A better choice for you! Choose a better partner for your health. You have until Nov. 1 to join us! Call for more information:

1-855-262-8941

Questions?

We’d love to hear from you! 1-855-262-8941 (TTY: 1-877-727-2232) 8 a.m. to 5 p.m. Monday - Friday www.securityhealth.org/state

5 reasons to choose Security Health Plan: 1 2 3 4 5 2

We’re a Tier 1 health plan, which means you’ll pay the lowest premium with the greatest service. When you call our nurse line, you’ll have a chance to consult a nurse practitioner on certain common conditions and even get a prescription if you need one. You can get a 10 percent discount on glasses at any Marshfield Clinic optical facility. Improved dental coverage for State of Wisconsin employees* that allows you to see any dentist in the country. A provider network that allows you to choose from more than 5,500 providers. We have specialists in most areas. We cover your urgent and emergency care worldwide. * Dental not offered to local employee groups.

Douglas

Bayfield

If you live anywhere in the shaded area, you can select Security Health Plan. To find a provider in this area and beyond, visit our provider directory online at www.securityhealth.org/directory. You also can call us at 1-800-472-2363.

Iron

Ashland Washburn

Sawyer

Florence

Price

Oneida Forest

Polk

Barron

Lincoln

Langlade

Taylor St. Croix

Chippewa

Menominee

Dunn

Pierce

Oconto

Marathon

Portage

Buffalo

Waupaca

Wood Jackson

Trempealeau

Monroe Juneau

Kewaunee Outagamie

Brown

Winnebago

Waushara

Adams

La Crosse

Door

Shawano

Clark

Eau Claire

Pepin

Marinette

Rusk

Manitowoc Calumet

Green Lake Marquette

Fond du Lac

Sheboygan

Vernon Columbia

Sauk

Dodge

Richland

Washington

Ozaukee

Crawford Iowa

Dane

Jefferson Waukesha

Milwaukee

Grant La Fayette

Green

Rock

Walworth

Racine Kenosha

E OF THE N O

NATION’S BEST H

EA

S*

Burnett

Vilas

LTH PL AN

Compare before you choose • We’re Wisconsin based, just like you • When you call us, you’ll talk to a live person • We are a not-for-profit health insurance plan • We have offered affordable, high-quality coverage for more than 40 years • Visit us at www.securityhealth.org/state or find us at a health fair near you • Call us at 1-800-472-2363 to find out if your provider is in our network * NCQA’s Private Health Insurance Plan Rankings 2012-2013

New for 2014 Save yourself a trip to the doctor Security Health Plan will offer its members the convenience of on-call health care. There’s no need to make an appointment for simple health care issues such as sinus infections, pink eye or urinary tract infections. Just call. A nurse practitioner will ask you about your symptoms, just like if you were at the office. If necessary, the nurse practitioner can even call in a prescription to the pharmacy of your choice. You don’t have to spend hours at an urgent care center.

Get deals on your glasses Your bill for glasses just got a little smaller. Buy your glasses from a Marshfield Clinic optical facility and receive a 10 percent discount. This even applies if you receive your general eye care at a non-Marshfield Clinic provider. Just take your prescription along and show your Security Health Plan ID card.

Marshfield Clinic Optical Centers

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Eau Claire Center Clinic Optical 2116 Craig Rd. Eau Claire, WI 54701 715-858-4777

Marshfield Center Clinic Optical 1000 N. Oak Ave. Marshfield, WI 54449 715-387-5695

Marshfield Eye Center 409 N. Chestnut Ave. Marshfield, WI 54449 715-221-8490

Minocqua Center Clinic Optical 9601 Townline Rd. Minocqua, WI 54548 715-358-1499

Get the coverage you deserve Find high-quality health care You want health care that meets your and your family’s needs. With Security Health Plan, that’s what you get. • We are a Tier 1 health plan. You pay the lowest out-of-pocket costs. • We have 5,500 doctors and medical providers, and 42 hospitals in 32 counties. • If you have a serious medical issue, we have nurses who can help coordinate your care. • If you have a chronic health issue, we can help take care of it.

“Excellent” Accreditation 11 years in a row You expect exceptional coverage and service, and we are happy to deliver it. We want to do what’s best for you, so we’ve chosen to undergo regular reviews from the National Committee for Quality Assurance (NCQA). These rigorous reviews test our standards and the care we provide to members. Not every health plan volunteers for the reviews, and not every plan receives “Excellent” Accreditation, the highest ranking available. But we have every year since 2002.

Park Falls Center Clinic Optical 50 Sherry Ave. Park Falls, WI 54552 715-762-7241

COMING SOON! Stevens Point Center Clinic Optical 4100 State Highway 66 Stevens Point, WI 54482-8410 800-398-7408

Wausau Center Clinic Optical 2727 Plaza Dr. Wausau, WI 54401 715-841-4966

Wisconsin Rapids Center Clinic Optical 220 24th St. South Wisconsin Rapids, WI 54494 715-424-8688

Specialists, referrals and out-of-network care We have more than 5,500 providers If you need to go to a specialist, including for behavioral health and in-patient hospital care, you may see any provider listed in the Provider Directory without a referral. It is a good idea to discuss your care with your primary care provider first so that it can be better coordinated. If a provider suggests you receive care from someone other than your regular provider, you will need to find out whether the provider is in Security Health Plan’s network. You can find an affiliated provider in any of the following ways: • Review your Security Health Plan Provider Directory. • Check our website at www.securityhealth.org/directory • Contact our us at 1-800-472-2373.

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Your out-of-area students are covered If a dependent is a full-time student attending school outside the Security Health Plan service area the following services will be covered: • Urgent or emergency care. Non-urgent follow-up care out of the service area must be prior authorized by Security Health Plan or it will not be covered. • Outpatient mental health services and treatment of alcohol or drug abuse if the dependent is a full-time student attending school in Wisconsin, but outside of the plan service area. In this case, the dependent may have a clinical assessment by a non-plan provider that Security Health Plan designates. If outpatient services are recommended, coverage will be provided for five (5) visits outside the plan’s service area. Additional visits must be approved by Security Health Plan. If the student is unable to maintain full-time student status, he/she must return to the plan’s service area for treatment to be covered. Eligible child dependents who are full-time students at an accredited vocational school, accredited technical school, accredited adult education school, accredited college or accredited university living outside the service area for the purpose of school may obtain follow-up care from non-affiliated providers near their school. This does not include students in secondary schools. Coverage for follow-up services provided by non-affiliated providers is limited to services received within 120 days after receipt of urgent or emergency care, or within 120 days after medical service for an injury, surgery or acute illness provided by an affiliated provider or a Security Health Plan approved referral provider. Routine care, such as an annual physical exam or contraceptive care, is not considered follow-up care. You must contact our Customer Service Department at 1-800-472-2363 to request a referral authorization prior to receiving follow-up services from a non-affiliated provider.

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Do your health a favor and get $150 Save time online With Security Health Online, you can take advantage of a convenient and secure way to better manage your Security Health Plan coverage. Security Health Online lets you: • Track personal benefit limits • Participate in our online wellness programs • Request ID cards

Wellness incentives We encourage you to visit your primary care provider, and to learn your cholesterol, blood pressure and blood glucose numbers. This is important for your lifelong health. This year, Security Health Plan will offer two options for you to receive your wellness incentives.

Option 1: Visit an onsite biometrics event and complete your health assessment. Option 2: Visit your primary care provider for a preventive visit along with a glucose and cholesterol screening. After you have your results, complete your online health assessment. Either option will earn you and any over-18 Security Health Plan member $150. Incentives will be mailed by the end of the month after the end of the quarter. For example, March 30 is the last day of the first quarter. You will be paid by the end of April. You must complete your annual health assessment and biometrics within the calendar year to be paid. Also, have your provider fax us the Biometric Screening Results form included in your member materials. The form also is available at www.securityhealth.org/state.

CONVENIENT

Online Access ANY TIME. ANY DAY. 8

Extra help when you need it Think of us as an extension of the care you receive from your doctors. Our health experts, including nurses and social workers, can help you with:

• A behavioral health or mental condition

• Chronic obstructive pulmonary disorder (COPD)

• A chronic illness that requires you to take many medications

• Depression

• Adult and child asthma • Adult diabetes • AIDS

• High blood pressure • Serious trauma • Transplants • Uncontrolled pain

• Cholesterol

Kick your tobacco habit There’s no question that quitting tobacco use is difficult. Fortunately, you don’t have to go it alone. With Security Health Plan’s Tobacco-Free Program, you’ll have a health coach with you every step of the way at no cost to you. Your health coach will help you:

• Know the facts about tobacco



• Find the reasons why you smoke



• Discover tools to help you quit



• Learn to manage stress

Our nurse coaches can help you manage

on-going health issues.



Preventive care designed for you Security Health Plan offers high-quality preventive care at no cost to you. A complete list of preventive services can be found by visiting www.securityhealth.org/state. Here’s a partial list of the services covered:

GENERAL PREVENTIVE CARE FOR ADULTS Comprehensive physical examination (complete physical) • Well-baby care • Adolescent well-care

• Well-child care • Adult well-care

Gynecological examination for women (breast exam and pelvic exam) Mammogram to screen for breast cancer beginning at age 40 Pap smear to screen for cervical cancer Colonoscopy screening for colorectal cancer for members beginning at age 50 Other screening for colorectal cancer beginning at age 50 • Sigmoidoscopy

• Fecal occult blood test

PREVENTIVE CARE FOR WOMEN AND PREGNANT WOMEN Anemia screening Bacteriuria screening Hepatitis B virus (HBV) infection screening PREVENTIVE CARE FOR CHILDREN AND ADOLESCENTS Congenital hypothyroidism screening in newborns Hearing screening for newborns Screening for sickle cell disease in newborns Lead screening Vision screening for children 5 and under

Specific benefit coverage Go to www.securityhealth.org/state for more information or to find out whether your doctor is included in our network. You also can reach us at 1-855-262-8941. 11

SECURITY HEALTH PLAN OF WISCONSIN, INC. PO BOX 8000 MARSHFIELD, WI 54449-8000

Nonprofit Organization U.S. Postage PA I D Security Health Plan of Wisconsin, Inc.

1515 North Saint Joseph Avenue PO Box 8000 Marshfield, WI 54449-8000 1-855-262-8941 Fax 715-221-9500 www.securityhealth.org HP-30031 (08/13) © 2013 Security Health Plan of Wisconsin, Inc.