Description
What’s New for 2024
Omada Health
If you are at risk for type 2 diabetes you may be eligible for Omada Health at no cost to you. This is a personalized virtual health care program provides you with the tools and support you need to reach your health goals, whether that’s weight loss, managing diabetes or improving your overall health. This program is not available for high deductible health plan enrollees.
Provider Directory
Visit our Provider Directory. To request a printed directory be mailed to you, call customer service at 1-844-813-7286.
Referrals, Authorizations, Out-of-Network
Security Health Plan requires a referral for certain services. 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 1-844-813-7286 prior to the appointment, or visit our Prior Authorization page for a complete listing of services that require prior authorization.
Emergency and Urgent Care
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.
The Freespira at-home treatment program is available at no cost for members and treats panic attacks and symptoms of post traumatic stess disorder (PTSD).
24-Hour Nurseline
Care My Way®. When a visit to your doctor’s office is inconvenient, you can call our 24-hour Nurse Line at 1-800-549-3174 (TTY 711) and talk with a Care My Way® nurse practitioner about many common health concerns such as flu, pinkeye, or urinary tract infections. Depending on your condition, a prescription can even be called into the pharmacy of your choice.
Major Health Systems
- Marshfield Clinic Health System