We’ve got you covered

Please find your plan in the left column of the table below to see the COVID-19 benefits and services included with your plan. If you have any questions call the phone number on the back of your Security Health Plan ID card or our general Customer Service line at 1-800-472-2363.

Certain COVID-19 benefits shown in the chart below are applicable until the end of the National Health Emergency.

Security Health Plan members other than Medicare Advantage HMO-POS members who need to get care from an out-of-network provider during the COVID-19 health emergency should contact a Security Health Plan Nurse Navigator at 1-800-472-2363.

	Active COVID-19 testing and office visit	Serological or antibody testing and office visit	COVID vaccines, preventive service/items	Inpatient and observation treatment related to COVID-19	Out-of-network coverage (Does not apply to Supplemental Benefits after Oct. 23, 2020)	Telehealth
Medicare Advantage HMO-POS	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will be subject to plan cost sharing. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. Security Health Plan will not reimburse for the cost of over-the-counter COVID-19 antigen tests.² For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing.	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will be subject to plan cost sharing. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing.	Covered at 100%	Covered at 100% for dates of service on or before Dec. 31, 2021. For dates of service on or after Jan. 1, 2022, services will be subject to applicable plan cost sharing.	Services at out-of-network facilities will have the same cost share as in network. Effective for dates of service Jan. 1, 2022, all out of network authorizations will be reinstated. Please refer to your Evidence of Coverage for services that require authorization.	All Medicare-covered, medically necessary telehealth services will be covered the same as if the visit was in the office. You have free, unlimited coverage for Care My Way services.
Secure Saver MSA	Covered subject to plan deductible Security Health Plan will not reimburse for the cost of over-the-counter COVID-19 antigen tests.²	Covered subject to plan deductible	Covered subject to plan deductible.	Covered subject to plan deductible	MSA plan members may use any provider that accepts Medicare.	All Medicare-covered, medically necessary telehealth services will be covered the same as if the visit was in the office. You have free, unlimited coverage for Care My Way services. Until the end of the National Public Health Emergency
Ally Rx D-SNP	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will be subject to plan cost sharing. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. Security Health Plan will not reimburse for the cost of over-the-counter COVID-19 antigen tests.² For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing.	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will be subject to plan cost sharing. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing.	Covered at 100%	Your Security Health Plan and Medicaid coverage will coordinate to cover at 100%	Effective for dates of service Jan. 1, 2022, all out of network authorizations will be reinstated. This includes authorizations to see out of network providers. Please refer to your Evidence of Coverage for services that require authorization.	All Medicare-covered, medically-necessary telehealth services will be covered. Your Security Health Plan and Medicaid coverage will coordinate to cover at 100% without member cost share. You have free, unlimited coverage for Care My Way services.
Medicare Supplement	COVID-19 testing and office visit will be covered supplemental to Medicare.	COVID-19 testing and office visit will be covered supplemental to Medicare.	Covered at 100%	Covered supplemental to Medicare	Medicare Supplement members may use any provider that accepts Medicare.	All Medicare-covered, medically necessary telehealth services will be covered the same as if the visit was in the office. You have free, unlimited coverage for Care My Way services. Until the end of the National Public Health Emergency
Medicare Select: Senior Security	COVID-19 testing and office visit will be paid supplemental to Medicare when performed by an in-network provider unless considered urgent/emergent.	COVID-19 testing and office visit will be paid supplemental to Medicare when performed by an in-network provider unless considered urgent/emergent.	Covered by CMS at 100%	Paid supplemental to Medicare when performed by an in-network provider unless considered urgent/emergent.	Services must be received from Security Health Plan affiliated providers unless services are urgent/emergent.	All Medicare-covered, medically necessary telehealth services will be covered the same as if the visit was in the office. You have free, unlimited coverage for Care My Way services. Until the end of the National Public Health Emergency
Large employer group	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will not be covered and all costs will be denied as member responsibility. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing. Your plan will cover up to 8 over-the-counter COVID-19 antigen rapid at-home tests per member per month at a cap of $12 per test. Click here to learn more.	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will not be covered and all costs will be denied as member responsibility. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing.	Covered at 100%	Covered at 100% for dates of service on or before Dec. 31, 2021. For dates of service on or after Jan. 1, 2022, services will be subject to applicable plan cost sharing	Contact Customer Service for specific plan benefits.	An expanded list of services¹ may be provided via telehealth and will be subject to the same copay or coinsurance as if the visit were in office. Includes free, unlimited coverage for Care My Way services.
Small employer group	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will not be covered and all costs will be denied as member responsibility. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing. Your plan will cover up to 8 over-the-counter COVID-19 antigen rapid at-home tests per member per month at a cap of $12 per test. Click here to learn more.	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will not be covered and all costs will be denied as member responsibility. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing.	Covered at 100%	Covered at 100% for dates of service on or before Dec. 31, 2021. For dates of service on or after Jan. 1, 2022, services will be subject to applicable plan cost sharing	Contact Customer Service for specific plan benefits.	An expanded list of services¹ may be provided via telehealth and will be subject to the same copay or coinsurance as if the visit were in office. Includes free, unlimited coverage for Care My Way services.
Individual and Family Plan (IFP)	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will not be covered and all costs will be denied as member responsibility. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing. Your plan will cover up to 8 over-the-counter COVID-19 antigen rapid at-home tests per member per month at a cap of $12 per test. Click here to learn more.	Effective for dates of service on or after Jan. 1, 2022, COVID-19 testing done for travel, employment or other not medically necessary reasons will not be covered and all costs will be denied as member responsibility. The medical office visit charge to determine the need for COVID-19 testing and medically necessary COVID-19 testing will be covered at 100% until the end of the National Public Health Emergency. Any other diagnostic or treatment services provided during the office visit (e.g. lab tests, X-rays, CT scans, etc.) not performed to determine the need for a COVID-19 test will be subject to applicable plan cost sharing. For dates of service after the National Public Health Emergency medically necessary COVID-19 testing and office visit will be subject to applicable plan cost sharing.	Covered at 100%	Covered at 100% for dates of service on or before Dec. 31, 2021. For dates of service on or after Jan. 1, 2022, services will be subject to applicable plan cost sharing	Contact Customer Service for specific plan benefits.	An expanded list of services¹ may be provided via telehealth and will be subject to the same copay or coinsurance as if the visit were in office. Includes free, unlimited coverage for Care My Way services.
Medicaid Managed Care Plan	Covered at 100% Security Health Plan will not reimburse for the cost of over-the-counter COVID-19 antigen tests.³	Covered at 100%	Covered at 100%	Covered at 100%	COVID-19 testing and treatment received at out of network facilities will be considered emergent and covered the same as in network indefinitely.	All covered services may be provided via telehealth at no cost to you. You have free, unlimited coverage for Care My Way services.
Marshfield Clinic Health System employees (self-funded non-governmental employer)	Covered at 100% until the end of the National Public Health Emergency. Your plan will cover up to 8 over-the-counter COVID-19 antigen rapid at-home tests per member per month at a cap of $12 per test. Click here to learn more.	Covered at 100% until the end of the National Public Health Emergency.	Covered at 100%	Covered at 100% until the end of the National Public Health Emergency.	Please call Security Administrative Services at 1-800-570-8760 for details.	An expanded list of services¹ may be provided via telehealth and will be subject to the same copay or coinsurance as if the visit were in office. Includes free, unlimited coverage for Care My Way services.
Marshfield Clinic Health System-Beaver Dam employees (self-funded non-governmental employer)	Covered at 100% until the end of the National Public Health Emergency. Your plan will cover up to 8 over-the-counter COVID-19 antigen rapid at-home tests per member per month at a cap of $12 per test. Click here to learn more.	Covered at 100% until the end of the National Public Health Emergency.	Covered at 100%	Covered at 100% until the end of the National Public Health Emergency.	Please call Security Administrative Services at 1-800-570-8760 for details.	An expanded list of services¹ may be provided via telehealth and will be subject to the same copay or coinsurance as if the visit were in office. Includes free, unlimited coverage for Care My Way services.
Governmental self-funded groups	Covered at 100% until the end of the National Public Health Emergency. Your plan will cover up to 8 over-the-counter COVID-19 antigen rapid at-home tests per member per month. Click here to learn more.	Covered at 100% until the end of the National Public Health Emergency.	Covered at 100%	Please call Security Administrative Services at 1-800-570-8760 for details.	Please call Security Administrative Services at 1-800-570-8760 for details.	Please call Security Administrative Services at 1-800-570-8760 for details.
Non governmental self-funded groups	Covered at 100% until the end of the National Public Health Emergency. Your plan will cover up to 8 over-the-counter COVID-19 antigen rapid at-home tests per member per month. Click here to learn more.	Covered at 100% until the end of the National Public Health Emergency.	Covered at 100%	Please call Security Administrative Services at 1-800-570-8760 for details.	Please call Security Administrative Services at 1-800-570-8760 for details.	Please call Security Administrative Services at 1-800-570-8760 for details.

¹ The expanded list of services available via telehealth includes, but is not limited to behavioral health, office visits/consultations, care management and outpatient therapy.

²Beginning April 4, 2022, Medicare will cover up to eight over-the-counter COVID-19 tests, per calendar month, for members with Medicare Part B coverage – this includes both Medicare Advantage and Medicare Supplement plan members. Tests are available from participating pharmacies with no out-of-pocket costs. Click here to learn more from the Centers for Medicare and Medicaid Services (CMS). This benefit is managed by Medicare and not your Medicare Advantage plan, call 1-800-Medicare (1-800-633-4227) with any questions about this initiative. Please note any COVID-19 OTC tests purchased outside of this benefit are not covered and cannot be submitted to Security Health Plan for reimbursement.

³Medicaid Managed Care Plan members can get up to eight over-the-counter COVID-19 tests per month from Medicaid-enrolled pharmacies at no cost. Members must go to a pharmacy or pharmacy counter that will check their ForwardHealth ID card. A ForwardHealth card or a digital version available on the MyAccess mobile app is required.

Protect yourself and your information from scammers

There have been reports of people trying to use the fear of COVID-19 to run scams. Some of these scams are over the phone, via email and others are in the home. These scams include promises of in-home testing for COVID-19 or to mail you an at-home test for the virus. These are not legitimate. If you do not know a caller or are unable to verify the call is legitimate, do not provide your personal information. Do not open your home to strangers. If you think you may have been scammed, report your experience by calling the Wisconsin Department of Agriculture, Trade and Consumer Protection at 1-800-422-7128 or online at www.DATCP.WI.gov.

Prevention, testing and treatment questions

How can I protect myself from getting sick?

COVID-19 spreads when you touch surfaces that have the virus on them, or via droplets from coughs or sneezes.
The best way to protect yourself and others from a number of illnesses, including COVID-19, is to wash your hands often, cover coughs and sneezes, and stay home when you are sick. Click here for more tips on how to protect yourself from COVID-19.

Are antibiotics effective in preventing or treating COVID-19?

No, antibiotics do not work against viruses; they only work on bacterial infections. Antibiotics do not prevent or treat coronavirus disease (COVID-19), because COVID-19 is caused by a virus, not bacteria. Some patients with COVID-19 may also develop a bacterial infection, such as pneumonia. In that case, a health care professional may treat the bacterial infection with an antibiotic.

Is VEKLURY™ (remdesivir) (J0248) antiviral medication covered when administered in an outpatient setting?

Security Health Plan will cover three infused doses of VEKLURY™ (remdesivir) in the outpatient setting for treatment of COVID-19, subject to members’ plan benefits. Veklury^TM (remdesivir) is covered by Security Health Plan for employer, individual and family, and most Medicare plans.

It is currently not covered by ForwardHealth for Medicaid plans, BadgerCare Plus and SSI. Security Health Plan will follow ForwardHealth guidance for future updates.
Currently for Ally Rx D-SNP (dual-eligible special needs plan), members must pay the 20% Medicare cost-share. Normally the Medicare cost-share is covered by Medicaid, but at this time Medicaid is not covering this drug.
It is not covered by the Family Health Center program.

Is chloroquine phosphate used to treat COVID-19?

No. The US Food and Drug Administration has revoked chloroquine phosphate as a treatment for COVID-19.

How much will it cost me to get testing, treatment and vaccinations?

There will be no out-of-pocket costs for the COVID-19 vaccine.
See the table above for details on testing and treatment coverage based on your plan type.

If I have COVID-19, can I infect my pet? Can I get COVID-19 from my pet?

People sick with COVID-19 should limit contact with everyone – including animals. When possible, have another member of your household care for your animals while you are sick. If you are sick with COVID-19, avoid contact with your pet, including petting, snuggling, being kissed or licked, and sharing food. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with pets. Global health organizations are monitoring the outbreak’s potential impact on animal health and will notify the public if new information becomes available.

What is telehealth?

Telehealth is an appointment with your health care provider done virtually. These appointments are done over a secure two-way interactive video connection or telephonically. Click here to read more about this option.
Learn more about telehealth from services from Marshfield Clinic Health System here.

Pharmaceutical questions

I am at increased risk for COVID due to age (elderly), immunocompromised, or chronic health condition (examples include lung disorders such as chronic obstructive pulmonary disease (COPD), cardiovascular disease such as congestive heart failure, uncontrolled diabetes); should I go in to the pharmacy to pick up my prescriptions?

Our recommendation is to avoid situations in which there may be large crowds to reduce your risk of potential exposure to the virus. We suggest that you contact your pharmacy to request your medication be delivered via mail. If your pharmacy does not mail, Marshfield Clinic Pharmacies can obtain your prescription and mail your refill to your home address. Please call 715-389-5900. Please allow at least 7 days for your package to arrive.
You may also use our contracted mail order pharmacy at MedImpact Direct. Call 1-855-873-8739 (TTY 711) for more information.

I am planning on traveling for vacation and want to be sure that I have enough medication for vacation plus extra in case of a quarantine situation. Can I obtain an early refill?

Security Health Plan’s employer coverage and Medicare plans with Part D prescription drug coverage allow up to a 90-day supply of chronic maintenance medications. Individual and family plan coverage is limited to a 30-day supply. All specialty medications are limited to a one-month supply.

Will I be allowed more than a 30- or 90-day supply on refills?

Security Health Plan’s employer coverage and Medicare plans with Part D prescription drug coverage allow up to a 90-day supply of chronic maintenance medications. Individual and family plan coverage is limited to a 30-day supply. Exceptions are Schedule II controlled substances, which are limited to a 34-day supply per federal law, and specialty medications which are limited to a one-month supply.

Should NSAIDs [e.g., ibuprofen (Advil®), naproxen (Aleve®)] be used as a treatment option for patient with symptoms of COVID-19?

Currently, we have no evidence that NSAIDs increase the risk of serious complications or acquiring the virus that causes COVID-19.
Available NSAIDs include (not all-inclusive): celecoxib, diclofenac, etodolac, ibuprofen, indomethacin, ketoprofen, ketorolac, meloxicam, nabumetone, naproxen, oxaprozin, piroxicam
NSAIDs can also have adverse kidney and GI effects particularly in patients who are older, have multiple comorbidities and/or are immunocompromised, which are the populations that are at the highest risk for severe COVID-19 infection. In high-risk patients, acetaminophen is commonly recommended as an alternative for the treatment of fever.

Will the revocation of the emergency use authorization (EUA) impact the use of hydroxychloroquine sulfate (HCQ) or chloroquine phosphate (CQ) for their FDA-approved uses?

No, the revocation does not change the approvals of these drugs. Some versions of CQ are approved for the treatment of malaria, and HCQ is still approved for the treatment of malaria, lupus, and rheumatoid arthritis. FDA has determined that the drugs are safe and effective for these uses when used in accordance with their FDA-approved labeling, and patients prescribed these drugs for their approved uses should continue to take them as directed by their healthcare providers. There is no new information that impacts the FDA’s conclusions about the safety and efficacy of CQ or HCQ for their currently approved uses.

For further information on the FDA decision, click here.

Security will only accept orders for the over-the-counter (OTC) credit online or by phone

We will not accept any orders for the over-the-counter (OTC) credit through the mail or fax. All orders must be placed online or by phone.

If you are the plan subscriber, or policy-holder, you can quickly place your next order through your My Security Health Plan account.
- If you haven’t registered for an account, you can register here .
We are limiting the order quantity of certain OTC items. Some products may be temporarily unavailable. We appreciate your understanding and patience and will do our best to fulfill your order as quickly as possible, although there may be a delay due to high demand.
If you require further assistance, call the number on the back of your ID card or our general Pharmacy Customer Service line at 1-877-216-8533.

Last update: April 6, 2022

Information from your health plan about COVID-19 (coronavirus disease)

Coronavirus (COVID-19) information for members