. Outpatient substance abuse services are not covered in practice, as both individual and group sessions are excluded.
Partial Hospitalization See details
Partial hospitalization is covered by DeanCare Gold Enhanced (Cost) with no copay and no coinsurance.
Ambulance and Transportation Services See details
Ambulance and transportation services are offered by DeanCare Gold Enhanced (Cost), though ambulance services are not covered in practice as both ground and air ambulance services are excluded. Transportation services are partially covered, offering unlimited round trips to plan-approved health-related locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
DeanCare Gold Enhanced (Cost) covers emergency and urgently needed services with no copay and no coinsurance. Worldwide emergency and urgent services are partially covered with no copay, a 20% coinsurance, and an applicable deductible up to a $50,000 maximum, though worldwide emergency transportation is not covered.
Primary Care See details
DeanCare Gold Enhanced (Cost) offers primary care benefits with no copay and no coinsurance for covered services, including primary care physician, specialist, occupational therapy, and physical therapy visits. However, coverage is partial as podiatry, additional telehealth, other chiropractic services, and individual or group sessions for psychiatric and mental health specialty services are not covered.
Preventive Services See details
Preventive services are covered under the DeanCare Gold Enhanced (Cost) plan with no copay and no coinsurance for annual physical exams, kidney disease education, and select screenings. This benefit is partially covered, as supplemental services including fitness benefits, health education, weight management, and personal emergency response systems are not covered.
Hearing Services See details
DeanCare Gold Enhanced (Cost) covers hearing services with no copay and no coinsurance for annual routine exams, fitting evaluations, and OTC hearing aids. Prescription hearing aids are partially covered up to a $150 maximum per ear each year, though inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
DeanCare Gold Enhanced (Cost) provides partially covered vision services with no copay, no coinsurance, and no deductible. This benefit includes one routine eye exam per year and up to $125 annually for eyewear like contacts and glasses, though other eye exam services are not covered.
Dental Services See details
Dental services are covered by DeanCare Gold Enhanced (Cost) with no copay and no coinsurance for Medicare-covered and preventive care up to a $300 annual limit, though other preventive services are not covered. Comprehensive treatments like periodontics, endodontics, and implants are covered with no copay and a 50% coinsurance, while orthodontics and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are not covered under DeanCare Gold Enhanced (Cost), though insulin is covered. Medicare Part B insulin, chemotherapy, radiation, and other Part B drugs are excluded from coverage.
Dialysis Services See details
Dialysis Services are fully covered under the DeanCare Gold Enhanced (Cost) plan with no copay and no coinsurance.
Medical Equipment See details
Medical Equipment benefits under DeanCare Gold Enhanced (Cost) cover durable medical equipment (DME) with no copay and 0% to 20% coinsurance. While some prosthetic and diabetic equipment services are covered with no copay and no coinsurance, specific sub-services including prosthetic devices, medical supplies, diabetic supplies, and therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
DeanCare Gold Enhanced (Cost) diagnostic and radiological services feature no copay and no coinsurance, but only some services are covered as diagnostic procedures/tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient x-ray services are not covered.
Home Health Services See details
Home Health Services are covered by DeanCare Gold Enhanced (Cost) with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
DeanCare Gold Enhanced (Cost) covers some Cardiac Rehabilitation Services with no copay and no coinsurance, but standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
DeanCare Gold Enhanced (Cost) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though a prior three-day inpatient hospital stay is required. This benefit also includes up to 30 additional days of coverage per benefit period beyond the standard Medicare-covered limit.
Other Services See details
Other services are partially covered by DeanCare Gold Enhanced (Cost), which offers chronic illness meal benefits, hospice consultations, and additional home health care services with no copay and no coinsurance. Acupuncture and over-the-counter (OTC) items are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
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