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2021 Select Directory Quick Reference Card in Back Group Health Cooperative of South Central Wisconsin 2021 Select Directory Group Health Cooperative of South Central Wisconsin (GHC-SCW) ghcscw.com MK20-88-0(7.20)O NEW MEMBER INFORMATION Table of Contents About This Provider Directory This Provider Directory is accurate at the time of WELCOME TO THE GHC SELECT PLAN ................. 3 printing. Find the most current information about our wide selection of care providers online. CARE GUIDE ...................................................... 4 1) Visit ghcscw.com. Quick Care ................................................ 4 2) Select the “Clinic or Provider” button. 3) Select your network from the drop-down menu. Pharmacy ................................................. 5 4) Select either “Search for a Provider” or GHCMyChartSM .......................................... 6 “Search for a Clinic.” PRIMARY CARE PROVIDERS AND CLINICS ............ 7 Need help selecting a Primary Care Provider (PCP)? Care Teams at GHC-SCW ............................ 7 Call (608) 828-4853 or toll-free at (800) 605-4327 and request Member Services. GHC-SCW Clinics ....................................... 8-14 For complete details about what is covered under your SPECIALTY AND ANCILLARY SERVICE GHC-SCW Plan, please refer to your Member Benefits Summary, Member Certificate and Plan Amendments, PROVIDERS AT GHC-SCW ................................... 15 contact your employer or call Member Services. Chiropractic Services .................................. 16 Clinical Health Education ............................ 16 Complementary Medicine ............................ 17-19 Interpreter Services Eye Care ................................................... 20 Interpreter services are provided at no charge to Mental Health ........................................... 21-23 you. GHC-SCW does not discriminate on the basis of disability in the provision of programs, services or Primary Care Behavioral Health .................... 23 activities. If you need this printed material interpreted, Dermatology .............................................. 23 in an alternative format or need assistance in using any of our services, please contact Member Services Podiatry .................................................... 23 at (608) 828-4853 or toll-free at (800) 605-4327. Physical Therapy ........................................ 24 Occupational Therapy ................................. 24 ESPAÑOL Si necesita ayuda para traducir o entender este texto, Sports Medicine ......................................... 24 por favor llame al telefono (608) 828-4853 o, sin cargo, al (800) 605-4327, y solicite hablar con el Departmento de Servicios Miembros. SPECIALTY CARE LOCATIONS .............................. 25-31 HMOOB COMMON TERMS ............................................... 32-33 Kev Pab Cuam Txhais Lusyuav muaj pab pub dawb rau koj. Xav tau phau txhais ua lwm hom lus los sis kom nkag siab no, thov hu (608) 663-2940. GHC-SCW complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. If you need this printed material interpreted or in an alternative format, or need assistance in using any of our services, contact GHC-SCW Member Services at (608) 828-4853; TDD (608) 828-4815. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al, (608) 828-4853; TDD (608) 828-4815. Federal Employees: It is important to know that when you enroll in this plan, services are provided through LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj the plan’s Provider Network as described in the plan’s Federal brochure RI 73-061, but the continued kev pab dawb rau koj. Hu rau (608) 828-4853; participation of any one doctor, hospital or other provider cannot be guaranteed. TDD (608) 828-4815. Group Health Cooperative of South Central Wisconsin 2 2021 Provider Directory Welcome to The GHC Select Plan A remarkable insurance product from Group Health Cooperative of South Central Wisconsin (GHC-SCW). The GHC Select Plan gives individuals and employer groups of any size access to their choice of our six full-service, high-quality primary care clinics in and around Madison, plus access to specialty care close to home through our world-class specialty partners at UW Hospital and Clinics. Please use this directory to select your PCP available at any one of our six primary care Best-In-Class clinics below. PRIMARY CARE To select a PCP: Call: Call your primary care clinic to discuss your options and to + select a PCP. COST SAVINGS Click: Log in to your GHCMyChartSM account and and hover over “Messaging” and select “Message Center.” Click “Ask a Question” and select “Member Services Question.” Under “Regarding,” choose “Change Primary Care Provider” from the drop-down menu. Capitol Clinic DeForest Clinic East Clinic (608) 257–9700 (608) 846–4787 (608) 222–9777 675 W. Washington Ave., 815 S. Main St., 5249 E. Terrace Dr., Madison 53703 DeForest 53532 Madison 53718 Hatchery Hill Clinic Madison College Community Clinic Sauk Trails Clinic (608) 661–7200 (608) 441-3220 (608) 831–1766 3051 Cahill Main, 1705 Hoffman St., 8202 Excelsior Dr., Fitchburg 53711 Madison 53704 Madison 53717 Visit ghcscw.com and select the “Search for a Clinic or Provider” 3 button for a complete and current listing of providers. CARE GUIDE Your Primary Care Clinic GHC-SCW Urgent Care Clinic Your primary care clinic is your first point of contact for all your health Urgent care is for non-life-threatening conditions care needs. Anytime you need medical care (except for emergencies), that need to be treated that same day or after call your primary care clinic for an appointment or to speak with your business hours. These conditions usually cause PCP’s nursing staff. Find the clinic phone number listed next to your unusual discomfort. member number on your GHC-SCW Member ID card. Call your primary care clinic. Examples include: • back pain • migraine headaches • ear pain • sore throats GHC NurseConnect • colds and flu • simple bone fractures • cuts, scrapes (not through skin) GHC-SCW nurses are here 24/7/365 to help you, guide you and get you or bruises • sprains on the path to better health fast. They can even access your medical • eye irritation • skin rashes record and get you scheduled for an appointment if you need one. • fever • urinary burning Call (608) 661-7350 or toll-free at (855) 661-7350. Physical therapy is available for some injuries at the GHC-SCW Urgent Care Clinic. virtuwell Call the GHC-SCW Urgent Care Clinic to schedule an Get care anytime, anywhere with our 24/7 online clinic. Use virtuwell appointment. Appointments are made to better serve to get a diagnosis, treatment plan and prescription for over 60 your same-day access needs. common conditions without ever leaving home. Visit ghcscw.com/virtuwell. GHC Care OnDemand With GHC Care OnDemand, you can access a doctor from your home, office, or on-the-go, 24/7, 365. Board-certified doctors can visit with you either by phone or secure video to help treat any non-emergency medical conditions. Visits are free for most members. Members with HSA-eligible plans must reach their deductible before visits are free. Go to ghccareondemand.com. Emergency Care GHC-SCW Urgent Care Clinic at Capitol Clinic Emergency care is for life-threatening medical conditions (including (608) 442-8100 severe symptoms) that can cause serious danger to your health. 675 W. Washington Ave. Madison, WI 53703 Examples include: Mon – Fri: 8 a.m. – 9 p.m. • alcohol or drug overdose • heart attack/chest pain Sat – Sun: 9 a.m. – 9 p.m. • amputations or severe • knife/gunshot wounds lacerations • loss of consciousness • complex bone fractures • poisoning (through skin) • respiratory problems • complications during • severe burns pregnancy1 • stroke • facial or eye trauma If it’s not possible to go to your designated hospital, go to the nearest hospital emergency room or call 911. 1 For complications during pregnancy, please go directly to UnityPoint Health – Meriter Hospital. Group Health Cooperative of South Central Wisconsin 4 2021 Provider Directory GET CARE Pharmacy GHC-SCW • Check your GHC-SCW Benefits Summary to see if prescription drugs pharmacies can are a covered benefit under your health insurance plan. mail most common • Always present your GHC-SCW member ID card and any other prescriptions right prescription coverage card you may have to your pharmacy. to your home! • Navitus Health Solutions administers the pharmacy benefit for participants covered under the GHC-SCW prescription plan. GHC-SCW clinic pharmacies are approved Navitus providers and may be used for your prescription needs. Ask them about mailing your prescription to you! Locations, Phone Numbers & Hours Fill Your Prescription Capitol Clinic (608) 257-9732 Call Your Pharmacy 675 W. Washington Ave. See right for GHC-SCW pharmacies phone numbers and hours. Madison, WI 53703 Mon – Fri: 8 a.m. – 7 p.m. Online Sat – Sun: 9 a.m. – 5 p.m. Log in to your GHCMyChartSM account and select, “Refill Medications” under “Quick Links” to order through Hatchery Hill Clinic GHC-SCW pharmacies. (608) 661-7242 3051 Cahill Main Learn More Fitchburg, WI 53711 Visit ghcscw.com and select “Pharmacy” under the “Health Mon, Wed – Fri: 8 a.m. – 6 p.m. Care” tab at the top of the page to review the GHC-SCW Tue: 8 a.m. – 7 p.m. Formulary, search by zip code for GHC-SCW-participating pharmicies and more. Sauk Trails Clinic (608)
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