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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 2025, 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 South Central Wisconsin. This plan received an overall rating of 5 out of 5 stars in 2025.
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 provides coverage for a wide range of services with varying cost-sharing. Inpatient hospital stays have a $200 copay, while emergency services have a $50 copay, and primary care visits cost $10. The plan also offers benefits like hearing exams, routine vision exams, and dental services with a $300 annual maximum, as well as coverage for ambulance services with no copay.
Inpatient Hospital See details
Inpatient Hospital coverage includes Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a copay of $200 for a Medicare-covered stay. Additional days for Inpatient Hospital-Acute have no copay, and Additional days for Inpatient Hospital Psychiatric have no copay for up to 175 days per benefit period. Non-Medicare-covered stays for Inpatient Hospital-Acute are covered, but Upgrades for Inpatient Hospital-Acute and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services are covered by the DeanCare Gold Shared Value (Cost) plan, including outpatient hospital services, observation services, ambulatory surgical center (ASC) services, and outpatient blood services. Outpatient substance abuse services are partially covered, but individual and group sessions are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the DeanCare Gold Shared Value (Cost) plan.
Ambulance and Transportation Services See details
The DeanCare Gold Shared Value (Cost) plan covers ambulance services with no copay and no coinsurance, but it does not cover ground or air ambulance services. Transportation services to health-related locations are not covered.
Emergency Services See details
Emergency Services under the DeanCare Gold Shared Value (Cost) plan include a $50 copay, and Urgently Needed Services have a $10 copay; both have no coinsurance. Worldwide Emergency Services has a $250 deductible, and Worldwide Emergency Coverage and Worldwide Urgent Coverage have a 20% coinsurance, while Worldwide Emergency Transportation is not covered.
Primary Care See details
Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Other Health Care Professional, Physical Therapy, Speech-Language Pathology Services, and Opioid Treatment Program Services are covered. Primary Care and Chiropractic Services have a $10 copay, and Physician Specialist Services have a $10 copay. Mental Health and Psychiatric Services (individual and group sessions), Additional Telehealth Benefits, and Podiatry Services are not covered.
Preventive Services See details
DeanCare Gold Shared Value (Cost) covers preventive services, including annual physical exams, with no copay. The plan also covers weight management programs, in-home support services, additional sessions of smoking and tobacco cessation counseling, fitness benefits, remote access technologies, kidney disease education services, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a Welcome Visit. However, health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, support for caregivers of enrollees, enhanced disease management, telemonitoring services, home and bathroom safety devices and modifications, and counseling services are not covered.
Hearing Services See details
Hearing services include coverage for routine hearing exams with one visit per year, and fitting/evaluation for hearing aids with one visit every three years. This plan also covers prescription hearing aids with a maximum plan benefit of $500 every three years for all types of hearing aids except inner ear, outer ear, and over the ear.
Vision Services See details
Vision services include routine eye exams with 1 visit every year, and eyewear. Eyewear benefits include a combined maximum of $250 every two years, while contact lenses, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
DeanCare Gold Shared Value (Cost) covers dental services with a maximum benefit of $300 per year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), and fluoride treatments are covered. Restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), implant services, and oral and maxillofacial surgery are covered with 50% coinsurance, while maxillofacial prosthetics and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are not covered by the DeanCare Gold Shared Value (Cost) plan.
Dialysis Services See details
Dialysis Services are covered by the DeanCare Gold Shared Value (Cost) plan. The plan covers all dialysis services with no copay and no coinsurance.
Medical Equipment See details
Medical Equipment benefits are covered by DeanCare Gold Shared Value (Cost), but Durable Medical Equipment for use outside the home, prosthetic devices, medical supplies, diabetic supplies, and diabetic therapeutic shoes/inserts are not covered. For the covered services, there is no copay or coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the DeanCare Gold Shared Value (Cost) plan, but Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered. There is no copay for the services covered.
Home Health Services See details
Home Health Services are covered by DeanCare Gold Shared Value (Cost) with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the DeanCare Gold Shared Value (Cost) plan. Specifically, Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, including 30 additional days beyond what Medicare covers. Non-Medicare-covered stays for SNF are not covered.
Other Services See details
The DeanCare Gold Shared Value (Cost) plan covers acupuncture, meal benefits for chronic illness, and other services. Over-the-counter items, Dual Eligible SNPs with Highly Integrated Services, and many other services are not covered by the plan.
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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