It's Your Choice 2016
Security Health Plan1-800-472-2363 or 715-221-9555
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:
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.
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 Nurse Line: 1-800-549-3174
This page was last modified on: 9/23/2015 4:36:41 PM