It's Your Choice 2013 - Decision Guide (ET-2128d-13) - ETF
It's Your Choice 2013 - Decision Guide (ET-2128d-13) - ETF
It's Your Choice 2013 - Decision Guide (ET-2128d-13) - ETF
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Security Health Plan<br />
(800) 472-2363 or (715) 221-9555<br />
securityhealth.org/state<br />
Overall Quality Rating<br />
See Report Card section<br />
What’s New for <strong>20<strong>13</strong></strong><br />
We want wellness to be a way of life, so<br />
this year we’ve added incentives to help<br />
you get there! Members who participate<br />
in our wellness programs can earn up to<br />
$150 for a single or $300 for a family. Also,<br />
by completing your health risk assessment<br />
and obtaining your biometrics before the<br />
end of the first quarter you’ll be entered<br />
in a drawing for one of 10 iPad’s that we’ll<br />
be giving away. You can find out more<br />
about these and other fabulous benefits at<br />
securityhealth.org/state<br />
Provider Directory<br />
Visit securityhealth.org/state and click<br />
on Provider Directory. For a printed copy,<br />
contact customer service at (800) 472-2363.<br />
Referrals and Prior Authorizations<br />
Referrals: Required prior to seeing providers<br />
outside of the network.<br />
Prior authorizations: Required for certain<br />
services. See Security’s Member Handbook<br />
or call customer service for more<br />
information. You or your doctor must submit<br />
the request; Security Health Plan will notify<br />
you in writing of its decision.<br />
Care Outside Service<br />
Area<br />
For emergency and<br />
urgent care outside<br />
of the network, you<br />
must notify Security<br />
Health Plan by the next<br />
business day or as soon<br />
as possible to ensure<br />
appropriate claim<br />
payment.<br />
Qualified Plan<br />
Non-Qualified Plan<br />
See Glossary for definitions<br />
All other care from<br />
providers outside of<br />
the network will not be<br />
covered unless a referral has been approved<br />
by Security Health Plan, as explained above.<br />
Mental and Behavioral Health Services<br />
You may see any provider in the network for<br />
mental/behavioral health care. You do not<br />
need a referral or authorization.<br />
Dental Benefits<br />
No routine dental coverage provided.<br />
Health Risk Assessment Information for Enrolled Members at:<br />
securityhealth.org/lifefocus<br />
<strong>Decision</strong> <strong>Guide</strong> Page 48