Find Plan Options in Your Area
Sign Up Help
 
Mon-Fri: 8am-10pm, Sat-Sun: 8am-9pm ET
Medicare65quote.com
TTY 711

DeanCare Gold Enhanced (Cost)

Wisconsin Medicare Advantage Plan (2025 Plan)

Monthly Premium

Your Cost
$189
by Dean Health Plan, Inc.

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 5.0
out of 5 stars

Ready to Enroll Online?

Plan Overview

Plan Name
DeanCare Gold Enhanced (Cost)
Insurance Carrier
Dean Health Plan, Inc.
Plan Type
Medicare Advantage Plan Without Prescription Drugs
Network Type
COST

DeanCare Gold Enhanced (Cost) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Wisconsin and offered by the health insurance company Dean Health Plan, Inc.. This plan’s network type is COST which determines in-network doctors who accept the health plan and whether a referral is needed.

Cost Summary

Monthly Premium
$189
Annual Deductible
$0
Max Out-of-Pocket
Not Applicable
Primary doctor visit
$0 copay
Specialist visit
$0 copay
ER visit
$0 copay
Ambulance
$0 copay

DeanCare Gold Enhanced (Cost) has a monthly premium cost of $189 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of Not Applicable. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for DeanCare Gold Enhanced (Cost) are defined below.

Additional Benefits and Coverage

No
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

DeanCare Gold Enhanced (Cost) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. DeanCare Gold Enhanced (Cost) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. DeanCare Gold Enhanced (Cost) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Not covered
In-home support services
Limited coverage
Home and bathroom safety devices
Not covered
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Comparing the Quality Score of DeanCare Gold Enhanced (Cost) to Other Plans in Wisconsin

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, DeanCare Gold Enhanced (Cost) received an overall government quality rating of 5.0 stars out of 5 stars.

DeanCare Gold Enhanced (Cost) performed better than Wisconsin’s State average overall quality score of 4.1 stars.

This Plan’s 5-star Gov’t Quality Score
Wisconsin State Average Score
Overall Government 5 Star Quality Rating
 5.0
 4.1
Summary rating of health plan quality
 5
 4.0
Staying healthy: screenings, tests, & vaccines
 4
 4.0
Managing chronic (long term) conditions
 4
 3.4
Member experience with health plan
 5
 4.0
Member complaints & changes in the health plan's performance
 5
 4.4
Health plan customer service
 4
 3.9

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

DeanCare Gold Enhanced (Cost) received 5 stars for its health plan quality score which is better than the Wisconsin State average health plan quality score of 4.0 stars.

Plan Benefits and Coverage Details

Monthly Premium
$189
Health Portion of Premium
$189
Drug Portion of Premium
$0
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
Not Applicable
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes
Doctor Lookup Link
http://www.deancare.com/find-a-doctor
Plan Link
http://deancare.com/medicare

Medical Benefits

Doctor Services

Primary doctor visit
$0 copay
Specialist visit
$0 copay

Tests, labs, & imaging

Diagnostic tests & procedures
$0 copay
Lab services
$0 copay
Diagnostic radiology services (like MRI)
$0 copay
Outpatient x-rays
$0 copay
Emergency care
$0 copay
Urgent care
$0 copay

Hospital Services

Inpatient hospital coverage
$0 copay
Outpatient hospital coverage
$0 copay

Skilled nursing facility

Skilled nursing facility
$0 copay

Preventive services

Preventive services
$0 copay

Ambulance

Ground ambulance
$0 copay

Therapy services

Occupational therapy visit
$0 copay
Physical therapy & speech & language therapy visit
$0 copay

Mental health services

Outpatient group therapy with a psychiatrist
$0 copay
Outpatient individual therapy with a psychiatrist
$0 copay
Outpatient group therapy visit
$0 copay
Outpatient individual therapy visit
$0 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
$0 copay
Prosthetics (like braces, artificial limbs)
$0 copay
Diabetes supplies
$0 copay

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

Chemotherapy drugs
$0 copay
Other Part B drugs
$0 copay

Extra Benefits

Hearing

Hearing exam
$0 copay
Fitting/evaluation
$0 copay
Hearing aids - All types
$0 copay

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Comprehensive dental

Restorative services
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Endodontics
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Periodontics
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Prosthodontics, removable
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Prosthodontics, fixed
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Maxillofacial prosthetics
Not covered
Implant services
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Oral and maxillofacial surgery
In-network: 50% coinsurance
Out-of-network: 50% coinsurance
Orthodontics
Not covered
Adjunctive general services
In-network: 50% coinsurance
Out-of-network: 50% coinsurance

Vision

Routine eye exam
$0 copay
Contact lenses
Not covered
Eyeglasses (frames & lenses)
$0 copay
Eyeglass frames (only)
Not covered
Eyeglass lenses (only)
Not covered
Upgrades
Not covered

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 

Ready to Enroll Online?

Please Support Our Sponsor

Advertisement

Medicare Health Plans

Get Advice & Sign Up Help

TTY 711

Speak with a Licensed Insurance Agent

Mon-Fri: 8am - 10pm ET
Sat-Sun: 8am - 9pm ET

Medicare65quote

  • Medicare Advantage Plans
  • Medicare Prescription Drug Plans
  • Medicare Supplement Insurance Plans

No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
Insurance Ad -No Government Affiliation

Related Articles
Best Wisconsin Medicare Advantage Health Insurance Companies for 2025
Health Plan Radar Health Plan Radar

In this article we rank Wisconsin Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Read more →