Provider and Facility Manuals

BadgerCare Plus

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Benefit Information

For information regarding plan benefit see below.

Care Management

Find information about our Care Management programs and what we offer to our members.

Claims Processing Policies and Procedures

To ensure the claims you submit are processed quickly and accurately, we’ve outlined helpful steps on how to submit a claim. Learn more.

Clinical Practice Guidelines

Security Health Plan follows clinical guidelines to ensure our members receive high-quality care. Learn more.

Contact Information

Need to get ahold of us? Learn how.

ForwardHealth

For information regarding ForwardHealth, visit https://www.forwardhealth.wi.gov/WIPortal/

HealthCheck

For information regarding ForwardHealth, visit https://www.forwardhealth.wi.gov/WIPortal/

Important Disclosures

Be aware of important business practices that ensure our members, your patients, receive high-quality care. Learn more.

Member Information

Find information to help you answer questions. Learn more.

Product Overview

Provider Directory

Our online Provider Directory gives you an up-to-date list of Security Health Plan’s affiliated providers. Learn more.

Rights and Responsibilities

We want to clearly communicate our expectations of you and how you can expect Security Health Plan to interact with you. Read this section carefully to get a good understanding of your rights and responsibilities as an affiliated provider.

Utilization Management

Learn about our policies and procedures for Utilization Management.

Family Health Center

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An explanation or introduction to the section as well as any information that is universal would be placed here.

Approved Outpatient Procedures

See a list of approved outpatient procedures.

Benefit information

Care Management

Find information about our Care Management programs and what we offer to our members.

Claims Processing Policies and Procedures

To ensure the claims you submit are processed quickly and accurately, we’ve outlined helpful steps on how to submit a claim. Learn more.

Clinical Practice Guidelines

Security Health Plan follows clinical guidelines to ensure our members receive high-quality care. Learn more.

Contact Information

Need to get ahold of us? Learn how.

Important Disclosures

Be aware of important business practices that ensure our members, your patients, receive high-quality care. Learn more.

Member Information

Find information to help you answer questions. Learn more.

Pharmacy

The following pages contain information on covered drugs, including step-therapy, diabetic and specialty drug lists. Security Health Plan’s formulary is reviewed by physicians and pharmacists to ensure high-quality, cost-effective pharmaceutical care for all members.

Product Overview

Rights and Responsibilities

We want to clearly communicate our expectations of you and how you can expect Security Health Plan to interact with you. Read this section carefully to get a good understanding of your rights and responsibilities as an affiliated provider.

Utilization Management

Learn about our policies and procedures for Utilization Management.

Group and Direct Pay

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An explanation or introduction to the section as well as any information that is universal would be placed here.

Care Management

Find information about our Care Management programs and what we offer to our members.

Benefit Information

For information regarding plan benefit see below.

Claims Processing Policies and Procedures

To ensure the claims you submit are processed quickly and accurately, we’ve outlined helpful steps on how to submit a claim. Learn more.

State of Wisconsin employees

Clinical Practice Guidelines

Security Health Plan follows clinical guidelines to ensure our members receive high-quality care. Learn more.

Contact Information

Need to get ahold of us? Learn how.

Important Disclosures

Be aware of important business practices that ensure our members, your patients, receive high-quality care. Learn more.

Member Information

Find information to help you answer questions. Learn more.

Pharmacy

The following pages contain information on covered drugs, including step-therapy, diabetic and specialty drug lists. Security Health Plan’s formulary is reviewed by physicians and pharmacists to ensure high-quality, cost-effective pharmaceutical care for all members.

Product Overview

Security Health Plan offers a variety of coverage options. Learn more.

Provider Directory

Our online Provider Directory gives you an up-to-date list of Security Health Plan’s affiliated providers. Learn more.

Rights and Responsibilities

We want to clearly communicate our expectations of you and how you can expect Security Health Plan to interact with you. Read this section carefully to get a good understanding of your rights and responsibilities as an affiliated provider.

Utilization Management

Learn about our policies and procedures for Utilization Management.

Medicare Advantage

Top

An explanation or introduction to the section as well as any information that is universal would be placed here.

Benefit information

Care Management

Find information about our Care Management programs and what we offer to our members.

Claims Processing Policies and Procedures

To ensure the claims you submit are processed quickly and accurately, we’ve outlined helpful steps on how to submit a claim. Learn more.

Clinical Practice Guidelines

Security Health Plan follows clinical guidelines to ensure our members receive high-quality care. Learn more.

Contact Information

Need to get ahold of us? Learn how.

Important Disclosures

Be aware of important business practices that ensure our members, your patients, receive high-quality care. Learn more.

Member Information

Find information to help you answer questions. Learn more.

Pharmacy

The following pages contain information on covered drugs, including diabetic and specialty drug lists. Security Health Plan’s formulary is reviewed by physicians and pharmacists to ensure high-quality, cost-effective pharmaceutical care for all members.

Primary Care Provider

Care is better coordinated for members with a Medicare Advantage plan if they have a primary care provider. Outlined in this section are guidelines and notification of regulations when caring for members with a Medicare Advantage plan.

Product Overview HMO & D-SNP

Security Health Plan offers several Medicare Advantage plans. Anyone entitled to Medicare Part A and enrolled in Medicare Part B is eligible to enroll in a Medicare Advantage plan. Enrolling in a Medicare Advantage plan simply means that the member is allowing Security Health Plan to provide their Medicare benefits plus some additional coverage.

Provider Directory

View our online Provider Directory that gives you an up-to-date list of Security Health Plan’s affiliated providers. Learn more.

Rights and Responsibilities

We want to clearly communicate our expectations of you and how you can expect Security Health Plan to interact with you. Read this section carefully to get a good understanding of your rights and responsibilities as an affiliated provider.

Utilization Management

Learn about our policies and procedures for Utilization Management.