Group Health Cooperative of South Central Wisconsin (GHC-SCW) has partnered with medical systems in the outlying areas, including Upland Hills in Iowa County, Mile Bluff Medical System in Juneau County, and effective January 1, 2020, Fort HealthCare in Jefferson County will be added to the GHC-SCW network. This expands the regional network and provides additional coverage in surrounding counties.
Go to ghcscw.com/health-insurance/government-employees and scroll down to the State Employees section. The current provider directories are available under Plan Information. To request a printed directory to be mailed to you, call Member Services at 1-800-605-4327, ext. 4504.
Referrals, Authorizations, Out-of-Network
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.
Emergency and Urgent Care
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 1-800-605-4327, 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
We know you are busy. Now, when sickness finds you, you can get relief even quicker. You can get a diagnosis and prescription in just a few minutes at virtuwell, your 24/7 online clinic. Visit ghcscw.com/virtuwell to learn more and get started.
Major Health Systems
- GHC-SCW Primary Care Clinics
- UW Hospital
- American Family Children's Hospital
- Meriter Hospital
- UW Medical Foundation