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

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Coronavirus (COVID-19) information for members

This webpage includes answers to questions you may have about coronavirus (COVID-19), along with resources you can use to help protect yourself, your family and others. We will update this page as information becomes available.  There will be no out-of-pocket cost to Security Health Plan members for the COVID-19 vaccine. The Wisconsin Department of Health Services determines who is eligible to receive the COVID-19 vaccine. Click the button to learn more.

Special enrollment period available for individual and family plans

The Centers for Medicare and Medicaid Services (CMS) announced a Special Enrollment Period (SEP) that re-opened enrollment to the Health Insurance Marketplace from Feb. 15 through Aug. 15, 2021. During this time you can change your coverage to any available plan in your area.

 

This SEP does not require a qualifying event (such as loss of a job or birth of a child), which is typically required for SEP eligibility. This SEP enables anyone eligible for a Marketplace plan to submit a new application or update an existing application.

Additional information about this SEP can be found here.

To review plans to find one that fits your and your family’s needs, click  here.

To see if you qualify and can obtain coverage get started at www.HealthCare.gov.

To learn more about special enrollment periods go to www.securityhealth.org/SEP.

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. At this time the National Health Emergency extends until July 21, 2021. 

Security Health Plan 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 testing-related services Serological or antibody testing and testing-related services COVID Vaccines, preventive service/items Inpatient and observation treatment related to COVID-19 Out-of-network coverage Telehealth
Medicare Advantage HMO-POS
Covered at 100%4

Until the end of the National Public Health Emergency 
Covered at 100%

Until the end of the National Public Health Emergency 
Covered at 100%2 Covered at 100%

Until the end of the National Public Health Emergency 

Services at out-of-network facilities will have the same cost share as in network.

Until the end of the National Public Health Emergency 

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 Covered subject to plan deductible
Covered at 100%2 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

Covered at 100%4

Until the end of the National Public Health Emergency 

Covered at 100%

Until the end of the National Public Health Emergency 

Covered at 100%2 Your Security Health Plan and Medicaid coverage will coordinate to cover at 100%

Services at out-of-network facilities will have the same cost share as in network.

Until the end of the National Public Health Emergency 

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

Covered at 100%4

Until the end of the National Public Health Emergency 

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 

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

Covered at 100%4

Until the end of the National Public Health Emergency  

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 

 

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

Covered at 100%4

Until the end of the National Public Health Emergency

Covered at 100%

Until the end of the National Public Health Emergency

Covered at 100%3

Covered at 100%

Until the end of the National Public Health Emergency

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

Covered at 100%4

Until the end of the National Public Health Emergency

Covered at 100%

Until the end of the National Public Health Emergency

Covered at 100%3

Covered at 100%

Until the end of the National Public Health Emergency

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)

Covered at 100%4

Until the end of the National Public Health Emergency

Covered at 100%

Until the end of the National Public Health Emergency

Covered at 100%3

Covered at 100%

Until the end of the National Public Health Emergency

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.
BadgerCare Plus (Medicaid) Covered at 100%4 Covered at 100% Covered at 100%3 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%4

Until the end of the National Public Health Emergency

Covered at 100%

Until the end of the National Public Health Emergency

Covered at 100%3

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%4

Until the end of the National Public Health Emergency

Covered at 100%

Until the end of the National Public Health Emergency

Covered at 100%3

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%4

Until the end of the National Public Health Emergency

Covered at 100%

Until the end of the National Public Health Emergency

Covered at 100%3 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%4

Until the end of the National Public Health Emergency 

Covered at 100%

Until the end of the National Public Health Emergency 

Covered at 100%3 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.

2 The COVID vaccine and its administration are covered by the Centers for Medicare and Medicaid Services (CMS) for 2020 and 2021. Providers will submit claims directly to Medicare. Please have your red, white and blue Medicare card with you when you get your COVID vaccine. You must provide your Medicare number or Social Security number to the provider so they can bill Medicare directly. If you refuse to provide your traditional Medicare insurance information to the provider for billing purposes, you may become financially liable for the service.

3 The cost of the COVID-19 vaccine is covered by the federal government. The cost to administer the vaccine will be paid by Security Health Plan. 

4COVID-19 services not received on the same day as a COVID-19 test (unless admitted to inpatient/observation) will apply to your plan’s normal cost-sharing.


COVID-19 Helpline

For NON-SYMPTOMATIC questions regarding COVID-19, call the Marshfield Clinic Health System COVID-19 helpline at 1-877-998-0880. This line is open 24 hours a day, 7 days a week.

Experiencing symptoms?

Anyone experiencing symptoms of a fever, cough or shortness of breath, or concerned they may have been exposed to COVID-19, are encouraged to call the 24-hour Nurse Line at 1-800-549-3174 before visiting a doctor’s office, urgent care, hospital or emergency room.

Practice social distancing: Please call for service

To help prevent the spread of COVID-19, we have closed our building to visitors until further notice. For quick, personalized service please call or use our online services:


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?

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 chloroquine phosphate used to treat for 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?

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?

Pharmaceutical questions

I have seen /heard that some insurances are allowing early refills on medications due to COVID and recommendations to avoid crowds and stay home. May I have an early refill on my medication?

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?

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?

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

Is there a shortage of acetaminophen (Tylenol® and ibuprofen (Advil®)?

What are alternative pain treatment options if needed?

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

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 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.

 

 

Last update: Feb. 17, 2021