2018 DeanCare Gold Shared Value (Cost) H5264-5-0 in WI from Dean Health Plan | HealthPocket

DeanCare Gold Shared Value (Cost)

Medicare Advantage Plan for Wisconsin

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderDean Health Plan
Plan IDH5264-5-0
CMS RatingNot Rated1
Plan TypeCost
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$88

Coverage Area for DeanCare Gold Shared Value (Cost)

StateWisconsin
CountyMilwaukee

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Not Rated
Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Not Rated
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Not Rated
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Not Rated
Getting appointments and care quickly
Not Rated
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Not Rated
Appeals upheld
Not Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Not Rated
Members choosing to leave the drug plan
Not Rated
Beneficiary access and performance problems
Not Rated
Drug plan quality improvement
Not Rated

Member Experience with Drug Plan

Rating of drug plan
Not Rated
Getting needed prescription drugs
Not Rated

Drug Pricing and Patient Safety

MPF Price Accuracy
Not Rated
High risk medication
Not Rated
Part D medication adherence for diabetes
Not Rated
Part D medication adherence for hypertension
Not Rated
Part D medication adherence for cholesterol
Not Rated
Medication Therapy Management program completion rate
Not Rated

Physician Finder

Physicians that accept DeanCare Gold Shared Value (Cost) for Wisconsin

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Noor, Aijaz
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Arana, Emilia
2906 S 20th St
Milwaukee, WI 53215
Wilson, Pamela
2906 S 20th St
Milwaukee, WI 53215
Cabral, Patricia
2906 S 20th St
Milwaukee, WI 53215
Battiola, Richard
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Laguna, Maritza
2906 S 20th St
Milwaukee, WI 53215
Nichols, Colleen
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Barretto, Karen
2906 S 20th St
Milwaukee, WI 53215
Garcia, Moises
2900 W Oklahoma Ave
Milwaukee, WI 53215
Brummitt, Charles
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Dunn, Margaret
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Waters, David
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Broeren, Alicia
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Enriquez, Francisco
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Bachhuber, Thomas
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Carroll, John
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Schuller, Julie
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Rincon, Mariana
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Hernandez, Kathy
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Dunn, John
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Zimmerman, Jessica
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204
Kus, Robert
945 N 12th St
Milwaukee, WI 53233
Arce-garzon, Sandra
4220 S 27th St Ste 200
Milwaukee, WI 53221
Krzyzewski, Patrick
4100 S Howell Ave
Milwaukee, WI 53207
Details
Aijaz Noor, M.D.
Phone Number
(414) 649-7202
Office Locations
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
2801 W Kinnickinnic River Pkwy Milwaukee WI, 53215

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