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Wisconsin Department of Employee Trust Funds header image It's Your Choice 2017 Local Deductible Health Plan Insurance Program
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2017 It's Your Choice - Local Deductible Health Plan Insurance for Employees and Retirees
Wisconsin Department Of Employee Trust Funds It's Your Choice 2017


Local Deductible Plan
Insurance for Employees
and Retirees
(PO4, PO14)


Security Health Plan - Valley

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

What’s New for 2017

Security Health Plan will be offering a new plan – Security Health Plan – Valley (SHP – Valley) in the Fox Valley area featuring ThedaCare and Bellin Health providers. The SHP – Valley plan will be available in Brown, Green Lake, Kewaunee, Marquette, Oconto, Outagamie, Shawano, Waupaca, Waushara and Winnebago counties.

Provider Directory

Visit www.securityhealth.org/statevalley and click on “Valley - Find a Doctor” to access a provider directory. To request a printed directory be mailed to you, call customer service at 1-800-472-2363.

Referrals, Prior Authorizations, Out-of-Network Care

Security Health Plan requires a referral for seeing certain specialists. View a complete list on our website or call our customer service team at 1-800-472-2363. Security Health Plan also requires a referral and approval for services received from a non-network provider. Services from a non-network provider without prior authorization are not reimbursed.

A number of services require prior authorization. That is, you and your provider must contact us before the service is delivered. 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 for a complete listing of services that require prior authorization.

The following services require you to participate in Shared Decision-Making:

  • Hysterectomy with fibroid diagnosis - surgery
  • Chronic hip pain - Osteoarthritis - specialty consult
  • Chronic knee pain - Osteoarthritis or Meniscal Degeneration - specialty consult
  • Low back pain - orthopedic or neurosurgery consult
  • Carpal Tunnel - Median Neuropathy - specialty consult

Shared Decision-Making provides you with information about the surgery you’re considering, including the risks and benefits, as well as alternatives to surgery.

Service Area

Brown, Green Lake, Oconto, Outagamie, Shawano, Waupaca and Waushara counties.
Limited provider availability in: Kewaunee, Marquette, and Winnebago 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

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: 10/3/2016 2:40:57 PM