Security Health Plan Benefits & Login Help

Security Health Plan Benefits & Login Help is your essential guide to understanding coverage details, member login assistance, and all aspects of this Wisconsin-based health insurance plan. As a not-for-profit Health Maintenance Organization (HMO) affiliated with Marshfield Clinic Health System, Security Health Plan (SHP) serves roughly 220,000–230,000 members. It offers a variety of plans – from Medicaid (BadgerCare Plus) to Medicare Advantage and private insurance – mostly to residents in central, northern, and western Wisconsin. This article covers SHP’s plan benefits, how to apply, using the member portal, finding doctors and pharmacies, customer support, and frequently asked questions.

Security Health Plan stands out for high customer satisfaction and quality service. NAIC data show SHP has 72% fewer customer complaints than the average insurer of its size, and NCQA ratings give it above-average scores (3.5 out of 5) for patient experience and preventive care. It also includes extras like a 24/7 nurse line, wellness programs, and prescription credits. Below we explain key benefits, how to access your account, coverage options, and more, with clear steps and resources for Security Health Plan members.

What Is Security Health Plan?

Security Health Plan of Wisconsin (SHP) is a not-for-profit HMO serving central and northern Wisconsin. Established in 1986 (origins 1971 as Greater Marshfield Community Health Plan), it is part of the Marshfield Clinic Health System. SHP’s provider network includes the Marshfield Clinic and over 1,500 providers in 170 specialties, spanning more than 50 clinic locations across Wisconsin. Today, SHP covers about 220,000+ members with health insurance plans, Medicare Advantage, Medicare Supplement (Medigap), and Medicaid (BadgerCare Plus).

Key Facts: SHP is based in Marshfield, WI (HQ), and focuses on rural areas. Pros: high service quality and plan variety. Cons: higher premiums and limited service area (no coverage in Milwaukee or Madison). It is consistently rated among the top Wisconsin plans for customer service.

• Member Base: ~230,000 members in central/northern WI (HMO service areas).
• Parent System: Part of Marshfield Clinic Health System (with 50+ sites, 1,500+ providers).
• Plan Types: Individual/group HMO, HSA-qualified HDHPs, Medicare Advantage, Medicare Supplement, Medicaid (BadgerCare Plus), and employer plans.
• Network: Integrated with Marshfield Clinic’s network; ~41 counties covered. It also offers a “secure member portal” and mobile apps for easy account access.

Image: A generic health insurance member ID card – Security Health Plan members receive a personalized member card to use when visiting doctors or pharmacies.

Security Health Plan Benefits and Coverage

Security Health Plan provides comprehensive coverage benefits, including preventive care and wellness perks. As an HMO, most benefits require using SHP’s network of doctors and facilities. Key benefits include:

• Preventive Care: 100% coverage for many preventive services (well-child visits, vaccines, screenings) under Affordable Care Act guidelines.
• Wellness & Extras: Access to wellness coaching, online resources, and a 24/7 nurse phone line for health advice. SHP includes extras like a $30 prescription drug credit, gym and weight-loss discounts, and free telehealth coaching for managing stress or quitting smoking. For example, members get 100% coverage on certain medications (like select antidepressants and diabetic supplies) and discounts on eyewear.
• Pharmacy: Comprehensive drug coverage through in-network pharmacies. Members can use mail-order pharmacy (MedImpact Direct) for maintenance medications, and SHP offers medication therapy management to help control costs. (Member portal provides pharmacy info and prescription history.)
• Emergency and Urgent Care: Covered anywhere, with in-network rates for emergencies anywhere in the U.S. Urgent care visits are covered at lower copays at SHP-designated centers.

Security Health Plan works closely with Marshfield Clinic; an affiliation that helps members get integrated care. For example, SHP partners with Delta Dental so members can purchase discounted dental plans if needed. Overall, SHP emphasizes preventive and coordinated care – NCQA ranked it in the top 10% of health plans (across Medicare, Medicaid, private) for 2014-2015.

HMO Structure and Restrictions

As a Health Maintenance Organization (HMO), SHP generally requires members to choose a Primary Care Physician (PCP) and get referrals for specialists (except for OB/GYN). This structure lowers costs but limits out-of-network coverage. It’s important to check providers on SHP’s network: Marshfield Clinic sites dominate, and some rural local providers participate. (Check the online Provider Directory or SHP portal when selecting care.)

SHP also offers High-Deductible Health Plans (HDHPs) with HSA options (Expanded Bronze/Silver tiers). These may be a good choice if you want lower monthly premiums and have access to an HSA.

Applying for Security Health Plan

You can apply for Security Health Plan through different channels depending on eligibility:

1. Marketplace (ACA): Individual and family plans (off-exchange or on HealthCare.gov) may include SHP if you live in SHP’s service area. Check healthcare.gov or insurers’ sites for SHP plan availability.
2. Medicaid (BadgerCare Plus): If eligible (low income, children/pregnant, etc.), you can choose SHP’s BadgerCare HMO. BadgerCare Plus is Wisconsin’s Medicaid program. SHP’s BadgerCare Plan: SHP is an approved Medicaid managed care plan in 49 counties. It covers the same core benefits and includes extra help like care coordination for chronic conditions. Applications are through ACCESS.wi.gov or by contacting SHP’s enrollment line. (SHP staff can assist with eligibility questions.)
3. Medicare: SHP offers Medicare Advantage and Medigap plans. Enrollment is through Medicare.gov or a broker. (SHP Medicare plans often include Part D coverage and SilverSneakers fitness).
4. Employer/Self-funded: Many employers in SHP’s service area offer SHP group plans (HMO, EPO, POS). Contact your HR for plan details. Small employers may see HMO/EPO/POS options; large employers often HMO or POS.

Tip: To find plans and sign up, use the My Security Health Plan member portal or call SHP customer service (1-800-472-2363) for guidance. The portal lets you apply for coverage, track applications, or find brokers.

Security Health Plan Login (My Account Access)

The My Security Health Plan online portal is the hub for managing your plan. After enrolling, members should register at member.securityhealth.org (or via the SHP website under “Members > My Security Health Plan”). Through the portal you can:

• View benefits and claims details
• Check or print your digital ID card
• Find providers (doctor/pharmacy/dentist) in your network
• Access health and wellness resources (health assessments, programs)
• Update personal info and communication preferences

Logging In / Registering: If you’re a new member, click Register Now. You’ll need your member ID, group number, and date of birth. If you forget your password or username, the portal has recovery links. For help, call SHP Member Services at 1-800-472-2363 (TTY 711). Their team is available Mon–Fri, 7 a.m.–5:30 p.m.

Benefits of the Portal: SHP’s site also links to interactive tools, such as a “Find a Doctor” search by specialty or location. The portal pairs with SHP’s mobile app (iOS/Android) so you can access info on the go. Logging in regularly lets you track deductibles and get notifications (e.g. open enrollment reminders).

Member ID Card and Mobile Access

After enrolling, SHP mails you a member ID card. This card shows your name, member ID, group number, and co-pay info. It’s used at doctor’s offices and pharmacies. If you lose it, you can print a temporary copy from the portal. The card also lists important phone numbers and plan name.

Alt: The example image above shows a generic health insurance card for reference.

Safety Tip: Do not share card details publicly. Treat it like any ID or payment card.

For digital convenience, SHP’s portal allows you to view or email your card to your mobile device. Many members also use the SHPlan+ app to display a digital card. Both members and providers can verify coverage through these online tools.

Finding Security Health Plan Doctors and Providers

SHP’s network includes Marshfield Clinic physicians and many rural providers. To ensure coverage:

• Search Online: Use the SHP website’s “Find a Doctor” directory or the portal’s search function. Enter a specialty (e.g. cardiology), location, or doctor name to see in-network options.
• Call Customer Service: SHP Member Services (1-800-472-2363) can help locate doctors or specialists in your plan.
• Use NCQA Ratings: Consider that, by some measures, SHP’s quality of care has strengths and weaknesses. NCQA data show SHP excels in heart disease and diabetes care, but patients rate its doctors slightly lower than other insurers.

Provider Types: Network includes primary care doctors, specialists, hospitals, and urgent care centers. You generally need referrals for specialists. If you have questions about a specific provider or how to get approved for a service, call SHP’s nurse line or Member Services – they can often assist with pre-authorization or second opinions.

Security Health Plan Pharmacy Benefits

Pharmacy coverage is an important SHP benefit. Members typically fill prescriptions at in-network retail pharmacies throughout Wisconsin. Key points:

• Preferred Pharmacy: SHP uses MedImpact as its pharmacy benefits manager. Many local pharmacies participate. You save the most by using preferred pharmacies.
• Mail Order: Through MedImpact Direct, you can get 90-day supplies of maintenance medications by mail at lower cost. Registration info is on the portal.
• Drug Coverage: SHP’s formulary (drug list) covers most generic and brand medications. Tiered copays or coinsurance apply depending on the drug tier. Members can search the formulary on the SHP site to see coverage and costs.
• Specialty Medications: For complex conditions, SHP may use specialty pharmacies. Prior authorization may be required for certain high-cost drugs; Customer Service can guide you through this.
• Medication Management: SHP offers programs like Medication Therapy Management (MTM) for members with chronic conditions. MTM provides personalized reviews by pharmacists to improve outcomes and reduce costs.

Always check your plan materials or call Customer Service if unsure about drug coverage or costs.

Customer Service and Support

Security Health Plan prides itself on award-winning customer service. To get help:

• Member Services: Call 1-800-472-2363 (TTY 711) for general questions, billing, claims, referrals, or coverage info. Representatives are trained to assist with plan details, claims status, and benefit explanations. (They have “Member Advocates” if you feel issues aren’t resolved, you can request one.)
• Medicare Questions: For Medicare Advantage specifics, call 1-877-998-0998 (as noted on SHP materials). SHP has Medicare specialists who can explain plan comparisons.
• Online Resources: The SHP website has FAQs, health articles, and an online form to submit non-urgent questions. They also post updates and news via social media and email.
• Nurse Line: 24/7 Nurse Advice Line for urgent health questions (non-emergency). You can speak to a registered nurse day or night. This service is free for members and is great for guidance on treating symptoms, whether a doctor visit is needed, etc.

Customer Satisfaction: According to NAIC data, only 28% of comparable insurers have fewer complaints than SHP. In short, most members report positive experiences. SHP earned high NCQA marks for member experience, so don’t hesitate to call if you need help.

Applying and Eligibility

To apply for a Security Health Plan:

• BadgerCare Plus (Medicaid): Apply via ACCESS.wi.gov or your county DHS office. In that process, you can select SHP as your health plan choice. SHP’s team can assist new members by phone.
• ACA Plans: Go to HealthCare.gov during open enrollment (or qualify for a special enrollment if eligible) and see if SHP plans are offered in your county. Alternatively, brokers and SHP’s website can provide quotes.
• Medicare: Use Medicare.gov or 1-800-MEDICARE (TTY 855-938-6929) to enroll in SHP’s Medicare Advantage or Medigap plans during enrollment periods. SHP’s Medicare helpline can clarify differences between Advantage and Supplement.
• Switching Plans: If you already have Medicaid, Medicare, or another commercial plan, you may be able to switch to SHP under certain conditions. Contact SHP or your DHS agency for guidance.

Remember to enroll during open enrollment periods, or verify if special circumstances (income change, moving, etc.) qualify you for a special enrollment period.

FAQs about Security Health Plan

Q: How do I find my Security Health Plan login?
A: Go to the My Security Health Plan portal and click Login or Register. If you forget credentials, use the “Forgot Username/Password” links. For help resetting, call 1-800-472-2363 (TTY 711).

Q: What does my Security Health Plan card cover?
A: Your SHP ID card covers all your plan benefits. Show it at doctors’ offices and pharmacies. It lists your PCP and contacts. Preventive services are typically fully covered; copays or coinsurance may apply for other services per your plan document.

Q: Does SHP cover Medicaid (BadgerCare)?
A: Yes. SHP participates in BadgerCare Plus. Low-income individuals, families, children, and pregnant persons can choose SHP HMO for Medicaid coverage. The benefits are similar to other SHP plans, with extra care coordination programs.

Q: Are Marshfield Clinic doctors in-network?
A: Yes, almost all Marshfield Clinic providers are in SHP’s network due to the partnership. For other doctors, use the SHP provider directory to confirm network status before visiting.

Q: How can I apply for Security Health Plan coverage?
A: Visit HealthCare.gov for ACA plans, ACCESS.wi.gov for Medicaid, or Medicare.gov for Medicare plans. You can also call SHP Member Services to get assistance with enrollment options.

Q: Where can I compare Security Health Plan reviews?
A: Independent review sites (e.g. ValuePenguin) rate SHP highly for customer service but note the limited service area. The SHP website may also list testimonials. Reviews emphasize SHP’s ease of claims processing and member support.

Conclusion

Security Health Plan offers comprehensive benefits and strong member support, especially for Wisconsin’s rural communities. Whether you’re signing up for the first time or managing existing coverage, remember to leverage the My Security Health Plan portal and customer service resources. From finding a doctor to understanding your coverage details, SHP aims to make health care more accessible and affordable for its members. If you have any questions about Security Health Plan login, benefits, or providers, refer to this guide or contact SHP directly. You can also share this article to help others learn about SHP’s plans and services.

Sources: Official data and reviews on Security Health Plan, plus SHP member resources.