Group Health Cooperative of Eau Claire River Region has one of the largest provider networks with 34,000+ providers and is pleased to serve five counties in west central 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.
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) River Region. To request a printed directory be mailed to you, call Member Services at 1-888-203-7770.
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 our website or call 1-888-203-7770 to speak with Member Services.
If you require emergency or urgent care while outside the network, seek care at the nearest medical facility. Contact your primary care physician or u se 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.
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.
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.
