Description
Group Health Cooperative of Eau Claire - Greater Wisconsin has one of the largest provider networks with 39,000+ providers and is pleased to service counties in western, central, and southern Wisconsin.
Group Health Cooperative of Eau Claire is a community-based, non-profit health plan, providing personalized, proactive support for our members. The Cooperative is committed to helping members find quality care, managing health care costs, and supporting whole-person health — all to help our members get the most value from their health plan.
Provider Directory
Go to our website choose “Members,” then “Find a Doctor” to access the provider directory, or use Find A Doctor as a direct path. In the drop-down menu under “Select A Plan,” choose State of WI (ETF) Greater WI. 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 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 our website 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. 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 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 Teladoc for more information.
Major Health Systems
- Aspirus Health
- Essentia Health
- Marshfield Clinic Health System
- Gundersen Health System
- St Luke's Regional Health Care System