Get Prescription Drug Information
For Ally Rx D-SNP prescription drug information, click here.
$2,400 Part D out-of-pocket limit; $0 copays for many prescription drugs
Once you have spent $2,400 out of pocket for the year, you enter the Catastrophic Coverage Stage and pay nothing for your covered Part D drugs through the end of the year. This limit applies to all Medicare plans with Part D prescription drug coverage.
Security Health Plan Part D members pay $0 for select generic drugs used to treat certain acute and chronic conditions as well as recommended adult vaccines.
Medicare prescription payment plan
The Medicare Prescription Payment Plan is a payment option that works with your current drug coverage to help you manage your out-of-pocket Medicare Part D drug costs by spreading them across the calendar year. Anyone with a Medicare Advantage Plan that covers Part D prescription drugs can use this payment option. All Medicare plans with drug coverage offer this payment option, and participation is voluntary.
You can choose to participate in the Medicare Prescription Payment Plan when you enroll in a Security Health Plan Medicare Advantage plan that includes Part D prescription drug coverage. Detailed information can be found in the Centers for Medicare & Medicaid Services (CMS) fact sheet, “What’s the Medicare Prescription Payment Plan?”
Cost savings on insulin
You pay a 25% coinsurance with a limit of a $35 copay per 1-month supply of each covered insulin products until you reach the Catastrophic Coverage Stage. In the Catastrophic Coverage Stage, you pay $0 for all Medicare-covered Part D prescription drugs.
For more information regarding insulin products, click the “View 2026 formulary and pharmacy tool” above, choose “Antidiabetic Agents,” then “Insulins.” If you need help finding an insulin, please call our pharmacy benefit specialists at (877) 873-5611 (TTY 711). We are open Monday through Friday, 8 a.m. to 5 p.m.
NOTE: Insulin administered through a Medicare-covered insulin pump is exempt from the Part B deductible. Adjustments have been made so that coinsurance for a month’s supply of such insulin does not exceed $35.
Getting help from Medicare - If you chose this plan because you were looking for insulin coverage at $35 a month or less, it is important to know that you may have other options available to you at even lower costs because of changes to the Medicare Part D program. Contact Medicare, at 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week for help comparing your options. TTY users should call (877) 486-2048.
Additional resources to help – Please contact customer service number at (877) 998-0998 or (715) 221-9897 for additional information. TTY users should call 711. Customer service hours are 7 days a week, 8 a.m. to 8 p.m., Oct. 1 March 31; and Monday through Friday, 8 a.m. to 8 p.m., April 1 Sept. 30.
How are my prescription drugs covered?
Get the most value out of your pharmacy benefit by understanding the formulary for your health insurance plan. Look up your prescriptions and learn what tier your drugs are in. The tier tells you how much you will pay for your prescriptions.
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What's a formulary?
A formulary is a list of drugs covered by your plan. -
What's your formulary used for?
Use the formulary to look up your prescriptions to see what tier they are on, quantity limits, prior authorization or step therapy requirements. -
What's a drug tier?
A tier tells you how much you will have to pay for your prescriptions.
Other Part D information
Low income
Subsidy Extra Help from Medicare for your drug costs and premiums
If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Extra Help from Medicare. The amount of Extra Help you get will determine your total monthly plan premium as a member of our plan. This table shows you what your monthly plan premium will be if you get Extra Help.
| Plan | 2026 Total Premium | 2026 Total Premium with LIS |
|---|---|---|
| Legacy Rx (HMO-POS) | $269 | $0 |
| Essence Rx (HMO-POS) | $65.90 | $0 |
| Esteem Rx (HMO-POS) | $0 | $0 |
| Plan | 2027 Premium | 2027 Premium with LIS |
|---|---|---|
| Legacy Rx (HMO-POS) | $300 | $293.70 |
| Esteem Rx (HMO) | $20 | $20.00 |
| Esteem Rx Silver (HMO-POS) | $65 | $58.70 |
| Esteem Rx Gold (HMO-POS) | $125 | $118.70 |
* This does not include any Medicare Part B premium you may have to pay. It also does not include the dental premium if you selected the optional comprehensive dental benefit.
Self-help tools
My Security Health Plan has tools to provide drug pricing transparency, alternative drugs, history of drug claims and side effect information.
Opioid management
Opioids relieve moderate to severe pain but can have side effects and serious risks. Safety measures help reduce opioid use.
Learn more about safe use of opioids
For Ally Rx D-SNP prescription drug information, click here.
Resources
2027
2027 Medicare Advantage formulary and pharmacy tool
2027 Medicare Advantage Comprehensive formulary
Prescription drug reimbursement form
Prescription drug reimbursement form (PDF)
Optum home delivery order form
Optum home delivery order form (Spanish)
Drug Transition Policy
Drug Safety News
New rules for pain medications
Hospice Information for Medicare Part D Plans
Prescription Drug List updates for 2027 Medicare plans
2026
2026 Medicare Advantage formulary and pharmacy tool
2026 Medicare HMO-POS Comprehensive formulary
Prescription drug reimbursement form
Prescription drug reimbursement form (PDF)
Optum home delivery order form
Optum home delivery order form (Spanish)
Drug Transition Policy
Drug Safety News
New rules for pain medications
Hospice Information for Medicare Part D Plans
Security Health Plan and its agents are not in any way connected with the Medicare program. Security Health Plan of Wisconsin, Inc., is an HMO-POS and D-SNP plan with a Medicare contract and a contract with the Wisconsin Medicaid program. Enrollment in Security Health Plan depends on contract renewal.
Call Customer Service at (877) 998-0998 (TTY 711) for more information.
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H5211_3791_2027_M accepted
Last updated October 1, 2026