Group Health Cooperative of South Central Wisconsin

608-828-4853 or 1-800-605-4327, ext. 4504
ghcscw.com

What’s New for 2017

GHC-SCW members are now able to integrate their Fitbit device with their GHC MyChart electronic medical record. This integration will allow your Primary Care Provider to see if you are reaching your fitness goals. If you do not have a GHC MyChart account, please visit ghcscw.com to sign up.

You can get a diagnosis and prescription in just a few minutes at virtuwell, your 24/7 online clinic. GHC-SCW members get three virtuwell visits for free per year, unless you are enrolled in the High Deductible Health Plan. Enrollees of the High Deductible Health Plan must first meet their annual deductible before being eligible for free virtuwell visits. Visit ghcscw.com for more information.

Provider Directory

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.

Service Area

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.

24-Hour Nurseline

GHCNurseConnect: 608-661-7350 or 1-855-661-7350