Security Health Plan
Select $10,000 HSA
Premium, age 40$646to $713 a month
Deductible$10,000$20,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$10,000CMS example
Security Health Plan
Select $7,500 - 50% HSA
Monthly premium, age 40
From $623
Up to $687 by area · before subsidies
Prices by age
Find a doctor in this plan
Summary of Benefits (PDF)
Plan ID38166WI0180028
Plan year2027Sold on HealthCare.gov
Plan typeEPONo referral needed
Metal levelExpanded BronzeWorks with an HSA
Sold in13 countiesof 72 in Wisconsin
Deductible$7,500$15,000 family
Out-of-pocket max$12,000$24,000 family
Primary care visit$50in network
Generic drugs$25per prescription
5,735 Wisconsin doctors and facilities in this plan's network · Directory updated Oct 20, 2026 · Premiums are full prices before subsidies (premium tax credits). NPI Profile does not sell insurance; HealthCare.gov lists premiums and handles enrollment.
Find a doctor in this plan
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Listed in Security Health Plan's provider directory. Directories can be out of date, so call the office to confirm they take this plan.
What you pay with this plan
In-network costs for one person, from the CMS plan files for 2027. "After deductible" means you pay the full cost until you reach the $7,500 deductible.
Doctor visits
- Primary care visit
- $50
- Specialist visit
- $100
- Nurse practitioner or PA visit
- $50
- Preventive care and vaccines
- Free
- Urgent care
- $75
Prescription drugs
- Generic drugs
- $25
- Preferred brand drugs
- $50 after deductible
- Non-preferred brand drugs
- $100 after deductible
- Specialty drugs
- $500 after deductible
Tests and imaging
- Lab work
- 50% after deductible
- X-rays
- 50% after deductible
- MRI, CT and PET scans
- 50% after deductible
Emergencies and hospital
- Emergency room
- 50% after deductible
- Ambulance
- Free after deductible + 50% after deductible
- Hospital stay
- 50% after deductible
- Outpatient surgery (facility)
- 50% after deductible
Mental health
- Therapy and counseling visits
- $50
- Inpatient mental health care
- 50% after deductible
Pregnancy
- Prenatal and postnatal care
- Free after deductible + 50% after deductible
- Delivery and hospital stay
- Free after deductible + 50% after deductible
Other care
- Physical and occupational therapyLimit: 20 visits a year
- $50
- Chiropractic care
- Free after deductible + 50% after deductible
- Eye exam for childrenLimit: 1 visit a year
- Free
- Glasses for childrenLimit: 1 item a year
- Free after deductible + 50% after deductible
- Adult dental
- Not covered
$10,000Having a baby (CMS example)
$5,100Managing type 2 diabetes for a year
$2,800A simple fracture
Every service in the plan file (75)
| Service | You pay | Limits and notes |
|---|---|---|
| Abortion for Which Public Funding is Prohibited | Not covered | |
| Accidental Dental | Free after deductible + 50% after deductible | |
| Acupuncture | Not covered | |
| Allergy Testing | Not covered | |
| Autism Spectrum Disorders | Free after deductible + 50% after deductible | |
| Bariatric Surgery | Not covered | |
| Basic Dental Care - Adult | Not covered | |
| Basic Dental Care - Child | Not covered | |
| Cardiac Rehabilitation | Free after deductible + 50% after deductible | 36 visits a year |
| Chemotherapy | Free after deductible + 50% after deductible | |
| Chiropractic Care | Free after deductible + 50% after deductible | |
| Clinical Trials | Free after deductible + 50% after deductible | |
| Cosmetic Surgery | Not covered | |
| Delivery and All Inpatient Services for Maternity Care | Free after deductible + 50% after deductible | Limitations include: prenatal cradle (maternity belt), home delivery and home visits, services performed by a licensed midwife or certified professional midwife, services to determine gender, abortion procedures to end a pregnancy except as specifically |
| Dental Anesthesia | Free after deductible + 50% after deductible | |
| Dental Check-Up for Children | Not covered | |
| Diabetes Care Management | Not covered | |
| Diabetes Education | Free after deductible + 50% after deductible | |
| Dialysis | Free after deductible + 50% after deductible | |
| Durable Medical Equipment | Free after deductible + 50% after deductible | Limitations include: routine maintenance and replacement of equipment because of abuse and neglect and urable medical equipment and medical supplies for your comfort, personal hygiene, convenience or athletics-related conditions including, but not limited to |
| Emergency Room Services | 50% after deductible | Limitations include: care that can safely be postponed until the member returns to the service area, follow-up care received from a non-network provider unless prior authorized by Security Health Plan and take-home drugs and supplies dispensed by a hospital |
| Emergency Transportation/Ambulance | Free after deductible + 50% after deductible | Limitations include: Ambulance transport to a home or outpatient setting, medical van transportation, non-emergency licensed professional ambulance services (unless authorized by Security Health Plan), first responders and rescue services and transportation |
| Eye Glasses for Children | Free after deductible + 50% after deductible | 1 item a year Limited to a selection of glasses approved by Security Health Plan |
| Generic Drugs | $25 | Limitations include: prescription drugs dispensed by non-network pharmacies, prescription drugs not found on the current version of the formulary, medications administered in a physician office (and/or associated fees) that could be safely self-administered |
| Habilitation Services | $50 | 20 visits a year Limitations include: services that are not for or related to the treatment of an illness or injury, services that continue after the member reaches the expected state of improvement, resolution or stabilization of a health condition as |
| Hearing Aids | Free after deductible + 50% after deductible | 1 item every 3 years |
| Home Health Care Services | Free after deductible + 50% after deductible | 60 visits a year |
| Hospice Services | Free after deductible + 50% after deductible | Limitations include: financial or legal counseling, including estate planning or drafting of a will, homemaker or caretaker services that are not solely related to the member’s care including, but not limited to, sitter or companion services for the member |
| Imaging (CT/PET Scans, MRIs) | 50% after deductible | |
| Infertility Treatment | Not covered | |
| Infusion Therapy | Free after deductible + 50% after deductible | |
| Inpatient Hospital Services (e.g., Hospital Stay) | 50% after deductible | |
| Inpatient Physician and Surgical Services | Free after deductible + 50% after deductible | |
| Laboratory Outpatient and Professional Services | 50% after deductible | |
| Long-Term/Custodial Nursing Home Care | Not covered | |
| Major Dental Care - Adult | Not covered | |
| Major Dental Care - Child | Not covered | |
| Mental Health Other | Not covered | |
| Mental/Behavioral Health Inpatient Services | 50% after deductible | |
| Mental/Behavioral Health Outpatient Services | $50 | |
| Newborn Services Other | Not covered | |
| Non-Preferred Brand Drugs | $100 after deductible | Limitations include: prescription drugs dispensed by non-network pharmacies, prescription drugs not found on the current version of the formulary, medications administered in a physician office (and/or associated fees) that could be safely self-administered |
| Nutritional Counseling | Free after deductible + 50% after deductible | Covered only when both of the following are true: nutritional education is required for a disease in which patient self-management is an important component of the treatment and there exists a knowledge deficit regarding the disease which requires the |
| Orthodontia - Adult | Not covered | |
| Orthodontia - Child | Not covered | |
| Other Practitioner Office Visit (Nurse, Physician Assistant) | $50 | |
| Outpatient Facility Fee (e.g., Ambulatory Surgery Center) | 50% after deductible | |
| Outpatient Rehabilitation Services | $50 | 20 visits a year Limitations include: services that are not for or related to the treatment of an illness or injury, services that continue after the member reaches the expected state of improvement, resolution or stabilization of a health condition as |
| Outpatient Surgery Physician/Surgical Services | 50% after deductible | |
| Preferred Brand Drugs | $50 after deductible | Limitations include: prescription drugs dispensed by non-network pharmacies, prescription drugs not found on the current version of the formulary, medications administered in a physician office (and/or associated fees) that could be safely self-administered |
| Prenatal and Postnatal Care | Free after deductible + 50% after deductible | |
| Prescription Drugs Other | Not covered | |
| Preventive Care/Screening/Immunization | Free | |
| Primary Care Visit to Treat an Injury or Illness | $50 | |
| Private-Duty Nursing | Not covered | |
| Prosthetic Devices | Free after deductible + 50% after deductible | |
| Radiation | Free after deductible + 50% after deductible | |
| Reconstructive Surgery | Free after deductible + 50% after deductible | |
| Rehabilitative Occupational and Rehabilitative Physical Therapy | $50 | 20 visits a year Limitations include: services that are not for or related to the treatment of an illness or injury, services that continue after the member reaches the expected state of improvement, resolution or stabilization of a health condition as |
| Rehabilitative Speech Therapy | $50 | 20 visits a year Limitations include: services that are not for or related to the treatment of an illness or injury, services that continue after the member reaches the expected state of improvement, resolution or stabilization of a health condition as |
| Routine Dental Services (Adult) | Not covered | |
| Routine Eye Exam (Adult) | Not covered | |
| Routine Eye Exam for Children | Free | 1 visit a year |
| Routine Foot Care | Not covered | |
| Skilled Nursing Facility | 50% after deductible | 30 days a stay Limitations include: skilled nursing care and/or skilled therapy not prior approved by Security Health Plan and leave-of-absence days, respite care, custodial care, care exceeding the number of days shown in the member’s Schedule of Benefits. |
| Specialist Visit | $100 | |
| Specialty Drugs | $500 after deductible | Limitations include: prescription drugs dispensed by non-network pharmacies, prescription drugs not found on the current version of the formulary, medications administered in a physician office (and/or associated fees) that could be safely self-administered |
| Substance Abuse Disorder Inpatient Services | 50% after deductible | |
| Substance Abuse Disorder Outpatient Services | $50 | |
| Transplant | Free after deductible + 50% after deductible | Limitations include: lodging expenses including meals, expenses related to the recipient’s transportation except for medically necessary professionally licensed ambulance services, the purchase price of any bone marrow, organ or tissue that is sold rather |
| Treatment for Temporomandibular Joint Disorders | Free after deductible + 50% after deductible | 4 visits a year Limitations include: cosmetic or elective orthodontic care, periodontal care, general dental care, upper and lower jawbone surgery except as required for direct treatment of acute traumatic injury, dislocation, cancer or temporomandibular |
| Urgent Care Centers or Facilities | $75 | Limitations include: care that can safely be postponed until the member returns to the service area, follow-up care received from a non-network provider unless prior authorized by Security Health Plan and take-home drugs and supplies dispensed by a hospital |
| Weight Loss Programs | Not covered | |
| Well Baby Visits and Care | Free | |
| X-rays and Diagnostic Imaging | 50% after deductible |
How this plan works
EPO: Only doctors and hospitals in the network are covered, except emergencies. Referrals are usually not needed.
- Referral for specialists
- Not required
- Coinsurance
- 50% after the deductible
- Works with an HSA
- Yes
- Network
- SHP Select (WIN001)
- Sold in
- 13 Wisconsin counties
Summary of Benefits and Coverage (PDF) Plan brochure Covered drugs (formulary)
Other Security Health Plan plans on the same network
The same doctors and hospitals, with different costs.
Security Health Plan
Select $6,400 - 40%
Premium, age 40$792to $874 a month
Deductible$6,400$12,800 family
Out-of-pocket max$10,300$20,600 family
Having a baby$8,870CMS example
Security Health Plan
Select $4,500 - 50%
Premium, age 40$806to $889 a month
Deductible$4,500$9,000 family
Out-of-pocket max$10,000$20,000 family
Having a baby$8,470CMS example
Security Health Plan
Select $0 - 50% HSA
Premium, age 40$826to $911 a month
Deductible$0$0 family
Out-of-pocket max$12,000$24,000 family
Having a baby$7,800CMS example
Security Health Plan
Select $5,000 - 25%
Premium, age 40$837to $923 a month
Deductible$5,000$10,000 family
Out-of-pocket max$8,500$17,000 family
Having a baby$6,900CMS example
Security Health Plan
Select $3,500 - 30%
Premium, age 40$869to $958 a month
Deductible$3,500$7,000 family
Out-of-pocket max$8,000$16,000 family
Having a baby$6,200CMS example
Security Health Plan
Select $2,500 - 25%
Premium, age 40$930to $1,025 a month
Deductible$2,500$5,000 family
Out-of-pocket max$8,600$17,200 family
Having a baby$5,070CMS example
Questions about Select $7,500 - 50% HSA
Does Select $7,500 - 50% HSA cover my doctor?
Use "Find a doctor in this plan" on this page: choose the city, then the kind of doctor. The list shows providers Security Health Plan lists in this plan's network for 2027. Directories can be out of date, so call the office to confirm before your visit.
What kind of plan is Select $7,500 - 50% HSA?
It is an EPO plan: only doctors and hospitals in the network are covered, except emergencies. Referrals are usually not needed. It is a Expanded Bronze plan and works with a health savings account (HSA).
How much is a doctor visit with Select $7,500 - 50% HSA?
A primary care visit costs $50. A specialist visit costs $100. These are in-network costs for one person. "After deductible" means you pay the full cost until you reach the $7,500 deductible.
Where is Select $7,500 - 50% HSA sold?
It is sold to people who live in 13 Wisconsin counties, through HealthCare.gov. Security Health Plan's directory can also list providers outside these counties, such as pharmacies and specialists, but the plan itself is only for people who live in its area.
How much does Select $7,500 - 50% HSA cost a month?
Before subsidies (premium tax credits), Select $7,500 - 50% HSA costs $623 to $687 a month for a 40-year-old in 2027, depending on where in Wisconsin you live. A 21-year-old pays $488 to $538 and someone 64 or older $1,463 to $1,613. Tobacco users pay more. Most people who enroll through HealthCare.gov qualify for a subsidy (premium tax credit) that lowers the monthly price, and HealthCare.gov shows your price after any subsidy.
About this data
These pages combine public files from CMS and from insurers. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| CMS Marketplace public use files (Plan Attributes, Benefits and Cost Sharing, Rate, Service Area) | This plan's premiums, costs, covered services, coverage examples and the counties where it is sold | Plan year 2027 |
| Security Health Plan's provider directory | The doctors and facilities listed in this plan's network. Only providers with an address in Wisconsin are counted. | Updated October 20, 2026 |
| NPPES NPI registry | Provider names, practice addresses and primary specialties | Matched November 11, 2026 |
- Costs are for the standard version of the plan, for one person, in network. People who qualify for cost-sharing reductions pay less.
- Premiums are the full monthly price before subsidies (premium tax credits). They depend on age, tobacco use and where you live (the plan's rating area). HealthCare.gov shows your price after any subsidy.
- Confirm costs in the plan documents and with the insurer, and confirm with the doctor's office that they take this plan.
