Security Health Plan of Wisconsin

Navigating the world of health insurance can often feel overwhelming, filled with complex terms and countless options. For residents of Wisconsin, finding a health plan that truly fits your needs and offers comprehensive coverage is a top priority. Have you ever wondered if there's a local option that prioritizes your well-being with a deep understanding of the community?

This article will demystify Security Health Plan of Wisconsin, providing a comprehensive guide to its offerings, benefits, and how it stands out as a reliable choice for your healthcare journey. We'll explore what makes this plan a vital part of Wisconsin's health landscape and help you understand if it's the right fit for you and your family.

Understanding Security Health Plan of Wisconsin

Security Health Plan of Wisconsin is a not-for-profit medical plan deeply rooted in the state's healthcare system. It operates as a subsidiary of the Marshfield Clinic Health System, one of the largest private group medical practices in the country. What began as the Greater Marshfield Community Health Plan in 1971 officially became Security Health Plan in 1986, growing to serve approximately 230,000 people across Wisconsin.

Their core mission is clear: to enrich lives by ensuring access to affordable and high-quality health insurance for consumers and communities alike. This commitment to quality is reflected in their past recognition, having been scored in the top 10 percent by the National Committee for Quality Assurance for Medicare, Medicaid, and private plans in 2014-2015. More recently, their 2025 Medicare Advantage HMO-POS plans earned an impressive 4 out of 5 stars from the Centers for Medicare and Medicaid Services (CMS), highlighting their ongoing dedication to member care.

Why Choose Security Health Plan of Wisconsin?

Choosing a health plan is a significant decision. Security Health Plan of Wisconsin aims to provide peace of mind through its extensive offerings and member-focused approach.

Comprehensive Plan Offerings

Security Health Plan provides a diverse range of health insurance options designed to meet various needs:

• Medicare Advantage Plans: They offer Medicare Advantage HMO-POS plans, some with $0 premiums and Part D prescription drug coverage, as well as dual-eligible special needs plans for those who qualify for both Medicare and Medicaid. These plans often include extra benefits like dental, hearing, and vision care.
• Medicare Supplement Plans: These plans are also available statewide to help cover costs not paid by Original Medicare.
• Medicaid (BadgerCare Plus): Security Health Plan offers affordable HMO plans through the BadgerCare Plus program, assisting those who require financial assistance.
• Individual and Family Plans: Whether you're seeking coverage through the federally-facilitated exchange or non-exchange plans, Security Health Plan has options for individuals and families.
• Employer Group Plans: For businesses of all sizes, they provide HMO, EPO, POS, and indemnity plans, including custom designs and administrative services for self-funded groups.
• Wisconsin State Employee Plan: Security Health Plan also serves Wisconsin State employees.

Extensive Network and Member Benefits

With Security Health Plan of Wisconsin, you gain access to a broad network of healthcare providers. They have contracts with 70 hospitals for inpatient services and boast over 13,000 affiliated providers, including primary care physicians, specialists, and non-physician providers, across 41 to 54 counties in Wisconsin.

Beyond the network, members can benefit from:

• Wellness Resources: Access to tools and programs to support your health journey.
• Nursing Hotline: A convenient way to get medical advice and support.
• Worldwide Emergency Care: Coverage for unexpected medical needs when you're traveling.
• Enhanced Medicare Advantage Benefits: Specific plans may offer free health coaching, smoking cessation support, and allowances for over-the-counter items, hearing aids, and eyeglasses.

Navigating Your Security Health Plan Benefits

Once you're a member of Security Health Plan of Wisconsin, understanding how to maximize your benefits is key to a seamless healthcare experience.

Your Online Member Portal: My Security Health Plan

Security Health Plan offers a dedicated online portal and mobile app called "My Security Health Plan." This digital tool is designed to put your healthcare information at your fingertips. Through My Security Health Plan, you can:

• View or request ID cards.
• Check your deductible, claims, and prior authorizations.
• Find a provider within your plan's network.
• Locate pharmacies and view prescription information.
• Request a call from a nurse.
• Access plan documents and complete health assessments.
• Enroll in wellness support programs and place quarterly over-the-counter orders.

This portal is an invaluable resource for managing your Security Health Plan of Wisconsin coverage efficiently.

Understanding Referrals and Prior Authorizations

Like many health plans, certain services, tests, or procedures may require prior authorization or a referral, especially if seeking care outside the network. It's always a good practice to confirm with Security Health Plan before your appointment to ensure coverage. This step helps avoid unexpected costs and ensures your care is coordinated effectively.

How to Enroll or Get More Information

Ready to learn more about enrolling in Security Health Plan of Wisconsin? They offer several convenient ways to get started or obtain further details.

• Online: Visit their website to compare plans and apply for coverage. You can also request a quote via email.
• Phone: Contact their Sales Department at 1-855-862-6859 for assistance over the phone or to arrange a meeting with a Benefit Specialist. Existing members can reach Customer Service at 1-800-472-2363 (TTY 711).
• In Person: You can visit one of their Answer Centers, their main office in Marshfield, or consult a local independent insurance agent.
• For Medicaid/BadgerCare Plus: If you're interested in BadgerCare Plus, you can apply online through the ACCESS website or contact your local county or Tribal agency.

Remember, generally, to qualify for enrollment, an individual must reside in their service area and be a U.S. citizen or legal resident alien.

Conclusion

Choosing the right health insurance is a cornerstone of personal well-being. Security Health Plan of Wisconsin stands as a strong, community-focused option, offering a wide array of plans, a robust provider network, and a commitment to quality care. Their dedication to member resources and comprehensive coverage aims to make healthcare accessible and manageable for Wisconsin residents.

Are you a current member of Security Health Plan, or are you considering them for your future healthcare needs? Share your thoughts and experiences in the comments below! Your insights can help others navigate their health insurance decisions.

Frequently Asked Questions (FAQ)

Q1: Who is eligible for Security Health Plan of Wisconsin?

Security Health Plan of Wisconsin offers a variety of plans, including individual and family plans, employer group plans, Medicare Advantage, Medicare Supplement, and Medicaid (BadgerCare Plus). Eligibility generally requires residency within their service area and U.S. citizenship or legal resident alien status. Specific plan eligibility will depend on the program (e.g., age for Medicare, income for Medicaid).

Q2: How can I find a doctor or pharmacy in the Security Health Plan network?

You can easily find a doctor or pharmacy in your plan's network by logging into your "My Security Health Plan" online account or using their mobile app. This portal allows you to search for providers and view prescription information.

Q3: What services are covered by Security Health Plan?

Security Health Plan of Wisconsin offers comprehensive healthcare coverage. This includes physician services, hospital services, mental health, and alcohol/chemical dependency services. Depending on your specific plan type (e.g., Medicare Advantage), additional benefits like wellness resources, a nursing hotline, worldwide emergency care, dental, vision, and hearing care may also be included.

Q4: How do I contact Security Health Plan customer service?

For general inquiries or assistance with your existing plan, you can contact Security Health Plan Customer Service at 1-800-472-2363 (TTY 711). If you are interested in enrolling or getting a quote, their Sales Department can be reached at 1-855-862-6859.