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DeanCare Gold Shared Value (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for DeanCare Gold Shared Value (Cost). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on DeanCare Gold Shared Value (Cost) in 2026, please refer to our full plan details page.
DeanCare Gold Shared Value (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 Shared Value (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 Shared Value (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 Shared Value (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 Shared Value (Cost)
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Drug Coverage
Prescription drugs are not covered by DeanCare Gold Shared Value (Cost).
Additional Benefits
The DeanCare Gold Shared Value (Cost) plan offers comprehensive coverage for essential medical services with low out-of-pocket costs, including no copay and no coinsurance for outpatient care, preventive services, dialysis, and home health care. Primary care and specialist visits require a budget-friendly $10 copay, while emergency room visits carry a $50 copay and inpatient hospital stays have a $200 copay per stay. Additionally, skilled nursing facility stays are covered with no copay or coinsurance after a prior three-day inpatient stay. For supplemental health needs, the plan features no copay or coinsurance for routine vision exams, routine hearing exams, and select preventive dental care. Comprehensive dental services are covered with no copay and a 50% coinsurance, while annual allowances are provided for prescription hearing aids and eyewear. Note that certain services, such as ambulance transportation, cardiac rehabilitation, and Medicare Part B drugs, are not covered under this plan.
Inpatient Hospital See details
Inpatient hospital services are partially covered by DeanCare Gold Shared Value (Cost) with a $200 copay per stay and no coinsurance, excluding upgrades and non-Medicare-covered stays. Covered services include unlimited additional days for acute inpatient care and up to 175 additional days per benefit period for psychiatric care.
Outpatient Services See details
Outpatient services are covered by DeanCare Gold Shared Value (Cost) with no copay and no coinsurance for outpatient hospital, ambulatory surgical center, and outpatient blood services. Some outpatient substance abuse services are covered, but individual and group sessions for outpatient substance abuse are not covered.
Partial Hospitalization See details
Partial hospitalization is covered under the DeanCare Gold Shared Value (Cost) plan with no copay and no coinsurance.
Ambulance and Transportation Services See details
Ambulance services are not covered under the DeanCare Gold Shared Value (Cost) plan, but transportation services to plan-approved health-related locations are covered with no copay and no coinsurance. This transportation benefit is partially covered, as transportation to any other health-related locations is not covered.
Emergency Services See details
DeanCare Gold Shared Value (Cost) covers emergency services with a $50 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a $10 copay and no coinsurance. Worldwide emergency and urgent services are partially covered up to a $50,000 limit with no copay and 20% coinsurance after a deductible, but worldwide emergency transportation is not covered.
Primary Care See details
DeanCare Gold Shared Value (Cost) covers primary care, specialist, and routine chiropractic services with a $10 copay and no coinsurance, while occupational, physical, speech, and opioid treatment therapies have no copay and no coinsurance. Podiatry, telehealth, non-routine chiropractic care, and individual or group sessions for mental health and psychiatric services are not covered.
Preventive Services See details
Preventive services are partially covered by DeanCare Gold Shared Value (Cost) with no copay and no coinsurance for covered services, including annual physical exams, kidney disease education, and glaucoma screenings. While select benefits like in-home support and remote access technologies are covered, several supplemental services are not covered, including fitness benefits, health education, counseling, and weight management programs.
Hearing Services See details
DeanCare Gold Shared Value (Cost) hearing services are covered with no copay and no coinsurance for routine exams, fitting evaluations, and over-the-counter hearing aids. Prescription hearing aids are partially covered with no copay or coinsurance up to $150 per ear annually, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Vision services are partially covered by DeanCare Gold Shared Value (Cost) with no deductibles, copays, or coinsurance, though other eye exam services are not covered. Eligible benefits include one routine eye exam per year and a $125 annual combined maximum for eyewear, including contacts, eyeglasses, and upgrades.
Dental Services See details
Dental services are partially covered by DeanCare Gold Shared Value (Cost), featuring no copay and no coinsurance for Medicare-covered and select preventive care up to a $300 annual limit. Comprehensive services like restorative care, endodontics, and implants are covered with no copay and a 50% coinsurance, while orthodontics, maxillofacial prosthetics, and other preventive dental services are not covered.
Home Infusion bundled Services See details
DeanCare Gold Shared Value (Cost) does not cover home infusion bundled services, Medicare Part B insulin, chemotherapy or radiation drugs, or other Part B drugs. While insulin is covered under the plan, these specific home infusion and Part B drug services are not covered.
Dialysis Services See details
Dialysis Services are covered under the DeanCare Gold Shared Value (Cost) plan with no copay and no coinsurance.
Medical Equipment See details
Medical Equipment is covered under DeanCare Gold Shared Value (Cost), offering Durable Medical Equipment with no copay and 0% to 20% coinsurance. Although some non-Medicare prosthetics, medical supplies, and diabetic equipment services are covered with no copay or 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
Diagnostic and radiological services are covered under the DeanCare Gold Shared Value (Cost) plan with no copay and no coinsurance. While some services are covered, diagnostic procedures and 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 under the DeanCare Gold Shared Value (Cost) plan with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the DeanCare Gold Shared Value (Cost) plan, as none of the sub-services, including intensive cardiac, pulmonary, and SET for PAD services, are covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by DeanCare Gold Shared Value (Cost) 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
DeanCare Gold Shared Value (Cost) partially covers other services, offering a meal benefit, hospice consultation, and additional home health care with no copay and no coinsurance. Acupuncture and over-the-counter (OTC) items are not covered.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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