Enrollment
When can a person enroll into a Medicare Advantage plan when they are new to Medicare Parts A & B?
A person can enroll 3 months prior to their Medicare effective date, the month their Medicare is effective and 3 months after.
What type of Medicare Advantage plan requires you see providers in the plans network?
HMO (Health Maintenance Organization) plans.
Do Security Health Plan’s Medicare Advantage HMO plans cover Medicare approved preventive services?
Yes, with an in network provider.
Does a Security Health Plan Medicare Advantage member have to pay their Medicare Part B premium?
Yes, members must continue to pay their Medicare Part B premium.
Can a person who has employer insurance enroll into a Medicare Advantage at any time?
Yes, if a person has employer sponsored insurance, and are Medicare eligible, they do qualify for a Special Enrollment Period to enroll into a Medicare Advantage plan.
What is Secure Saver?
Secure Saver MSA is Security Health Plan’s Medicare Medical Savings Account (MSA) plan. It is a special type of Medicare Advantage plan that combines a high-deductible health insurance plan for Medicare Parts A and B (Original Medicare) with a medical savings account. Members use a MSA to pay for qualified medical expenses tax-free, while the high-deductible plan limits out-of-pocket costs.
If a Security Health Plan Medicare Advantage member need emergency or urgent care services from a doctor in Florida, what do they need to do?
If it is an emergency or urgent service they should first get the services/treatment they need and it will be a covered service subject to their plans copay or deductible.
Secure Saver has a deductible, what does the term deductible mean?
A deductible is the amount a member is responsible to pay before Security Health Plan will pay for the services they received.
If a person is not 65 years of age but is on Medicare A & B (due to disability) can they enroll into a Medicare Advantage plan?
Yes, they can enroll during an enrollment period.
What does MAPD stand for?
Medicare Advantage Prescription Drug plan
When should a Security Health Plan Medicare Advantage member use their Original Medicare ID card for medical services?
Members should not use their Medicare ID card and only use their Security Health Plan ID card for all medical services except hospice services.
If a member receives a service that states 20% coinsurance, what will the member have to pay?
The member will be responsible to pay 20% of the Medicare approved amount for that service. Security Health Plan will pay 80%.
When is the Annual Enrollment Period (the time of year when a person can change to a different Medicare Advantage plan)?
October 15th to December 7th
If a person lives in Madison, Wisconsin can they get the same Medicare Advantage plan with Security Health Plan as a person who lives in Green Bay, Wisconsin?
No, our Medicare Advantage plans have specific service areas based off county of residence. The exception is the MSA Secure Saver which is offered in all WI counties.
Can a Secure Saver member add Prescription Part D drug coverage to their plan?
Yes, a Secure Saver member can have a Stand-alone Part D prescription drug plan from another company or from WI SeniorCare. Security Health Plan does not have a Stand-alone Part D plan.
Who does a Security Health Plan Medicare Advantage member pay the copay/coinsurance or deductible to?
Members pay the provider they received the care from the copays/coinsurance or deductible amounts.