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Security Health Plan of Wisconsin, Inc. Compass (HMO) Medicare Advantage Plan H5211-003 • 2027 • Burnett County, WI

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$5000.00In-network
Part B Giveback
Not offered
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Burnett County, WI
Local Enrollment
114 beneficiaries in Burnett County
Last update:

Security Health Plan of Wisconsin, Inc. Compass (HMO) Introduction

CMS Plan ID H5211-003 identifies Security Health Plan of Wisconsin, Inc. Compass, a Medicare Advantage HMO plan offered by Security Health Plan of Wisconsin, Inc.. The plan uses a Health Maintenance Organization (HMO) provider network and comes without prescription drug coverage. Its costs for the 2027 plan year include a $0.00 monthly premium, $0.00 medical deductible, and $5000.00 in-network maximum out-of-pocket.

This plan is available to eligible beneficiaries who live in Burnett County, Wisconsin. CMS reports local enrollment of 114 beneficiaries for this plan in Burnett County. New members can contact the plan at (866)335-0482 (TTY 711) for help and additional plan information.

Compare Similar Plans in Burnett County

Compare this plan with the two most-enrolled HMO plans available in Burnett County, Wisconsin. Enrollment is based on CMS local enrollment data.

HMO plan comparison for Burnett County, Wisconsin
Plan Detail Compass Esteem Rx Cooperative Medicare Advantage
CMS Plan ID H5211-003-0 H5211-012-0 H7598-004-0
Local Enrollment 114 608 16
Monthly Premium $0.00 $20.00 $0.00
Medical Deductible $0.00 $0.00 $0.00
Maximum Out-of-Pocket $5,000.00 $7,150.00 $6,700.00
Part B Giveback Not offered Not offered Not offered
Primary Care $0 copay $0 copay $0 copay
Specialist $50 copay $50 copay $45 copay
Part D Deductible Not Applicable $550.00 $275.00
CMS Star Rating Not yet rated Not yet rated Not yet rated
Dental $0 copay $0 copay $0 copay
Vision $0-$50 copay $0-$50 copay $0 copay
Hearing $0 copay $0 copay $0 copay

Plan Benefits

Security Health Plan of Wisconsin, Inc. Compass has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H5211-003.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H5211-003-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Specialist
In-network: $50 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Telehealth benefit
In-network: $0-$300 copay, 0%-20% coinsurance
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
In-network: $0 copay
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$200 copay
Lab services
In-network: $0 copay
Outpatient x-rays
In-network: $20 copay
Diagnostic tests and procedures
In-network: $5 copay

Emergency and Urgent Care Services

Emergency room care
$130 copay
Worldwide emergency care
Coming soon
Urgent care
$0-$50 copay
Inpatient hospital care
Tier 1
$400 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Skilled Nursing Facility
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Ground ambulance
In-network: $275 copay

Mental Health Services

Outpatient individual therapy
In-network: $50 copay
Outpatient group therapy
In-network: $50 copay
Inpatient psychiatric hospital care
Tier 1
$400 per day for days 1-4
$0 per day for days 5-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $20 copay
Occupational therapy
In-network: $20 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Durable medical equipment
In-network: 0%-20% coinsurance
Prosthetics
In-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Dental x-rays
In-network: $0 copay
Cleaning
In-network: $0 copay
Periodontics
Not covered
Endodontics
Not covered
Restorative services
Not covered
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
Not covered

Vision Services

Routine eye exam
In-network: $0-$50 copay
Contact lenses
Not covered
Eyeglass frames only
Not covered
Eyeglass lenses only
Not covered
Eyeglasses (frames & lenses)
In-network: $0 copay
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Prescription hearing aids
In-network: $499-$999 copay
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
Not covered
Massage therapy
Not covered
Home/bathroom safety devices
In-network: 20% coinsurance

Certain preventive services are covered 100% by Security Health Plan of Wisconsin, Inc. Compass as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Performance Ratings (Contract ID: H5211)

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.

2027 Medicare Star Ratings for Contract H5211
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Contact Information for Security Health Plan of Wisconsin, Inc.

Website
Security Health Plan of Wisconsin, Inc. Plan Page
Providers
Security Health Plan of Wisconsin, Inc. Providers Page
Formulary
Security Health Plan of Wisconsin, Inc. Formulary Page
Pharmacy
Security Health Plan of Wisconsin, Inc. Pharmacy Page
New Member Health Plan Help
(866)335-0482
New Member Health Plan TTY
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Security Health Plan of Wisconsin, Inc. (official source) http://www.securityhealth.org/medicar October 4, 2026
Medicare.gov Compare types of Medicare Advantage Plans 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.