It's Your Choice 2016
State of Wisconsin
Group Health Insurance Program
(State Employees, Retirees, Continuants and Graduate Assistants)
Group Health Cooperative of South Central Wisconsin608-828-4853 or 1-800-605-4327, ext. 4504
What’s New for 2016
GHC-SCW members will have access to the new UW Health at The American Center located on Madison’s east side. The GHC-SCW service area will no longer include Marquette County.
Go to ghcscw.com, click on “Find a Provider,” select “Primary Care” and click on the “State and WPEG Employee Provider Directory” on the right hand navigation bar. To request a printed directory be mailed to you, call Member Services at 1-800-605-4327, ext. 4504.
Referrals, Prior Authorizations, Out-of-Network Care
Your primary care provider will submit a referral request to GHC-SCW Care Management Department when you need to receive services outside of a GHC-SCW clinic or through a specialty care area. Certain procedures or tests also require a prior authorization for medical necessity review. You will receive a letter from GHC-SCW, as well as notification in your GHCMyChartSM account, letting you know if the referral/prior authorization has been approved.
Columbia, Dane and Sauk counties.
Emergency and Urgent Care Outside Service Area
If you require emergency or urgent care when outside of the network, seek care at the nearest medical facility. Contact GHC-SCW Member Service at (800) 605-4327, ext. 4504 if assistance is needed to determine the appropriate level of care. Follow-up care must be received from an in-network provider unless otherwise approved by GHC-SCW.
Mental, Behavioral Health and Substance Abuse
When you need mental health services, contact GHC-SCW mental health triage at 608-441-3290. Please refer to the GHC-SCW Provider Directory. A referral is not required for services provided in a GHC-SCW clinic. A referral is needed for transitional, outpatient and/or inpatient care.
GHCNurseConnect: 608-661-7350 or 1-855-661-7350
This page was last modified on: 9/11/2015 7:53:05 PM