Description

Group Health Cooperative of Eau Claire is pleased to serve counties throughout Northern and Central Wisconsin.

What’s New for 2021

There have been no major changes to Group Health Cooperative of Eau Claire’s service area or network over the past year. However, The Cooperative is urging members to utilize our telehealth service, Teladoc, as we continue to navigate concerns surrounding COVID-19. Teladoc provides access to a doctor through the convenience of a phone or video consult, providing access to treatment for many minor conditions, such as cold and flu symptoms, from the comfort of your home. If necessary, you can even receive a prescription. Visit group-health.com/members/alternative-care-options/teladoc for more information.

Provider Directory

Go to group-health.com to access provider directory. Use group-health.com/directories/providers.aspx as a direct path or visit group-health.com, choose “Members,” then “Find a Doctor”. In the drop-down menu under “Select A Plan,” choose State of Wisconsin Employee. To request a printed directory be mailed to you, call Member Services at 1-888-203-7770.

Referrals, Authorizations, Out-of-Network

Referrals are not needed when receiving care from in-network providers. All out of network requests require prior authorization. Certain in-network services and all admissions require a prior authorization as well. You will receive written notification of the approval or denial for the prior authorization. Members with low back pain are required to participate in a shared decision-making tool to review information on options, outcomes and to clarify personal values. For further information regarding authorization guidelines, please visit group-health.com or call 1-888-203-7770 to speak with Member Services.

Emergency and Urgent Care

If you require emergency or urgent care while outside the network, seek care at the nearest medical facility. Use the Teladoc number listed on your ID card if assistance is needed to determine the appropriate level of care. Follow-up care must be received from an in-network provider unless otherwise authorized by the Cooperative.

Mental, Behavioral Health and Substance Abuse

No referral is needed to see a provider in the Cooperative’s network. Prior authorization guidelines may apply for certain services; please contact Member Services at 1-888-203-7770 for additional information. Please refer to the provider directory for a listing of mental health providers in the Cooperative’s network.

24-Hour Nurseline

Teladoc: 1-800-835-2362

Virtual Visits

Members of the Cooperative have 24/7/365 access to telehealth services through Teladoc. Through the convenience of phone or video consult, this service allows you to discuss your medical concerns with a doctor and, if necessary, receive a prescription from the comfort of your home. It is cost-effective and convenient. Visit group-health.com/members/alternative-care-options/teladoc for more information.

Major Health Systems

  • Ascension / Ministry Medical Group
  • Aspirus Health Care
  • Essentia Health
  • Marshfield Clinic
  • St. Lukes Health Care System / St. Lukes

Full Service Areas

Ashland County, Bayfield County, Burnett County, Clark County, Douglas County, Iron County, Langlade County, Lincoln County, Marathon County, Oneida County, Price County, Sawyer County, Taylor County, Vilas County, Washburn County

Limited Service Areas

Minnesota, Michigan
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