Medicare AdvantageAdministrativeLow impact
Provider News - January 2017
Security Health Plan·WI · Pharmacy, Radiology·Provider News
We identified it
Oct 6, 2026
Summary
This is HISTORICAL MATERIAL (published January 2017, discovered October 2026) containing multiple policy changes for Security Health Plan that are now 9+ years old. The document includes: (1) Medicare Advantage eyeglasses stipend coverage effective 01/01/2017 ($150-$275 by plan); (2) new DUR pharmacy edits effective 01/01/2017; (3) X-ray film modifier FX with 20% payment reduction effective 01/01/2017 for MA and 03/15/2017 for other products; (4) SNF RUG requirements effective 03/01/2017; and (5) operational changes to 837/835 enrollment and provider directory updates. All stated effective dates have elapsed. Verify current applicability with Security Health Plan before implementing any changes.
Action Required
This newsletter is historical material from January 2017 with multiple elapsed effective dates (01/01/2017, 03/01/2017, 03/15/2017). DO NOT complete past deadlines or implement changes based on this document. Instead: (1) Contact Security Health Plan directly at 715-221-9640 or Provider Relations to confirm which of these policies remain current or have been superseded; (2) If billing for Security Health Plan Medicare Advantage patients, verify current eyeglasses benefit stipend amounts, DUR edit rules, and X-ray payment modifiers through current policy documents; (3) If submitting SNF claims for MA members, confirm current RUG submission requirements with naviHealth and Security Health Plan; (4) Review the Security Health Plan provider manual and current formulary guidance (www.securityhealth.org) for applicable rules rather than relying on this 2017 source. The discovery of this archived newsletter does not indicate policy effectiveness or applicability in 2026.