Badger Care Plus
Member Handbook and Provider Directory
2020-2021 BadgerCare Plus Managed Care Program What’s in this handbook Notice of nondiscrimination...... 2 Important Security Health Plan phone numbers...... 3 Interpreter services...... 3 Service area map...... 4 Welcome...... 5 Using your ForwardHealth ID card...... 5 Choosing a primary care physician...... 5 Accessing the care you need...... 6 When you may be billed for services...... 7 Other insurance...... 8 Services covered by Security Health Plan...... 8 Care evaluation/health needs assessment...... 11 BadgerCare Plus benefits chart...... 12 If you move...... 14 Getting a second medical opinion...... 14 HMO exemptions...... 14 Getting help when you have questions or problems...... 14 Filing a grievance or appeal...... 14 Your rights...... 16 Security Health Plan Directory of Health Care Providers...... 18
Learn more about doctors when you visit our online provider directory. In it you will find: • provider hospital affiliations • board certifications • admitting and attending privileges • providers who speak non-English languages
Go to www.securityhealth.org. Click on “Find a Doctor” at the top of the page. Or you can call Customer Service at 1-800-791-3044 (TTY 711). Notice of nondiscrimination Security Health Plan of Wisconsin, Inc., complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation or health status in the administration of the plan, including enrollment and benefit determinations. Security Health Plan does not exclude people or treat them differently because of race, color, national origin, disability, age, sex, gender identity, sexual orientation or health status.
Security Health Plan • Provides free aids and services to people with disabilities to communicate effectively with us, such as: - Qualified sign language interpreters - Written information in other formats (large print, audio, accessible electronic formats, other formats) • Provides free language services to people whose primary language is not English, such as: - Qualified interpreters - Information written in other languages
If you need these services, contact Security Health Plan at 1-800-791-3044 (TTY 711).
2 Important Security Health Plan phone numbers Customer Service: 1-800-791-3044 Noti ce of NondiscriminationMonday through Friday, 7 a.m. - 5:30 p.m. SecurityEmergency Health Number: Plan of Wisconsin911 or 1-800-549-3174 Inc. complies with applicable Federal civil rights laws and doesCall not 24 discriminate hours a day, on 7the days basis a ofweek race, color, national origin, age, disability or sex. TDD/TTY: 711
LimitedInterpreter English services proficiency services ATTENTION: If you speak English, language assistance services are available to you free of charge. Call 1-800-791-3044 (TTY 711). Spanish - ATENCIÓN: Si habla español, los servicios de asistencia de idiomas están disponibles sin cargo. Llame al 1-800-791-3044 (TTY 711). Hmong - CEEB TOOM: Yog koj hais lus Hmoob, kev pab rau lwm yam lus muaj rau koj dawb xwb. Hu 1-800-791-3044 (TTY 711). Chinese Mandarin - 注意:如果您说中文,您可获得免费的语言协助服务。请致电 1-800-791-3044 (TTY 文字电话: 711)。
Laotian – ໝາຍເຫດ: ້ຖາທ ານ່ ເວາພາສາລາວົ້ , ທານສາມາດ່ ໃຊກາ້ ນບໍ ລກາິ ນຊວຍ່ ເຫອືຼ ດານພາສາໄ້ ດ້ ໂດຍ່ໍ ບເສຍ ຄາ່ . ໂທ 1-800-791-3044 (TTY: 711). Somali - DIGTOONI: Haddii aad ku hadasho afka Soomaaliha, adeegyada caawimada luqadda waxaa laguu heli karaa iyagoo bilaash ah. Wac 1-800-791-3044 (TTY 711). Russian – BНИМАНИЕ: Если вы говорите по-русски, услуги языковой поддержки вам доступны- over, please бесплатно.- Позвоните по телефону 1-800-791-3044 (TTY 711). HP-30439 (01/18) 3 Service area map
Douglas Iron
Ashland Vilas
Burnett Washburn Sawyer Florence Price Oneida Forest arinette
Polk Barron Rusk Lincoln Langlade Taylor
Chippewa St. Croix enominee Dunn Oconto arathon Shawano Door Pierce Eau Claire Clark Pepin H ewaunee Portage Waupaca Buffalo Wood Brown Outagamie
Jackson Trempea- Winnebago anitowoc leau Waushara Adams Calumet La Crosse onroe Green Lake Juneau Security Health Plan arquette Fond du Lac Sheboygan Main Office Marshfield Vernon Sauk Columbia Dodge Richland Wash- Ozaukee ington Crawford Dane Jefferson Waukesha Iowa ilwaukee Grant Racine Lafayette Green Rock Walworth