SimpliveraCoverage Companion

Select $7,500 HDHP

Security Health Plan · 2026 plan year

Expanded BronzeHSA eligible
Ind. deductible
$7,500
Family deductible
$15,000
Ind. OOP max
$8,500
Family OOP max
$17,000

Other cost-sharing reduction variants for this plan:

Standard Bronze Off Exchange PlanStandard Bronze On Exchange PlanZero Cost Sharing Plan Variation

More Security Health Plan plans in WI

SimplyOne ProtectionSelect ProtectionEnrich ProtectionPremier $4,000 - 50%

Live premium estimate

$

Benefits & cost sharing

Primary Care

BenefitIn-network
Preventive Care/Screening/ImmunizationNo charge
Primary Care Visit to Treat an Injury or Illness30.00% Coinsurance after deductible

Specialist

BenefitIn-network
Specialist Visit30.00% Coinsurance after deductible

Hospital

BenefitIn-network
Emergency Room Services30.00% Coinsurance after deductible
Inpatient Hospital Services (e.g., Hospital Stay)30.00% Coinsurance after deductible
Outpatient Surgery Physician/Surgical Services30.00% Coinsurance after deductible
Urgent Care Centers or Facilities30.00% Coinsurance after deductible

Pharmacy

BenefitIn-network
Generic Drugs$10.00 Copay after deductible
Non-Preferred Brand Drugs$150.00 Copay after deductible
Preferred Brand Drugs$80.00 Copay after deductible
Prescription Drugs OtherNot covered
Specialty Drugs45.00% Coinsurance after deductible

Mental Health

BenefitIn-network
Mental/Behavioral Health Inpatient Services30.00% Coinsurance after deductible
Mental/Behavioral Health Outpatient Services30.00% Coinsurance after deductible
Mental Health OtherNot covered

Other

BenefitIn-network
Abortion for Which Public Funding is ProhibitedNot covered
Accidental Dental30.00% Coinsurance after deductible
AcupunctureNot covered
Allergy TestingNot covered
Autism Spectrum Disorders30.00% Coinsurance after deductible
Bariatric SurgeryNot covered
Basic Dental Care - AdultNot covered
Basic Dental Care - ChildNot covered
Cardiac Rehabilitation30.00% Coinsurance after deductible
Chemotherapy30.00% Coinsurance after deductible
Chiropractic Care30.00% Coinsurance after deductible
Clinical Trials30.00% Coinsurance after deductible
Cosmetic SurgeryNot covered
Delivery and All Inpatient Services for Maternity Care30.00% Coinsurance after deductible
Dental Anesthesia30.00% Coinsurance after deductible
Dental Check-Up for ChildrenNot covered
Diabetes Care ManagementNot covered
Diabetes Education30.00% Coinsurance after deductible
Dialysis30.00% Coinsurance after deductible
Durable Medical Equipment30.00% Coinsurance after deductible
Newborn Services OtherNot covered
Emergency Transportation/Ambulance30.00% Coinsurance after deductible
Eye Glasses for Children30.00% Coinsurance after deductible
Habilitation Services30.00% Coinsurance after deductible
Hearing Aids30.00% Coinsurance after deductible
Home Health Care Services30.00% Coinsurance after deductible
Hospice Services30.00% Coinsurance after deductible
Imaging (CT/PET Scans, MRIs)30.00% Coinsurance after deductible
Infertility TreatmentNot covered
Infusion Therapy30.00% Coinsurance after deductible
Inpatient Physician and Surgical Services30.00% Coinsurance after deductible
Laboratory Outpatient and Professional Services30.00% Coinsurance after deductible
Long-Term/Custodial Nursing Home CareNot covered
Major Dental Care - AdultNot covered
Major Dental Care - ChildNot covered
Nutritional Counseling30.00% Coinsurance after deductible
Orthodontia - AdultNot covered
Orthodontia - ChildNot covered
Other Practitioner Office Visit (Nurse, Physician Assistant)30.00% Coinsurance after deductible
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)30.00% Coinsurance after deductible
Outpatient Rehabilitation Services30.00% Coinsurance after deductible
Prenatal and Postnatal Care30.00% Coinsurance after deductible
Private-Duty NursingNot covered
Prosthetic Devices30.00% Coinsurance after deductible
Radiation30.00% Coinsurance after deductible
Reconstructive Surgery30.00% Coinsurance after deductible
X-rays and Diagnostic Imaging30.00% Coinsurance after deductible
Rehabilitative Occupational and Rehabilitative Physical Therapy30.00% Coinsurance after deductible
Rehabilitative Speech Therapy30.00% Coinsurance after deductible
Routine Dental Services (Adult)Not covered
Routine Eye Exam (Adult)Not covered
Routine Eye Exam for ChildrenNo Charge after deductible
Routine Foot CareNot covered
Skilled Nursing Facility30.00% Coinsurance after deductible
Substance Abuse Disorder Inpatient Services30.00% Coinsurance after deductible
Substance Abuse Disorder Outpatient Services30.00% Coinsurance after deductible
Transplant30.00% Coinsurance after deductible
Treatment for Temporomandibular Joint Disorders30.00% Coinsurance after deductible
Weight Loss ProgramsNot covered
Well Baby Visits and CareNo charge

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