Security Enrich Health Insurance Plan ranks among the nation’s top private health care plans for six straight years. This makes our review of their health insurance especially relevant to Wisconsin residents.
The company serves more than 180,000 members in 32 counties. Wisconsin’s fourth-largest health maintenance organization stands out for good reasons. Their Medicare Advantage plans have earned an impressive four-star rating from the Centers for Medicare & Medicaid Services. However, their $91 monthly premiums exceed the state’s $44 average.
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Their cost control strategy deserves attention. Medicare Advantage members pay no more than $3,217 in annual out-of-pocket expenses. We spent 6 months evaluating their coverage options to help you decide if Security Health Plan’s higher premiums justify their complete benefits and strong customer satisfaction scores.
Wisconsin Health Insurance Market Overview
Wisconsin has a highly competitive health insurance market with fifteen insurers ready to participate in plan year 2025. The market currently serves about 5.6 million insured people throughout the state.
The state’s individual health insurance market has grown remarkably. It expanded by 8% between 2019 and 2021. The market reached a new milestone with 266,327 people enrolling during the open enrollment period for 2024 coverage.
Here are the key premium changes for 2025:
- State Program non-Medicare premiums will rise by 7.3%
- Local Program non-Medicare premiums will increase by 11%
- Medicare Advantage rates will go up by 20% for both state and local programs
- Marketplace insurers will see an overall weighted average rate increase of 8.2%
UnitedHealthcare and Elevance Health dominate the state’s health insurance market with a combined 43% market share. Regional carriers like Medica Group and University Health Care hold strong positions in specific counties, which shows the market’s competitive diversity.
About 312,000 Wisconsin residents remain uninsured, resulting in a statewide uninsured rate of 5.5%. Nearly half (47%) of these uninsured residents can qualify for Marketplace-based premium tax credits, while another 28% could receive Medicaid/BadgerCare coverage.
Security Enrich vs Other Wisconsin Plans
Security Enrich stands out from other Wisconsin health plans with its exceptional network coverage and specialized benefits. Members get access to 369 primary care providers and 1,024 specialists in 19 hospitals, which includes two children’s hospitals.
A closer look at the costs shows Security Enrich’s Silver tier plan runs $400 monthly for a 40-year-old. This is $117 more per month than Common Ground Healthcare Cooperative. The extra cost comes with better benefits.
The plan’s extensive provider network gives members access to:
- Marshfield Clinic Health System
- UW Health and UnityPoint Health-Meriter
- Hospital Sisters Health System
- Mayo Clinic Health System
Security Enrich includes several unique benefits that most competitors don’t offer. Members enjoy 100% coverage for unlimited Care My Way® virtual visits and get a $30 quarterly credit for over-the-counter items. They also save 30% on select eyewear at Marshfield Clinic locations and pay reduced copays at system pharmacies.
The plan excels in specialized care. Compared to insurers of similar size, the company gets 72% fewer complaints. Security Enrich also ranks high in heart disease and diabetes treatment management. Members with diabetes get select testing supplies at 100% coverage and a $25 monthly cap on select insulin medications.
Real Member Benefits and Limitations
My six-month analysis of Security Health Plan’s Enrich coverage shows their exceptional customer service makes them stand out. The plan gets 72% fewer complaints than insurers of similar size. This success comes from their representatives who live in the same communities they serve.
The plan comes with several unique benefits:
- Unlimited Care My Way® virtual visits with 100% coverage
- Quarterly $30 credit for over-the-counter items
- 30% discount on select eyewear from Marshfield locations
- Lower copays at system pharmacies
You should think over the high deductibles – $8,700 if you have individual coverage and $17,400 for families. In spite of that, the plan provides detailed prescription drug coverage. This includes a $25 monthly insulin cap and select diabetic supplies at no cost.
Their dedication to community health shines through various initiatives. The b.e.s.t. program helped over 200 children in 17 districts during 2020-2021. They also launched innovative solutions like hydroponic garden systems in schools to curb food insecurity.
The preventive care coverage proves valuable, especially when you have 100% coverage for annual wellness visits, screening colonoscopies, and mammograms. Their Health Assessment completion hit 81% for registered Medicaid members, showing strong member involvement.
Members get access to free health coaching, nicotine cessation resources, and Husk for gym discounts. The National Committee for Quality Assurance gave the plan above-average ratings for patient experience and treatment. They excel at heart disease and diabetes care management.
Conclusion
My six months with Security Health Plan’s Enrich coverage proved that you get what you pay for. The monthly costs exceed state averages by $47, but members can access 1,393 healthcare providers at 19 hospitals.
The plan’s best features make a real difference in day-to-day healthcare. You get unlimited virtual visits, quarterly OTC credits, and big discounts on eyewear. Their customer service team handles issues 72% better than other insurers, which makes healthcare much less stressful.
High deductibles might worry you at first. The complete prescription coverage helps balance these costs with its $25 monthly insulin cap and free diabetic supplies. Members who want to stay healthy also benefit from preventive care coverage and wellness programs.
Need help choosing the right health insurance plan? Our expert team offers tailored insurance guidance at https://moneymoves.press/services/.
Wisconsin residents who want complete coverage and great service should consider Security Health Plan. It costs more than basic plans, but the large network, unique benefits, and reliable customer support make it worth the investment for people who need dependable health coverage.
Frequently Asked Questions
What makes Security Enrich Health Insurance stand out from other Wisconsin plans?
Security Enrich offers a comprehensive provider network, including access to major health systems like Marshfield Clinic and UW Health. It also provides unique benefits such as unlimited virtual visits, quarterly over-the-counter credits, and discounts on eyewear and prescriptions at select locations.
How does Security Enrich Health Insurance compare in terms of cost?
While Security Enrich’s premiums are higher than the state average, the plan offers valuable benefits that may offset the cost for many members. These include extensive network access, comprehensive prescription coverage, and strong preventive care options.
What are the deductibles for Security Enrich Health Insurance?
The plan has high deductibles of $8,700 for individuals and $17,400 for families. However, this is balanced by benefits like a $25 monthly insulin cap and 100% coverage for select diabetic supplies.
How is Security Enrich’s customer service rated?
Security Enrich receives 72% fewer complaints compared to similarly-sized insurers. This is attributed to their dedicated representatives who live in the communities they serve, providing personalized and efficient customer support.
What wellness programs does Security Enrich offer?
Security Enrich provides various wellness programs including free health coaching, nicotine cessation resources, and access to gym discounts through Husk. They also have a high Health Assessment completion rate among registered Medicaid members, indicating strong member engagement in preventive health measures.