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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2016 State of Wisconsin Group Health Insurance Program
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Wisconsin Department Of Employee Trust Funds

It's Your Choice 2016


State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)

Security Health Plan

1-800-472-2363 or 715-221-9555
securityhealth.org/state

What’s New for 2016

The Security Health Plan service area will no longer include Iron County. New this year! We are pleased to announce that Security Health Plan will feature ThedaCare providers for its plan in 2016. ThedaCare operates seven hospitals and numerous clinics in the larger Fox Valley area including: Appleton, Waupaca, New London, Berlin, Neenah, Wild Rose and Shawano.

Security Health Plan also offers:

  • Smart Cost Advisor
    Smart Cost Advisor lets Security Health Plan members compare common medical procedure costs before receiving services.
  • Wellness Reimbursement
    In addition to the $150 Well Wisconsin incentive, Security Health Plan is offering a $100 reimbursement annually towards a gym or health club membership.

Provider Directory

Visit securityhealth.org/state and click on “Find a Doctor” to access a provider directory. Once you are there, select “State of Wisconsin Employer Sponsored Plan” from the drop-down menu. To request a printed directory be mailed to you, call customer service at 1-800-472-2363.

Referrals, Prior Authorizations, Out-of-Network Care

Referrals are needed when receiving care from in-network providers for certain specialties. View a complete list on our website or call our customer service team at 1-800-472-2363. Prior authorization is required for knee replacement, hip replacement, back surgery, hysterectomy, knee arthroscopy and carpal tunnel surgery, and for out-of-network providers before you receive care. You will receive written notification of the approval or denial for the prior authorization. If you are unsure if a service, test or procedure requires prior authorization or a referral, contact 1-800-472-2363 prior to the appointment, or visit securityhealth.org/authorization for a complete listing of services that require prior authorization.        

Service Area

Qualified: Adams, Ashland, Barron, Burnett, Chippewa, Clark, Douglas, Eau Claire, Jackson, Juneau, Langlade, Lincoln, Marathon, Oneida, Portage, Rusk, Sawyer, Taylor, Washburn, Waupaca, Waushara and Wood counties.

Non-qualified: Bayfield, Forest, Pepin, Price and Vilas counties.

Emergency and Urgent Care Outside Service Area

If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact the 24-hour Nurse Line at 1-800-549-3174 or your primary care physician if assistance is needed to determine the appropriate level of care.

Follow-up care must be received from an in-network provider unless otherwise approved by Security Health Plan.

Mental, Behavioral Health and Substance Abuse

You may see any provider in the network for mental/behavioral health care. You do not need a referral or authorization.

24-Hour Nurseline

24-hour Nurse Line: 1-800-549-3174

Disclaimer:
Every effort has been made to ensure that this information is accurate, but may be subject to change. Please note revision dates located at the bottom of each page. In the event of conflicting information, federal law, state statute, state health contracts and/or policies and provisions established by the State of Wisconsin Group Insurance Board shall be followed.

This page was last modified on: 9/23/2015 3:36:41 PM