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State Employees Frequently Asked Questions
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General Questions
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Why should I choose Group Health Cooperative of Eau Claire for my health
insurance?
Choosing a health plan is an important decision.
When you choose GHC, you can expect great service from real people in your own
backyard. Best of all, GHC is a Tier 1 plan, so you get a great price.
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Health Plan Application
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I'm completing the health insurance application and it's asking me for a Provider
Number. Where do I find this information?
Neither the State of Wisconsin nor GHC requires the Provider Number to be
filled in. You may leave it blank. It is located on the application as an
optional field. Back to Top
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I'm unsure which physician I will be using for care, but I know which
clinic I will be using. What physician should I list under "Selected Physician"?
Group Health Cooperative only tracks your clinic choice; you are not bound to a
physician. Listing the physician along with the clinic where he/she practices
will be helpful to ensure that the correct primary clinic is recorded in your
file. If you prefer not to choose a physician, it is acceptable to only list
the clinic. Back to Top
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Dependent
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How long will my dependent be covered?
Group Health Cooperative will provide coverage to eligible adult child dependents up to age 26. Orthodontia benefits cover unmarried dependent children through age 18. For more information on dependency mandates, please see our
Health Care Reform Frequently Asked Questions page.
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Providers and Benefits
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I would like to see a list of your providers.
Our provider directory is available right at your fingertips. Back to Top
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Can I see a physician at Mayo Clinic in Rochester?
You may see a physician at the Mayo Clinic in Rochester only with prior
authorization from GHC. Please read our Authorization Guidelines
for more information. Back to
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I don't see any psychiatrists listed in your directory. How do I receive
mental health services?
We list behavioral health clinics in our directory, we do not list
individual psychiatrists. This is because, while behavioral health services are
usually a covered benefit, you will need authorization for these services after
6 visits. Providers in the GHC
network have been educated that authorization is required for services after 6
visits; however, it is ultimately your responsibility as a member to ensure
this authorization has been obtained. If you have benefit questions related to
behavioral health or chemical dependency, please call a GHC
Member Services Advocate at (715) 552-4300 or (888) 203-7770. Back to Top
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Will our health care still be covered if we live outside the GHC service area?
Only emergency and urgent care visits are covered outside of the GHC provider network.
Any follow-up care resulting from these visits requires you to utilize a provider
within our network.
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Coverage Termination
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My coverage was terminated with GHC and I don't feel it should
have been terminated.
Group Health Cooperative obtains termination information from the State of Wisconsin.
Please see your Human Resource Representative to discuss the reasons
for your policy termination. Back to Top
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My coverage will be terminated with the State of Wisconsin - what date will my
coverage actually end?
For most plans, coverage will end on the last day of the month in which
coverage is terminated. However, because this criteria is set by your employer, please
see your Human Resources Representative to confirm the date on which your
coverage will end. You may also wish to discuss COBRA options, which may allow
you to purchase continued coverage. Back to Top
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