A healthier choice for you!
Choose a better partner
for your health. You have
until October 31 to join us!
Call for more information:
1-855-262-8941
Questions?
We’d love to hear from you!
1-855-262-8941
(TTY 1-877-727-2232)
7 a.m. to 5:30 p.m. Monday - Friday
www.securityhealth.org
Four great reasons to choose Security Health Plan:
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1
When you call our nurse line, you’ll have a chance to consult a
nurse practitioner on certain common conditions and even get a
prescription if you need one.
2
You can get a 10 percent discount on glasses at any Marshfield
Clinic optical facility.
3
You and your family can receive a $100 gym reimbursement
towards a gym membership, personal trainer, nutrition classes and
more.
4
A provider network that allows you to choose from more than 8,000
providers. We have specialists in most areas. We cover your urgent
and emergency care worldwide.
Douglas
Bayfield
If you live anywhere in the shaded area, or use providers
affiliated with Security Health Plan, you can select
Security Health Plan. To find a provider in this area and
beyond, visit our provider directory online at
www.securityhealth.org/etfnetwork.
You also can call us at 1-800-472-2363.
Iron
Ashland
Burnett
Washburn
Sawyer
Vilas
Florence
Price
Oneida
Forest
Barron
Lincoln
Langlade
Taylor
St. Croix
Chippewa
Menominee
Dunn
Pierce
Oconto
Marathon
Portage
Buffalo
Waupaca
Wood
Jackson
Trempealeau
Monroe
Juneau
Kewaunee
Brown
Outagamie
Winnebago
Waushara
Adams
La Crosse
Door
Shawano
Clark
Eau Claire
Pepin
Marinette
Rusk
Manitowoc
Calumet
Green
Lake
Marquette
Fond du Lac
Sheboygan
Vernon
Columbia
Sauk
Dodge
Richland
Washington
Ozaukee
Crawford
Iowa
Dane
Jefferson Waukesha
Milwaukee
Grant
La Fayette
Green
Rock
Racine
Walworth
Kenosha
ON
Compare before you choose
NATION’S
BEST
EA
H
• We’re Wisconsin based, just like you.
E OF THE
S*
Polk
LTH PL AN
• When you call us, you’ll talk to a live person.
• We are a not-for-profit health insurance plan.
• We have offered affordable, high-quality coverage for more than 40 years.
• Visit us at www.securityhealth.org/etfnetwork or find us at a health
fair near you.
• Call us at 1-800-472-2363 to find out if your provider is in our network.
* NCQA’s Private Health Insurance Plan Rankings 2015-2016
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New for 2016
Bringing transparency to health care
We’re unveiling Smart Cost Advisor, a new online tool that allows members to compare
costs for approximately 80 percent of all medical services and procedures in their network
and area. Smart Cost Advisor is one of several transparency options that we’re working on,
so you can make informed decisions on the quality and cost of your health care.
Care without the trip to the doctor’s office
We’ve enhanced Care My Way, part of our popular Nurse Line. Licensed nurse practitioners
on duty daily from 7 a.m. to 9 p.m. offer telephone-based care for many common medical
issues. They will even prescribe medications to a pharmacy near you. Find out more at
securityhealth.org/state.
$100 Gym reimbursements
We know how important fitness is to the lifestyle of our members. Our plans include the
coverage you expect and more.
In 2016 we will reimburse you and your family $100* towards a gym membership,
personal trainer, nutrition classes, even Weight Watchers®!
4
*Security Health Plan is required to report incentive payment information to your employer, which might
be required to report incentive payments as taxable income.
Get the coverage you deserve
Find high-quality health care
You want health care that meets your and your family’s
needs. With Security Health Plan that’s what you get.
• We have 8,000 doctors and medical providers,
and 76 hospitals.
Find a list of providers at:
www.securityhealth.org/etfnetwork
• If you have a serious medical issue, we
have nurses who can help coordinate
your care.
• If you have a chronic health issue, we can
help take care of it.
Nationally rated among the best
You expect exceptional coverage and service, and we are happy to
deliver it. We want to do what’s best for you, so we’ve chosen to
undergo regular reviews from the National Committee for Quality
Assurance (NCQA). These rigorous reviews test our standards and the
care we provide to members. Security Health Plan’s HMO/POS Private
plans are rated 4.5 out of 5 among NCQA’s Private Health Insurance
Plan Ratings 2015-2016.
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Specialists, referrals and out-of-network care
We have more than 8,000 providers
If you need to go to a specialist, including for behavioral health and in-patient
hospital care, you may see any provider listed in the Provider Directory without a
referral. It is a good idea to discuss your care with your primary care provider first
so that it can be better coordinated.
If a provider suggests you receive care from someone other than your regular
provider, you will need to find out whether the provider is in Security Health Plan’s
network.
You might need to receive prior authorization for certain services. Some services
may also require additional member education on treatment options, which we offer
as part of our shared decision making program. A list of services that require prior
authorization can be found at: www.securityhealth.org/authorization
You can find an affiliated provider in any of the following ways:
• Review your Security Health Plan Provider Directory.
• Check our website at www.securityhealth.org/etfnetwork.
• Contact us at 1-800-472-2363.
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Your out-of-area students are covered
If a dependent is a full-time student attending school outside of the Security Health Plan
service area, the following services are covered:
• Urgent or emergency care. Non-urgent follow-up care out of the service area must
prior authorized by Security Health Plan or it will be covered.
• Outpatient mental health services and treatment of alcohol or drug abuse if the
dependent is a full-time student attending school in Wisconsin, but outside of the
plan service area. In this case, the dependent may have a clinical assessment by a
non-plan provider that Security Health Plan designates. If outpatient services are
recommended, coverage will be provided for five (5) visits outside the plan’s service
area. Additional visit must be approved by Security Health Plan. If the student is
unable to maintain full-time student status, he/she must return to the plan’s service
area for treatment to be covered.
Eligible child dependents who are full-time students at an accredited vocational school,
accredited technical school, accredited adult education school, accredited college or
accredited university living outside the service area for the purpose of school may obtain
follow-up care from non-affiliated providers near their school. This does not include
students in secondary schools. Coverage for follow-up services provided by non-affiliated
providers is limited to services received within 120 days after receipt of urgent or
emergency care, or within 120 days after medical service for an injury, surgery or acute
illness provided by an affiliated provider or a Security Health Plan approved referral
provider.
Routine care, such as an annual physical exam or contraceptive care is not considered
follow-up care.
You must contact our Customer Service Department at 1-800-472-2363 to request a
referral authorization prior to receiving follow-up services from a non-affiliated provider.
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Do yourself a health favor and get rewards*
Wellness incentives
The State of Wisconsin Group Health Insurance Program Well Wisconsin Program
and Security Health Plan encourage you to visit your primary care provider, and to
learn your cholesterol, blood pressure and blood glucose numbers. This is important
for your lifelong health. There are two options for you to receive your Well
Wisconsin Incentive.
Option 1:
Attend a Well Wisconsin worksite biometric screening event. Your
results will be sent directly to Security Health Plan and may take
45 days to be received. Visit wellwisconsin.wi.gov for a calendar
of screenings.
Option 2:
Visit your primary care provider for a preventive visit along with
glucose and cholesterol screening. Your provider must fax us the
Biometric Screening Results form which is included in your member
materials. It is also available at www.securityhealth.org/state.
After you have your results, complete your Security Health Plan Online health
assessment. Each State of Wisconsin employee and spouse who is enrolled in your
plan are eligible to receive the $150 incentive. Incentives will be mailed by the
end of the month after the end of the quarter. For example, March 31 is the last day
of the first quarter. You will be paid by the end of April. You must complete your
annual health assessment and biometrics within the calendar year to be paid.
Here’s 100 more reasons
In 2016 we’ll reimburse you and your family $100* toward a gym membership,
personal trainer, nutrition classes, even Weight Watchers®.
*Security Health Plan is required to report incentive payment information to your employer, which might
be required to report incentive payments as taxable income.
CONVENIENT
Online Access
ANY TIME.
ANY DAY.
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Get deals on your glasses
Your bill for glasses just got a little smaller
Buy your glasses from a Marshfield Clinic optical facility and receive a 10 percent discount.
This even applies if you receive your general eye care at a non-Marshfield Clinic provider.
Just take your prescription along and show your Security Health Plan ID card.
Marshfield Clinic Optical Centers
Eau Claire Center
Clinic Optical
2116 Craig Road
Eau Claire, WI 54701
715-858-4777
Minocqua Center
Clinic Optical
9601 Townline Rd.
Minocqua, WI 54548
715-358-1499
Wausau Center
Clinic Optical
2727 Plaza Dr.
Wausau, WI 54401
715-841-4966
Marshfield Center
Clinic Optical
1000 N. Oak Ave.
Marshfield, WI 54449
715-387-5695
Park Falls Center
Clinic Optical
50 Sherry Ave.
Park Falls, WI 54552
715-762-7241
Wisconsin Rapids Center
Clinic Optical
220 24th St. South
Wisconsin Rapids, WI 54494
715-424-8688
Marshfield Eye Center
409 N. Chestnut Ave.
Marshfield, WI 54449
715-221-8490
Stevens Point Center
Clinic Optical
4100 State Highway 66
Stevens Point, WI
54482-8410
715-343-7750
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Preventive care designed for you
Security Health Plan offers high-quality preventive care at no cost
to you. A complete list of preventive services can be found by visiting
www.securityhealth.org/state.
Here’s a partial list of the services covered:
GENERAL PREVENTIVE CARE
Comprehensive physical examination (complete physical)
• Well-baby care
• Well-child care
• Adolescent well-care
• Adult well-care
Gynecological examination for women (breast exam and pelvic exam)
Mammogram to screen for breast cancer beginning at age 40
Pap smear to screen for cervical cancer
Colonoscopy screening for colorectal cancer for members beginning at age 50
Other screening for colorectal cancer beginning at age 50
• Sigmoidoscopy
• Fecal occult blood test
PREVENTIVE CARE FOR PREGNANT WOMEN
Anemia screening
Bacteria screening
Hepatitis B virus (HBV) infection screening
PREVENTIVE CARE FOR CHILDREN AND ADOLESCENTS
Congenital hypothyroidism screening in newborns
Hearing screening for newborns
Screening for sickle cell disease in newborns
Lead screening
Vision screening for children 5 and under
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Specific benefit coverage
Go to www.securityhealth.org/state for more information, or to find out
whether your doctor is included in our network. You can also reach us at
1-855-262-8941.
Save time online
With Security Health Online, you can take advantage of a convenient and secure way to
better manage your Security Health Plan coverage.
Security Health Plan Online lets you:
•Track personal benefit limits.
•Participate in our online wellness programs.
•Request ID cards.
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SECURITY HEALTH PLAN OF WISCONSIN, INC.
PO BOX 8000
MARSHFIELD, WI 54449-8000
Organization
U.S. Postage
PA I D
Security Health Plan
of Wisconsin, Inc.
1515 North Saint Joseph Avenue
PO Box 8000
Marshfield, WI 54449-8000
1-855-262-8941
Fax 715-221-9500
www.securityhealth.org
HP-30031 (01/16) © 2013–2016 Security Health Plan of Wisconsin, Inc.