Security Administrative Services Announcements

Attention

As of April 1, Security Administrative Services participants have migrated from the QNXT platform to Luminx therefore eligibility appears as terminated on the current Security Health Plan portal. If checking for coverage of SAS participants, please click here or email.

Precertifications - Security Administrative Services

For the following self-funded group plans, all services listed below will need to be precertified with Hines & Associates at 800-483-5984 or via their website at www.precertcare.com. If a provider would like a predetermination for any other service, please call Security Administrative Services at 800-570-8760.

Abbyland Foods Inc. - Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy after 10 visits per year
  • Occupational therapy 10 visits per year
  • Speech therapy 10 visits per year
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

City of Stevens Point - Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy after 15 visits per year
  • Occupational therapy 15 visits per year
  • Speech therapy 15 visits per year
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

City of Wisconsin Rapids - Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy after 15 visits per year
  • Occupational therapy 15 visits per year
  • Speech therapy 15 visits per year
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

Clark County - Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy after 15 visits per year
  • Occupational therapy 15 visits per year
  • Speech therapy 15 visits per year
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

Expera Specialty Solutions -  Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy after 10 visits per year
  • Occupational therapy after 10 visits per year
  • Speech therapy after 10 visits per year
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

Foot Locker - Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays

Lincoln County - Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Physical therapy after 20 visits per year
  • Occupational therapy 20 visits per year
  • Speech therapy 20 visits per year
  • Skilled health facilities and residential stays
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

Marathon Savings Bank - Effective 1/1/16

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

Memorial Medical Center - Effective 1/1/16

  • All Inpatient hospitalizations
  • Skilled Nursing Facility and Residential Stays
  • Transplants
  • Physical, Occupational, and Speech therapy after 15 visits per therapy  discipline
  • Second Surgical Opinions
  • Outpatient surgery including but not limited to:
    • Abdominoplasty

    • Carpel Tunnel Release

    • Cosmetic/Reconstructive Surgery

    • Hip Replacement

    • Infuse Bone Graft

    • Knee Replacement

    • Panniculectomy

    • Port Wine Stain – Abnormal Vascular Lesion Treatment

    • Reduction Mammoplasty

    • Rhinoplasty

    • Septoplasty

    • Spinal Cord Stimulator

River View Construction - Effective 8/1/15
  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • High End Imaging

Team Schierl - Effective 10/1/15

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy in excess of 10 visits
  • Occupational therapy in excess of 10 visits
  • Speech therapy in excess of 10 visits
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

Wausau School District - Effective 9/1/15

  • Inpatient medical stays
  • Inpatient surgical stays
  • Inpatient behavioral or substance abuse stays
  • Skilled health facilities and residential stays
  • Physical therapy
  • Occupational therapy
  • Speech therapy
  • Second Surgical Opinions
  • Outpatient Surgery including but not limited to:
    • Abdominoplasty
    • Carpel Tunnel Release
    • Cosmetic/Reconstructive Surgery
    • Hip Replacement
    • Infuse Bone Graft
    • Knee Replacement
    • Panniculectomy
    • Port Wine Stain – Abnormal Vascular Lesion Treatment
    • Reduction Mammoplasty
    • Rhinoplasty
    • Septoplasty
    • Spinal Cord Stimulator

For the following self-funded group plans, all services listed below will need to be precertified with Akeso Care at 1-866-232-8677 or via their website at www.akesocare.com. If a provider would like a predetermination for any other service, please call Security Administrative Services at 800-570-8760.

Portage County - Effective 1/1/16
Outpatient Surgeries

  • Skilled Nursing Facility Admissions
  • MRI/MRA and PET scans
  • Oncology Care and Services (chemotherapy and radiation therapy)
  • Home Health Care
  • Hospice Care
  • Organ, tissue, and Bone Marrow Transplants
  • Dialysis
  • Occupational, Physical and Speech Therapy