Description

Common Ground Healthcare Cooperative, a health plan network offering through Group Health Cooperative of Eau Claire.

Group Health Cooperative of Eau Claire and Common Ground Healthcare Cooperative are proud to partner in offering this unique cooperative-based health insurance offering for State of Wisconsin Group Health Insurance members. Group Health Cooperative of Eau Claire has served ETF members since the late 1980s, providing experience and trusted service to our members. Common Ground Healthcare Cooperative has a strong reputation for member-focused service and an expansive network on the Eastern side of Wisconsin with a provider network of 15,000+ providers, allowing for our two cooperatives to work together to provide the highest quality experience and care to our membership.

 

Provider Directory

Go to group-health.com to access the provider directory or use group-health.com/members/find-a-doctor as a direct path, choose “Members,” then “Find a Doctor.” In the drop-down menu under “Select A Plan,” choose State of WI (ETF) Common Ground.  To request a printed directory be mailed to you, call Member Services at 833-742-0952.

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 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 833-742-0952 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. Contact your primary care physician or 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 833-742-0952 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

  • Advocate Aurora Health Care
  • ThedaCare
  • BayCare Clinic

Full Service Areas

Brown County, Fond Du Lac County, Green Lake County, Kewaunee County, Manitowoc County, Marinette County, Milwaukee County, Outagamie County, Ozaukee County, Shawano County, Sheboygan County, Washington County, Waukesha County, Waupaca County, Waushara County, Winnebago County