Six easy ways to enroll:

  1. To enroll for a 2014 plan, use our fast, easy-to-use application.
  2. Call today to receive an application you can begin filling out at home: 1-877-998-0998 or 715-221-9897 (TTY: 1-877-727-2232) from 8 a.m. to 8 p.m., seven days a week.
  3. Contact your Security Health Plan agent.
  4. Email us at shpcsweb@marshfieldclinic.org to request an application be mailed to you.
  5. Stop by any of our offices.  
  6. Print and mail our enrollment application. If you need an alternative format or translation, please contact Security Health Plan.

    Mail your completed application to:
    Security Health Plan
    1515 N. Saint Joseph Avenue
    P.O. Box 8000
    Marshfield, WI 54449-8000

Enrollment periods:
Initial Enrollment Period

The Initial Enrollment Period begins three months prior to the month an individual becomes eligible for Medicare, the month they become eligible, plus three months after they become eligible. This would mean an individual first eligible for Medicare in June, has an Initial Enrollment Period from March 1 to September 30.

Annual Enrollment Period

The Annual Enrollment Period runs from October 15 through December 7. During this time beneficiaries may change prescription drug plans, change Medicare Advantage plans, return to Original Medicare or enroll in a Medicare Advantage plan for the first time. Enrollment changes take effect on January 1.

Special Enrollment Period

Special Enrollment Periods allow Medicare beneficiaries to make an enrollment change outside of the normal enrollment periods due to a qualifying event. Beneficiaries have a limited time to make a change following a qualifying event. If you are unsure whether your event makes you eligible for this Special Enrollment Period, please call Advocare Customer Service.

Enrollment process

A sales agent representing Security Health Plan will be glad to help you complete the application process for Advocare, starting with verifying your entitlement to Medicare Part A and enrollment in Medicare Part B. The process then continues with completion of the application.

After we receive your completed application and verify your information with the Centers for Medicare & Medicaid Services (CMS), we will send you an acknowledgement letter with your proposed effective date and Advocare membership card. If you are denied Advocare coverage, a letter explaining the reason for the denial will be sent to you.

* Medicare beneficiaries may enroll in Advocare through the Centers for Medicare & Medicaid Services Online Enrollment Center located at http://www.medicare.gov. For more information contact Security Health Plan at 1-877-998-0998, TTY for hearing and speech impaired: 1-877-727-2232.

Customer Service hours:
8 a.m. - 8 p.m. seven days a week.

Beneficiary rights and responsibilities upon disenrollment

You will not be disenrolled from Security Health Plan until your disenrollment is processed and approved by the Centers for Medicare and Medicaid Services.

You will continue to obtain your health care from an Advocare plan until your disenrollment date. Neither Security Health Plan nor Medicare will pay for any medical services provided by a physician or hospital, with the exception of urgently needed care, care for a medical emergency, out-of-area renal (kidney) dialysis services, or care that has been approved by us, until your proposed disenrollment date is confirmed.

For a detailed description, please refer to the Evidence of Coverage.

Your rights and responsibilities as a member of our plan upon your disenrollment

You have the right to be treated with dignity, respect and fairness at all times. Security Health Plan must obey laws that protect you from discrimination or unfair treatment. These laws do not allow us to discriminate against you (treat you unfairly) because of your race or color, age, religion, national origin, or any mental or physical disability. If you need help with communication, such as help from a language interpreter, please call Customer Service.

Your have the right to the privacy of your medical records and personal health information. There are federal and state laws that protect the privacy of your medical records and personal health information. We protect your personal health information under these laws. Any personal information that you give us when you enroll in an Advocare plan is protected. We will make sure that unauthorized people do not see or change your records. Generally, we must get written permission from you (or from someone you have given legal power to make decisions for you) before we can give your health information to anyone who is not providing your care or paying for your care. There are exceptions allowed or required by law, such as release of health information to government agencies that are checking on quality of care.  

The laws that protect your privacy give you rights related to getting information and controlling how your health information is used. We are required to provide you with a notice that tells about these rights and explains how we protect the privacy of your health information. For example, you have the right to look at your medical records, and to get a copy of the records. You also have the right to ask network providers to make additions or corrections to your medical records (if you ask network providers to do this, they will review your request and determine whether the changes are appropriate). You have the right to know how your health information has been given out and used for non-routine purposes. If you have questions or concerns about privacy of your personal information and medical records, please call Customer Service at the phone number listed below.

For questions or concerns, please contact our Customer Service Department at 1-877-998-0998 or 715-221-9897 (TTY: 1-877-727-2232). Our office hours are 8 a.m. to 8 p.m. seven days a week.

Security Health Plan of Wisconsin, Inc., is an HMO plan with a Medicare contract. Enrollment in Security Health Plan depends on contract renewal.
H5211_MC-778-0628-C-11-13 approved – Last modified date: 11/18/13
INS-00080