HMO & REGIONAL PROVIDER DIRECTORY...HMO PROVIDER DIRECTORY QUICK REFERENCE CARD ON BACK GO DIRECTLY...

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HMO PROVIDER DIRECTORY QUICK REFERENCE CARD ON BACK GO DIRECTLY TO GHCSCW.COM HMO & REGIONAL PROVIDER DIRECTORY Your Primary Care Clinic choice determines: • Where you go for health care services like Urgent and Emergency Care • What specialists you can see • Which hospitals you can go to Please refer to you Primary Care Clinic page within this PDF document for details. Click here to skip to our Regional Network Directory, which includes a listing of Sauk and Columbia County PCPs, specialists, and hospitals.

Transcript of HMO & REGIONAL PROVIDER DIRECTORY...HMO PROVIDER DIRECTORY QUICK REFERENCE CARD ON BACK GO DIRECTLY...

HMOPROVIDER

DIRECTORY

QUICK REFERENCE

CARD ONBACK

GO DIRECTLY TO GHCSCW.COM

HMO & REGIONALPROVIDER

DIRECTORY

Your Primary Care Clinic choice determines: • Where you go for health care services like Urgent and Emergency Care • What specialists you can see • Which hospitals you can go to

Please refer to you Primary Care Clinic page within this PDF document for details.

Click here to skip to our Regional Network Directory, which includes a listing of Sauk and Columbia County PCPs, specialists, and hospitals.

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ABOUT THIS PROVIDER DIRECTORY This Provider Directory is accurate at the time of printing. Find the most current information about our wide selection of care providers online. 1) Visit ghcscw.com 2) Select “Find a Provider” in the top navigation menu 3) Search by clinic and other criteria

Need help selecting a Primary Care Provider? Call (608) 828–4853 or toll–free at (800) 605–4327 and request Member Services.

For complete details about what is covered under your GHC-SCW Plan, please refer to your Member Benefits Summary, Member Certificate and Plan Amendments, contact your employer, or call Member Services.

INTERPRETER SERVICESInterpreter Services are provided at no charge to you. GHC-SCW does not discriminate on the basis of disability in the provision of programs, services or activities. If you need this printed material interpreted, in an alternative format, or need assistance in using any of our services, please contact Member Services.

ESPAÑOL Si necesita ayuda para traducir o entender este texto, por favor llame al telefono (608) 828–4853 o, sin cargo, al (800) 605–4327, y solicite hablar con el Departmento de Servicios Miembros.

HMOOB 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.

TABLE OF CONTENTS NEW MEMBER INFORMATION ..................... 3

CARE GUDE ............................................... 4 Primary Care ..............................................................4-5 Quick Care .................................................................6-7 Where To Go For Care ............................................. 8–9 Pharmacy .................................................................... 10 GHCMyChartSM ......................................................... 11

PRIMARY CARE PROVIDERS AND CLINICS... 12 Care Teams at GHC-SCW ......................................... 12 GHC-SCW Clinics .............................................. 13–20 Access Community Health Centers Clinics ........ 21–22 UW Health Family Medicine Clinics ........................ 23 UW Health Clinics .................................................... 24 UW Health Stoughton Clinic .................................... 25

SPECIALTY AND ANCILLARY SERVICE PROVIDERS AT GHC-SCW ......................... 26 Chiropractic Services ................................................. 27 Clinical Health Education .......................................... 27 Complementary Medicine .................................... 28–32 Dermatology ................................................................ 33 Eye Care ...................................................................... 33 Mental Health ...................................................... 34–35 Occupational Therapy ................................................ 35 Physical Therapy ......................................................... 36 Podiatry ....................................................................... 36 Sports Medicine .......................................................... 36

ALL SPECIALTY CARE LOCATIONS ........37–51

COMMON TERMS ...............................52–53

WELCOME NEW MEMBERS!Thank you for choosing Group Health Cooperative of South Central Wisconsin (GHC-SCW)! We pride ourselves in meeting your health care and health insurance needs. To get the best care possible, we encourage you to take these quick steps.

1. ACTIVATE YOUR ONLINE GHCMYCHARTSM ACCOUNTSchedule appointments, refill your prescriptions, view test results, and more! Visit ghcscw.com and select “Register” under the GHCMyChartSM login section to get started. Learn more on page 11.

2. TRANSITION YOUR CAREIf you’re coming to us from a different health care organization, we want to help make your transition as seamless as possible. You’ll want to transfer existing:

» Medical records so we can better understand your medical history. » Specialty Care treatment so we can help provide continuity of your care.

» Medications so we can help you avoid gaps in your medication regimen.

3. CHOOSE YOUR PRIMARY CARE PROVIDER (PCP)PCPs are listed in this Provider Directory. You have the right to choose any PCP who is available to accept you or your family members. See page 5 for details about choosing a PCP.

CLICK ON EACH STEP TO

COMPLETE THESE ACTIONS NOW.

Federal Employees: It is important to know that when you enroll in this Plan, services are provided through the Plan’s Provider Network as described in the Plan’s Federal brochure RI 73–061, but the continued participation of any one doctor, hospital, or other Provider cannot be guaranteed.

4. SCHEDULE AN APPOINTMENT

After choosing a PCP, you may want to schedule an introductory visit. You don’t need to be sick to schedule an introduction – we look forward to meeting you! A copay may apply to your visit depending on your insurance plan.

CONNECT WITH US:MEMBER SERVICES – WE ARE YOUR RESOURCE

» Get answers to your insurance benefit questions. » Learn about what health care services are covered with your insurance plan. » Order or replace your GHC-SCW ID cards.

Call: (608) 828–4853 or toll–free at (800) 605–4327 and request Member Services. Click: Visit ghcscw.com and select “Member Support” under the “Connect With Us” tab.

PRIMARY CARE CLINIC – A STARTING POINT FOR YOUR CARE

» Receive routine care from a Primary Care Provider. » Have your specialty needs coordinated by a team of experts. » Receive support to manage an ongoing illness or injury.

Call: For a complete listing of Primary Care Clinic phone numbers, see the Reference Card on the back cover. Click: Log into your GHCMyChartSM account and select “Message Center” to send a message to your Primary Care Clinic.

GHCNurseConnect – YOUR 24/7 NURSE ADVICE LINE

» Get general care advice and triage for cough, cold, fever, flu, sore throat, and more.

» Address your health-related concerns with a regsitered nurse. » Get out–of–area care for temporary illnesses or injuries.

Call: (608) 661–7350 or toll–free at (855) 661–7350

VIRTUWELL® – YOUR 24/7 ONLINE CLINIC

» Get better faster; save a trip to the clinic. » Get a diagnosis, treatment plan, and even a prescription in just a few minutes. » Receive three visits for free, depending on your insurance plan.

Click: Visit ghcscw.com/virtuwell to get started.

6 7Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

GET CARE – PRIMARY CAREThe key to optimal health is forming a partnership with a Primary Care Provider (PCP). By understanding your needs and medical history, your PCP can best care for you. Your PCP can:

» Partner with you to develop a wellness plan.

» Treat a wide variety of health care needs and provide preventive care.

» Help you manage an illness or injury.

» Coordinate your care with Specialty Care providers.

Find exceptional PCPs in Primary Care Clinics throughout Dane County:

GET CARE – PRIMARY CARE

TIPS FOR CHOOSING A PRIMARY CARE PROVIDER (PCP)It’s important to choose a PCP who meets your needs and can be source of trust.

Here are some tips: » Think about your health goals. » Think about your preferences for: your PCP’s gender, location, and

their medical interests.

» Learn more about your PCP options in this Provider Directory and online at ghcscw.com when you select “Find a Provider.”

You may change your PCP and clinic location within your network at any time.

TO SELECT A PCP

Log in to your GHCMyChartSM account and select “Contact Member Services” under the Message Center tab. Then type in your PCP request.

Call your primary care clinic to discuss your options and to select a PCP.

AREAS OF PRACTICE PCPs generally focus on different medical areas of practice for different life stages:

» Family Medicine focuses on health care for the entire family, with an emphasis on care for all ages.

» Family Medicine with Obstetrics focuses on health care for the entire family, with an emphasis on delivering babies.

» Internal Medicine focuses on adult medicine and complex health care. Older adults may prefer Internal Medicine because of its focus on the interrelated systems of the body and how they are affected by illness.

» Pediatrics focuses on childhood medicine and health care (including preventive care). A Pediatric PCP may be ideal for children ages 17 or younger.

Your Primary Care Clinic choice

determines where you go for health care services, including

Specialty Care, Urgent Care, and Emergency Care. See pages 8–9.

Primary Care Clinic LocationsGHC-SCW ClinicsAccess Community Health Centers ClinicsWingra Family Medical CenterUW Health Family Medicine ClinicsUW Health ClinicsUW Health Stoughton ClinicH = Hospital Locations

DANE COUNTY, WI

Click on PCP names on pages 14–20 in this directory to

view biographical information online, including their medical

background, education, languages spoken, and much more.

8 9Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

IN PERSON – EMERGENCY CARE Emergency Care is for life–threatening medical conditions (including severe symptoms) that can cause serious danger to your health. Examples include:

If it’s not possible to go to your designated hospital (see pages 8–9), go to the nearest hospital emergency room or call 911.

» alcohol or drug overdose » amputations or severe lacerations » complex bone fractures (through skin) » complications during pregnancy1 » facial or eye trauma » heart attack/chest pain

» knife/gunshot wounds » loss of consciousness » poisoning » respiratory problems » severe burns » stroke

BY PHONE – GHCNurseConnect GHCNurseConnect is your 24/7 nurse advice line when you need general advice and triage over the phone. We’re also here to help you when you think you need medical care and you’re not sure what to do. Call (608) 661–7350 or toll–free at (855) 661–7350.

ONLINE – VIRTUWELL Virtuwell is your 24/7 online clinic for a diagnosis, treatment plan, and even a prescription for common medical conditions. Now you can get better faster. Visit ghcscw.com/virtuwell

1 For complications during pregnancy, please go directly to Meriter Hospital if under 20 weeks pregnant. Please go directly to St. Mary’s Hospital if over 20 weeks pregnant.

LOCAL MEETS EXCEPTIONALGroup Health Cooperative of South Central Wisconsin (GHC-SCW) is your local, best–in–class health care provider. We’re committed to providing you with top–ranked2 quality care whenever you need it.

As an HMO member, you have full access to an entire network of exceptional, world–class specialists from our valued partners, UW Health and others.

Best–in–class primary care from GHC-SCW and world–class specialty care from our partners, because you do deserve the best of both worlds.

Additional network providers are available for certain Specialty Care services. For questions about Prior Authorization to Specialty Care outside of GHC-SCW–owned clinics, please call Care Management at (608) 257–5294.

See next page for details.

2 Rankings by the National Committee for Quality Assurance (2006–2014).

GET CARE – QUICKCARE

IN PERSON – YOUR PRIMARY CARE CLINIC Your Primary Care Clinic is your first point of contact for all your health care needs. Anytime you need medical care (except for emergencies), you should first call your Primary Care Clinic for the soonest appointment. Find the Reference Card on the back cover of this directory for clinic phone numbers and hours.

IN PERSON – GHC-SCW URGENT CARE CLINIC Urgent Care is for non–life threatening conditions that need to be treated on the same day or after business hours. These conditions usually cause unusual discomfort. Examples include:

Call the GHC-SCW Urgent Care Clinic to schedule an appointment. Appointments are made to better serve your same day access needs.

GHC-SCW Urgent Care Clinic at Capitol Clinic

(608) 442–8100675 W. Washington Ave.Madison, WI 53703Mon – Fri, 8 a.m. – 9 p.m.Sat – Sun, 9 a.m. – 9 p.m.

Physical Therapy and Occupational Therapy are available for some injuries at the GHC-SCW Urgent Care Clinic.

» back pain » ear pain » colds and flu » cuts, scrapes, bruises » eye irritation

» fever » migraine headaches » sore throats » simple bone fractures (not through skin)

» sprains » skin rashes » urinary burning

10 11Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

*May also seek Specialty Care at Dean Clinic.1Sports Medicine and Dermatology are only available to members who are assigned to a GHC-SCW-owned Primary Care Clinic.

GHC-SCW Capitol Clinic(608) 257–9700

675 W. Washington Ave., Madison, WI 53703

Capitol Regent Mental Health Clinic(608) 441–3290

700 Regent St., Suite 302Madison, WI 53703

Complementary Medicine Central Clinic(608) 662–5090

740 Regent St., Suite 106Madison, WI 53703

GHC-SCW East Clinic(608) 222–9777

5249 E. Terrace Dr., Madison, WI 53718

GHC-SCW Hatchery Hill Clinic(608) 661–7200

3051 Cahill Main, Fitchburg, WI 53711

GHC-SCW Madison College Community Clinic(608) 441–3220

Madison College Health Education Center Truax Campus

1705 Hoffman St., Madison, WI 53704

Princeton Club West PT/OT Clinic(608) 662–5060

Princeton Club West8054 Watts Rd., Madison, WI 53719

GHC-SCW Sauk Trails Clinic(608) 831–1766

8202 Excelsior Dr., Madison, WI 53717

FIND YOUR PRIMARY CARE CLINIC *SPECIALTY AND ANCILLARY SERVICES AT GHC-SCW

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS URGENT CAREEMERGENCY CARE &

INPATIENT CARE

Specialty Care outside of GHC-SCW Clinics must be

provided by contracted Providers at UW Hospital and Clinics,

UW Health Clinics, or Meriter Hospital (special cases only).

Specialty Care outside of GHC-SCW Clinics must be provided by contracted

Providers at UW Hospital and Clinics, UW Health Clinics,

or Meriter Hospital (special cases only).

Members receiving care from UW Health Stoughton may get care from Dean Clinic

in Stoughton.

GHC-SCW Urgent Care Clinic(608) 442–8100

675 W. Washington Ave.Madison, WI 53703

UW Hospital and Clinics(608) 263–6400

600 Highland Ave.Madison, WI 53792

Meriter Hospital (608) 417–6000202 S. Park St.

Madison, WI 53715

St. Mary’s Hospital Inpatient Labor & Delivery

(608) 251–6100700 S. Park St.

Madison, WI 53715

Stoughton Hospital (608) 873–2264

900 Ridge St.Stoughton, WI 53589

UW Hospital and Clinics(608) 263–6400

600 Highland Ave.Madison, WI 53792

Meriter Hospital (608) 417–6000202 S. Park St.

Madison, WI 53715

GHC-SCW Urgent Care Clinic(608) 442–8100

675 W. Washington Ave.Madison, WI 53703

Stoughton Hospital – Urgent Care(608) 873–2264900 Ridge St.,

Stoughton, WI 53589

Stoughton Hospital – Urgent Care(608) 835–5373

900 Janesville St.,Oregon, WI 53575

GHC-SCW ClinicsCapitol Clinic, East Clinic, DeForest Clinic,

Hatchery Hill Clinic, Madison College Community Clinic, Sauk Trails Clinic

Access Community Health Centers ClinicsJoyce and Marshall Erdman Clinic,

William T. Evjue Clinic

UW Health Clinics Cottage Grove Clinic, Cross Plains Clinic,

Mt. Horeb Clinic

UW Health Family Medicine Clinics*Belleville Clinic, Northeast Family

Medical Center, Verona Clinic

Access Community Health Centers Clinic*Wingra Family Medical Center

UW Health Stoughton Clinic

The following may be received at GHC-SCW-owned clinics: Chiropractic Services, Clinical Health Education, Complementary Medicine, Dermatology, Eye Care, Mental Health, Occupational

Therapy, Physical Therapy, Podiatry, and Sports Medicine.1 Services vary by clinic location and not all services are offered at each location. If available, you may receive these Specialty and

Ancillary services from your assigned Primary Care Clinic.

Follow the colored line from your Primary Care Clinic to see where you go for health services.

Prior Authorization is required for most of these services.

Inpatient Labor and Delivery Care must be received at St. Mary’s Hospital.

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GET CARE – PHARMACY Freedom of ChoiceIn addition to GHC-SCW–owned pharmacies, you have the freedom to use any participating pharmacy in our national Navitus network, which includes most major pharmacies and independent community pharmacies. We also partner with WellDyneRx to offer a convenient mail order pharmacy service, so you can even choose to save a trip to the pharmacy.

» Check your GHC-SCW Benefits Summary to see if prescription drugs are a covered benefit under your health insurance plan. » Check the GHC-SCW formulary for a list of covered prescription drugs. » Always present your GHC-SCW member ID card to your pharmacy.

LEARN MOREVisit ghcscw.com and select “Pharmacy” under the “Get Care” tab to review the GHC-SCW formulary, search by zip code for GHC-SCW-participating pharmacies, and more.

FILL YOUR PRESCRIPTION Call your Pharmacy.See below for GHC-SCW phone numbers and hours.

Log in to your GHCMyChartSM account and select “Order Your Medications,” to order through GHC-SCW pharmacies.

NEW MEMBER COURTESY REFILL Existing prescriptions may be temporarily honored, which gives you time to make an appointment with your Primary Care Provider.

» Bring your prescription bottle to any GHC-SCW Clinic Pharmacy and we will contact your existing pharmacy to transfer the prescription. If you are taking a medication that is not covered by GHC-SCW (non–formulary), contact GHC-SCW Pharmacy Administration or discuss it with your Primary Care Provider. » For first–time appointments, simply bring a medication list or existing medications to your GHC-SCW appointment.

Capitol Clinic (608) 257–9732675 W. Washington Ave.Madison, WI 53703Mon – Fri, 8 a.m. – 7 p.m.Sat – Sun, 9 a.m. – 5 p.m.

Hatchery Hill Clinic (608) 661–72423051 Cahill MainFitchburg, WI 53711Mon, Wed – Fri, 8 a.m. – 6 p.m.Tue, 8 a.m. – 7 p.m.

Sauk Trails Clinic (608) 257–48698202 Excelsior Dr.Madison, WI 53717Mon, 8 a.m. – 7 p.m.Tue – Fri, 8 a.m. – 6 p.m.

WellDynexRx Mail Pharmacy(866) 490–3326Learn more at www.welldynerx.com

Pharmacy Administration (608) 828–4811 or (800) 605 4327, ext. 4811Mon – Fri, 8 a.m. – 5 p.m.

State of WI employees, UW Graduate Assistants, and local government employees (WPEG): Navitus Health Solutions administers the pharmacy benefit for participants covered under the State of Wisconsin Group Health Insurance Program. GHC-SCW Clinic Pharmacies are approved Navitus Providers and may be used for your prescription needs. For more information, contact Navitus at (866) 333–2757 or visit www.navitus.com.

Prescription drugs administered during a GHC-SCW–approved hospitalization: coverage will be subject to your plan’s Benefits for Inpatient/Outpatient Hospital Services. Please refer to your GHC-SCW Benefits Summary and Member Certificate for details.

LOCATIONS, PHONE NUMBERS, HOURS

FEATURES1

Schedule appointments schedule medical appointments anytime

Refill medications a medication history list makes refill requests easy

Message with us securely message with your Care Team,

member services, & others

View lab test results fast & confidential results so you don’t have to wait

GHCFamilyChart schedule appointments, refill medications,

& more on behalf of a family member

When you are empowered with tools that make your life easier and better, you can focus on what really matters – your health. That’s why we offer you an online GHCMyChartSM account.

ADDITIONAL FEATURES INCLUDE: » Interactive health tools from WebMD®. » Online bill pay where you can view your

account balance and safely pay your bill. » Order your contact lenses. » MyChart Central (create a single sign on for

MyChart accounts from multiple health care organizations).

» View/print immunization records and appointment health summaries.

» Access to insurance benefit information » And more!

ACTIVATE YOUR ACCOUNT1. Visit ghcscw.com and select “Register” under the GHCMyChartSM login section.2. Complete the online information form. You will be sent an activation code that you must use to continue activating

your account. Choose to have your activation code sent to you by email or mail.3. Visit ghcscw.com with your activation code and select “Register” under the GHCMyChartSM login section. Follow the

prompts to activate your GHCMyChartSM account.

GET THE APPView appointments, message your provider, get test results, and more – all from your iPhone or Android device. Just search and download the MyChart app at no cost to you.

To use the MyChart app on your smartphone, you must first activate your online GHCMyChartSM account. Standard data rates from your phone provider apply.

MyChart is a registered trademark of Epic System Corporation. GHCMyChart is a registered service mark of GHC-SCW. WebMD is a registered trademark of WebMD Health Services Group. Apple and iPhone are registered trademarks of Apple Inc.1 Features listed are available to members who receive care at Capitol Clinic, DeForest Clinic, East Clinic, Hatchery Hill Clinic, Madison College Community Clinic, and Sauk Trails Clinic. Members who receive care at other clinics may have fewer features available. Members must be at least 18 years old to request an account.

15Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.14

Description: Role: Includes:

YOUThe key decision–maker for your health.

» Take control of your health » Inform the care team about your health care needs » Make important and informed health choices

» you

PRIMARY CARE PROVIDER (PCP)

An expert advocate who cares about you.

» Point–person for all of your care » Provides a range of Primary Care services » Connects you to Specialty Care » Helps educate and empower you for better health

» Physician (MD/DO) » Certified Physician Assistant (PA–C) » Advanced Practice Nurse Prescriber (APNP)

REGISTERED NURSE (RN) COORDINATOR

A professional guide for your health care.

» Answers ongoing health–related questions » Provides health education » Guides you through the health care system (hospitals, specialty clinics, etc.)

» Registered Nurse (RN)

CLINICAL CASE MANAGER

A helping hand during complex times of need.

» Helps you with hospitalization needs » Organizes care among health care Providers » Guides follow–up care for complex needs

» Registered Nurse (RN) » Clinical Social Worker (CSW)

CARE TEAM SPECIALIST (CTS)

A trained, caring professional to serve your needs.

» Assists with member communication » Gathers information about your health » Supports the PCP during a visit

» Licensed Practical Nurse (LPN) » Certified Medical Assistant (CMA)

BEHAVIORAL HEALTH CONSULTANT

A collaborative partner helping your body, mind, and behavior.

» Improves coping with physical illness and stress » Helps with anxiety and depression » Provides support with Health Behaviors » Promotes overall health

» Clinical Social Worker (LCSW) » Psychologist (PhD/PsyD)

PHARMACIST

A knowledgeable professional for your medication needs.

» Provides medication consultations » Explains medication information » Collaborates with Care Team to provide

medication therapy reviews

» Pharmacists

GHC-SCW PRIMARY CARE CLINICS Care Teams Work Together for a Better YouWhen you’re a member at a GHC-SCW Primary Care Clinic, you’re part of a whole team – a Care Team – of expert doctors, nurses, and others who spend time connecting with you. Each person on the Care Team helps coordinate your care so you get the right care, in the right place, and at the right time.

CARE TEAM IN ACTIONTo ensure your needs are met in a timely manner, even if your PCP is unavailable, others on your Care Team will:

» Respond to phone and GHCMyChartSM messages. » Respond to lab test results. » Respond to medication refill and change requests. » Guide you through the pros and cons of medical treatments and procedures.

See our PCPs and their Care

Teams listed on pages 14–25

Primary Care services, Specialty and Ancillary services, Urgent Care services, and Pharmacy

PHONE (608) 257–9700

LOCATION675 W. Washington Ave., Madison, WI 53703

HOURSMon, Tues, Thu, 8 a.m. – 7 p.m.Wed, Fri, 8 a.m. – 5 p.m.

CAPITOL CLINIC

GHC-SCW PRIMARY CARE CLINICSWhere to go for care...

PRIMARY CARE Primary Care services, including lab and radiology, must be received at Capitol Clinic, DeForest Clinic, East Clinic, Hatchery Hill Clinic, Madison College Community Clinic, or Sauk Trails Clinic.

SPECIALTY AND ANCILLARY SERVICES AT GHC-SCW CLINICS

Services may be received at GHC-SCW–owned clinics for: Chiropractic Services, Clinical Health Education, Complementary Medicine, Dermatology, Eye Care, Mental Health, Occupational Therapy, Physical Therapy, Podiatry, and Sports Medicine.

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS

Prior Authorization may be required for these services. Specialty Care outside of GHC-SCW–owned clinics must be provided by contracted Providers at UW Hospital and Clinics, UW Health Clinics, or Meriter Hospital (special cases only).

URGENT AND EMERGENCY CARE See pages 8–9.

INPATIENT CARE Care must be received at UW Hospital and Clinics or Meriter Hospital.

INPATIENT LABOR & DELIVERY CARE Care must be received at St. Mary’s Hospital.

PHARMACY Receive prescriptions through GHC-SCW Clinic Pharmacies and/or participating pharmacies in our national Navitus network. See pages 8 for details.

Watch provider videos and learn more about each exceptional GHC-SCW provider by clicking their name.

16 17Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

RN Coordinator: Lisa Van Natta, RN

Pharmacy: Deb Thums, RPh; Jillian Utschig, RPh; Eileen Romasanta, RPh; Laya Esmaili–Rashid, RPh; Shane Berken, PPh

Behavioral Health Consultants: Jacob Austin, PsyD; Armando Hernández, PhD

Clinical Case Managers: Nancy Hoenisch, RN, CCM; Margie Czechowicz, RN

RN Coordinator: Jennifer Miller, RN

Pharmacy: Deb Thums, RPh; Jillian Utschig, RPh; Eileen Romasanta, RPh; Laya Esmaili–Rashid, RPh; Shane Berken, PPh

Behavioral Health Consultants: Jacob Austin, PsyD; Armando Hernández, PhD

Clinical Case Managers: Nancy Hoenisch, RN, CCM; Margie Czechowicz, RN

APPLE CARE TEAM

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Alison Craig, MDPediatrics

Francesca Vash, APNP

Pediatrics

Arnold Benardette, MD

Pediatrics

Leah Ederer, MDFamily Medicine with Obstetrics

Stephanie Skladzien, MD

Family Medicine with Obstetrics

ASPEN CARE TEAM

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URGENT CARE PROVIDERSIf you need medical care after hours, call the GHC-SCW Urgent Care Clinic at (608) 442–8100 to schedule an appointment. Our Urgent Care Providers will be there for you in your time of need. Most Urgent Care Providers may not be selected as a Primary Care Provider.

Pam Heilman, MD Jolene Huber, PA–C

Kris Knoepke, MD James Long, MD

Terence Galka, PA–C

Amy Wagner, PA–C, MPAS

William Schupp,MD

Stephanie Salas,PA–C

Bonnie Sommers–Olson, APNP

CAPITOL CLINIC CONTINUED

Rebecca Bull, MD

Family Medicine with Obstetrics

Monica Vohmann, MD

Family Medicine with Obstetrics

Megeen Parker, MD

Family Medicine

ELDERBERRY CARE TEAM

Patricia Witte, MD

Family Medicine

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CAPITOL CLINIC CONTINUED

RN Coordinators: Jillian Jurgens, RN; Paul Steichen, RN

Pharmacy: Deb Thums, RPh; Jillian Utschig, RPh; Eileen Romasanta, RPh; Laya Esmaili–Rashid, RPh; Shane Berken, RPh

Behavioral Health Consultants: Jacob Austin, PsyD; Armando Hernández, PhD

Clinical Case Managers: Nancy Hoenisch, RN, CCM; Margie Czechowicz, RN

RN Coordinators: Dhagny Kaupanger, RN; Heather Luedke, RN

Pharmacy: Deb Thums, RPh; Jillian Utschig, RPh; Eileen Romasanta, RPh; Laya Esmaili–Rashid, RPh; Shane Berken, RPh

Behavioral Health Consultants: Jacob Austin, PsyD; Armando Hernández, PhD

Clinical Case Managers: Nancy Hoenisch, RN, CCM; Margie Czechowicz, RN

CYPRESS CARE TEAM

Terence Galka, PA–C

Family Medicine

David Kiefer, MDFamily Medicine

Elizabeth Lucht, PA-C, LCSCWFamily Medicine

(and Mental Health)

Monique Simmons, APNP

Family Medicine

Michelle Thomas, MD

Family Medicine

Robert Matthew, MD

Family Medicine

Julie Vander Werff, PA–C

Family Medicine

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RN Coordinator: Mary Clausen, RN

Pharmacy: Deb Thums, RPh; Jillian Utschig, RPh; Eileen Romasanta, RPh; Laya Esmaili–Rashid, RPh; Shane Berken, RPh

Behavioral Health Consultants: Jacob Austin, PsyD; Armando Hernández, PhD

Clinical Case Managers: Nancy Hoenisch, RN, CCM; Margie Czechowicz, RN

BIRCH CARE TEAM

Holly Schmidt,APNPFamily

Medicine

John Perry, PA–CFamily

Medicine

David Eckerle, MD

Internal Medicine

Jack Hayes, PA–CFamily

Medicine

Deborah Williams, MD

Internal Medicine

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18 19Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

DeFOREST CARE TEAM

Tiffany Buchholz, PA–CFamily Medicine

Maciej Czechowski, MDFamily Medicine

Primary Care services and Specialty and Ancillary services

PHONE (608) 846–4787

LOCATION815 S. Main St., DeForest, WI 53532

HOURSMon – Fri, 8 a.m. – 4:30 p.m.

DEFOREST CLINIC

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Kristy Grotzke, RN

Clinical Case Manager: Leslie Anderson, CSW, CCM

Renee Burk, MD

Pediatrics

Marcia Bolles,PA–C

Family Medicine

Kristin Seaborg, MD

Pediatrics

Pamela Rubner, MD

Pediatrics

Marilee Thoresen, PA–C

Family Medicine

George Leydon, DOFamily Medicine

CHERRY CARE TEAM

REDBUD CARE TEAM

Primary Care services and Specialty and Ancillary services

PHONE (608) 222–9777

LOCATION5249 E. Terrace Dr., Madison, WI 53718

HOURSMon, 9 a.m. – 7 p.m.Tue – Fri, 8 a.m. – 5 p.m.

EAST CLINIC

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Jeanette Everson, MD

Family Medicine

Ira Segal, MDFamily Medicine

Judy Chang, MDInternal Medicine

Mary Evenson, PA–C

Family Medicine

WILLOW CARE TEAMP

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RN Coordinator: Michelle Voss, RN

Pharmacy: Dan Pfister, RPh; Jill Pfeil, RPh; Tera Knoble, RPh

Behavioral Health Consultants: Kathryn Coleman, LCSW; Armando Hernández, PhD

Clinical Case Managers: Leslie Anderson, CSW, CCM

RN Coordinator: Michelle Voss, RN

Pharmacy: Dan Pfister, RPh; Jill Pfeil, RPh; Tera Knoble, RPh

Behavioral Health Consultants: Kathryn Coleman, LCSW; Armando Hernández, PhD

Clinical Case Manager: Leslie Anderson, CSW, CCM

RN Coordinators: Nettie Beyer, RN; Becky Dorn, RNs

Pharmacy: Dan Pfister, RPh; Jill Pfeil, RPh; Tera Knoble, RPh

Behavioral Health Consultants: Kathryn Coleman, LCSW; Armando Hernández, PhD

Clinical Case Manager: Leslie Anderson, CSW, CCM

Watch provider videos and learn more about each exceptional GHC-SCW provider by clicking their name.

20 21Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

POPLAR CARE TEAM

OAK CARE TEAM

Jon Bohman, PA–CFamily Medicine

Mark Olinger, MDFamily Medicine

Stephen Lo, MDPediatrics

Katie True, APNP

Family Medicine

Steve Almasi, MDFamily Medicine

(and Sports Medicine)

Jason Hampton, MD

Family Medicine with Obstetrics

Eric Hilquist, MD Family Medicine with Obstetrics

(and Sports Medicine)

Carol Ballweg, APNP

Family Medicine

Joan Young, APNPPrenatal Coordinator/Lactation Consultant

Julie Sager, MDFamily Medicine

REDWOOD CARE TEAM

L. Nisha Rajagopalan, MD

Family Medicine

Deb Shenoi, MDFamily Medicine

Specialty and Ancillary services and Pharmacy

PHONE (608) 661–7200

LOCATION3051 Cahill Main, Fitchburg, WI 53711

HOURSMon, Wed – Fri, 8 a.m. – 5 p.m.Tue, 8 a.m. – 7 p.m.

HATCHERY HILL CLINIC

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RN Coordinators: Jill Nilsson, RN; Angela Demeuse, RN

Pharmacy: Sarah Benn, RPh; Mark Wilberg, RPh

Behavioral Health Consultants: Paul Johnson, LCSW; Armando Hernández, PhD

Clinical Case Manager: Lisa Behl, RN, BSN, CCM

RN Coordinators: Ann Statz, RN; Lindsay Nathanson, RN

Pharmacy: Sarah Benn, RPh; Mark Wilberg, RPh

Behavioral Health Consultants: Paul Johnson, LCSW; Armando Hernández, PhD

Clinical Case Manager: Lisa Behl, RN, BSN, CCM

RN Coordinators: Jocelyn Manion, RN; Karen Malinsky, RN, Cricket Fausek, RN

Pharmacy: Sarah Benn, RPh; Mark Wilberg, RPh

Behavioral Health Consultants: Paul Johnson, LCSW; Armando Hernández, PhD

Clinical Case Manager: Lisa Behl, RN, BSN, CCM

MADISON COLLEGE COMMUNITY CLINIC CARE TEAM

Nancy Deaton, MDFamily Medicine

David Kiefer, MDFamily Medicine

Allison Philipps, APNP

Family Medicine

Rian Podein, MD Family Medicine

Primary Care services and Specialty and Ancillary services

PHONE (608) 441–3220

LOCATIONMadison College Health Education Center – Truax Campus1705 Hoffman St., Madison, WI 53704

HOURSMon, 7 a.m. – 7 p.m.Tue – Fri, 7 a.m. – 5 p.m.

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RN Coordinator: Jane Seelman, RN

Clinical Case Manager: Leslie Anderson, CSW, CCM

Watch provider videos and learn more about each exceptional GHC-SCW provider by clicking their name.

22 23Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

Chris Kastman, MD

Family Medicinewith Obstetrics

Ann Stein, MDFamily Medicine

Elizabeth Schaefer, MD

Family Medicinewith Obstetrics

Crystal Frohmader, PA–C

Family Medicine

MAGNOLIA CARE TEAM

Claudiu Gherlan, MDInternal Medicine/

Geriatrics

PALM CARE TEAM

Ann Behrmann, MDPediatrics

Mala Mathur, MD

Pediatrics

Megan Weimer, APNP

Family Medicine

Mary Anne Urtes, MD

Family Medicine

SASSAFRAS CARE TEAM

Primary Care services, Specialty and Ancillary services, and Pharmacy

PHONE (608) 831–1766

LOCATION8202 Excelsior Dr., Madison, WI 53717

HOURSMon, 8 a.m. – 7 p.m.Tue – Fri, 8 a.m. – 5 p.m.

SAUK TRAILS CLINIC

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Susan Reitmeier, RN

Pharmacy: Heather Morgan, RPh; Amanda Ruehl, RPh; Sarah Henson, RPh

Behavioral Health Consultants: Stephen Billingham, PhD; Jacob Austin, PsyD

Clinical Case Manager: Rebecca Connors, RN, BS, CCM

RN Coordinator: Val Fawver, RN

Pharmacy: Heather Morgan, RPh; Amanda Ruehl, RPh; Sarah Henson, RPh

Behavioral Health Consultants: Stephen Billingham, PhD; Jacob Austin, PsyD

Clinical Case Manager: Rebecca Connors, RN, BS, CCM

RN Coordinator: Katrina Lindberg, RN

Pharmacy: Heather Morgan, RPh; Amanda Ruehl, RPh; Sarah Henson, RPh

Behavioral Health Consultants: Stephen Billingham, PhD; Jacob Austin, PsyD

Clinical Case Manager: Rebecca Connors, RN, BS, CCM

David Kwon, DOFamily Medicine

Jeffrey Huebner, MD

Family Medicine

JOYCE AND MARSHALL ERDMAN CLINICPhone: (608) 443–5480Address: 2202 S. Park St. Madison, WI 53713Hours: Mon – Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Don Carufel–Wert, MD William Kinsey, MD Ken Loving, MDLinda Oakley, APNPSarah Rowe, APNP Anne Slaughter–Perrote, PA–C Rebecca Tharaud, MD

PediatricsDipesh Navsaria, MD

WILLIAM T. EVJUE CLINICPhone: (608) 443–5480Address: 3434 E. Washington Ave. Madison, WI 53704Hours: Mon – Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Carey Dachik, PA–CKevin Fehr, MD Cynthia Galloway, APNP Suzanne Ganez–Goldman, MDMollie Kane, MD Nancy Pandhi, MD Elizabeth Poi, MD Alexander Young, MD

ACCESS COMMUNITY HEALTH CENTERS PRIMARY CARE CLINICSWhere to go for care...

PRIMARY CARE Primary Care services, including lab and radiology, must be received at Joyce and Marshall Erdman Clinic or William T. Evjue Clinic.

SPECIALTY AND ANCILLARY SERVICES AT GHC-SCW CLINICS

Services may be received at GHC-SCW–owned clinics for: Chiropractic Services, Clinical Health Education, Complementary Medicine, Eye Care, Mental Health, Occupational Therapy, Physical Therapy, and Podiatry. If available, you may receive care for these services from your assigned Primary Care Clinic.

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS

Prior Authorization may be required for these services. Specialty Care outside of GHC-SCW–owned clinics must be provided by contracted Providers at UW Hospital and Clinics, UW Health Clinics, or Meriter Hospital (special cases only).

URGENT AND EMERGENCY CARE See pages 8–9.

INPATIENT CARE Care must be received at UW Hospital and Clinics or Meriter Hospital.

INPATIENT LABOR & DELIVERY CARE Care must be received at St. Mary’s Hospital.

PHARMACY Receive prescriptions through GHC-SCW Clinic Pharmacies and/or participating pharmacies in our national Navitus network. See page 8 for details.

Family Medicine with ObstetricsLana Massaro, MD

PediatricsJames Omohundro, MD

24 25Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

WINGRA FAMILY MEDICAL CENTERPhone: (608) 263–3111Address: 1102 S. Park St Madison, WI 53715Hours: Mon – Fri, 8:30 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Jessica Dalby, MDMary Giblin, PA–CJonas Lee, MDAndrea Martonffy, MDJonathan Temte, MD Angela Vitcenda, PA–C

ACCESS COMMUNITY HEALTH CENTERS PRIMARY CARE CLINICS (CONTINUED)Where to go for care...

PRIMARY CARE Primary Care services, including lab and radiology, must be received at Wingra Family Medical Center.

SPECIALTY AND ANCILLARY SERVICES AT GHC-SCW CLINICS

Services may be received at GHC-SCW–owned clinics for: Chiropractic Services, Clinical Health Education, Complementary Medicine, Eye Care, Mental Health, Occupational Therapy, Physical Therapy, and Podiatry. If available, you may receive care for these services from your assigned Primary Care Clinic.

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS

Prior Authorization may be required for these services. Specialty Care outside of GHC-SCW–owned clinics must be provided by contracted Providers at UW Hospital and Clinics, UW Health Clinics, or Dean Medical Group.

URGENT AND EMERGENCY CARE See pages 8–9.

INPATIENT CARE Care must be received at UW Hospital and Clinics or St. Mary’s Hospital.

INPATIENT LABOR & DELIVERY CARE Care must be received at St. Mary’s Hospital.

PHARMACY Receive prescriptions through GHC-SCW Clinic Pharmacies and/or participating pharmacies in our national Navitus network. See page 8 for details.

Family Medicine with ObstetricsLee Dresang, MDBeth Potter, MDKirsten Rindfleisch, MD Patricia Tellez–Giron, MD

UW HEALTH FAMILY MEDICINE PRIMARY CARE CLINICSWhere to go for care...

PRIMARY CARE Primary Care services, including lab and radiology, must be received at Belleville Clinic, Northeast Family Medical Center, or Verona Clinic.

SPECIALTY AND ANCILLARY SERVICES AT GHC-SCW CLINICS

Services may be received at GHC-SCW–owned clinics for: Chiropractic Services, Clinical Health Education, Complementary Medicine, Eye Care, Mental Health, Occupational Therapy, Physical Therapy, and Podiatry. If available, you may receive care for these services from your assigned Primary Care Clinic.

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS

Prior Authorization may be required for these services. Specialty Care outside of GHC-SCW–owned clinics must be provided by contracted Providers at UW Hospital and Clinics, UW Health Clinics, or Dean Medical Group.

URGENT AND EMERGENCY CARE See pages 8–9.

INPATIENT CARE Care must be received at UW Hospital and Clinics or St. Mary’s Hospital.

INPATIENT LABOR & DELIVERY CARE Care must be received at St. Mary’s Hospital.

PHARMACY Receive prescriptions through GHC-SCW Clinic Pharmacies and/or participating pharmacies in our national Navitus network. See page 8 for details.

BELLEVILLE CLINICPhone: (608) 424–3384Address: 1121 BellWest Blvd. Belleville, WI 53508Hours: Mon–Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Byron Crouse, MD David Deci, MDValerie Gilchrist, MDStephen Olcott, MDMelissa Stiles, MD

Family Medicine with ObstetricsJensena Carlson, MDJennifer Lochner, MD Richard Roberts, MD

NORTHEAST FAMILY MEDICAL CENTER Phone: (608) 241–9020Address: 3209 Dryden Dr. Madison, WI 53704Hours: Mon–Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

VERONA CLINICPhone: (608) 845–9531Address: 100 N. Nine Mound Rd. Verona, WI 53593Hours: Mon–Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Bruce Barrett, MD John Beasley, MD Kathleen Carr, MD Janice Cooney, PA–C

Family Medicine with ObstetricsBrian Arndt, MDAnn Evensen MD Sarah James, DO

Katie Enzler, PA–CRussell Lemmon, DOJoan Uminski, PA–C

Maureen Van Dinter, APNPJo Ann Wagner–Novak, APNP

Family Medicine with ObstetricsJennifer Edgoose, MD Ronni Hayon, MDKathy Oriel, MDDavid Rabago, MD

Louis Sanner, MDSarina Schrager, MD William Schwab, MD

Thomas Hahn, MDHeidi Stokes, PA–C Karen Wendler, PA–C

Magnolia Larson, DOWilliam Scheibel, MDDouglas Smith, MD

26 27Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

UW HEALTH PRIMARY CARE CLINICSWhere to go for care...

PRIMARY CARE Primary Care services, including lab and radiology, must be received at Cottage Grove Clinic, Cross Plains Clinic, or Mt. Horeb Clinic.

SPECIALTY AND ANCILLARY SERVICES AT GHC-SCW CLINICS

Services may be received at GHC-SCW–owned clinics for: Chiropractic Services, Clinical Health Education, Complementary Medicine, Eye Care, Mental Health, Occupational Therapy, Physical Therapy, and Podiatry. If available, you may receive care for these services from your assigned Primary Care Clinic.

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS

Prior Authorization may be required for these services. Specialty Care outside of GHC-SCW clinics must be provided by contracted Providers at UW Hospital and Clinics, UW Health Clinics, or Meriter (special cases only).

URGENT AND EMERGENCY CARE See pages 8–9.

INPATIENT CARE Care must be received at UW Hospital and Clinics or Meriter Hospital (special cases only).

INPATIENT LABOR & DELIVERY CARE Care must be received at St. Mary’s Hospital.

PHARMACY Receive prescriptions through GHC-SCW Clinic Pharmacies and/or participating pharmacies in our national Navitus network, see page 8 for details.

COTTAGE GROVE CLINICPhone: (608) 839–3104Address: 500 Westlawn Dr. Cottage Grove, WI 53527Hours: Mon – Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Louis Falligant, PA–CEdward Kramper, MD

CROSS PLAINS CLINICPhone: (608) 798–3344Address: 2418 Brewery Rd. Cross Plains, WI 53528Hours: Mon – Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Amy R. Grelle, MD Daniel R. Jarzemsky, MD Pamela A. Olson, MD

MT. HOREB CLINICPhone: (608) 437–3064Address: 600 N. 8th Street Mt. Horeb, WI 53572Hours: Mon – Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Kari P. Cataldo, MDAnne R. Eglash, MD Kimberly Glasgow, APNPKyle D. Miner, MD

STOUGHTON CLINICPhone: (608) 877–2660Address: 1001 Nygaard St. Stoughton, WI 53589Hours: Mon – Fri, 8 a.m. – 5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

George Gay, MD Danalyn Rayner, MD

Internal MedicineKaren Griffin, PA–C Ahsan Khalid, MD

PediatricsAnne Means, MD Karen Pletta, MD Prasanna Raman, MD

UW HEALTH STOUGHTON PRIMARY CARE CLINICWhere to go for care...

PRIMARY CARE Primary Care services, including lab and radiology, must be received at UW Health Stoughton Clinic

SPECIALTY AND ANCILLARY SERVICES AT GHC-SCW CLINICS

Services may be received at GHC-SCW–owned clinics for: Chiropractic Services, Clinical Health Education, Complementary Medicine, Eye Care, Mental Health, Occupational Therapy, Physical Therapy, and Podiatry. If available, you may receive care for these services from your assigned Primary Care Clinic.

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS

Prior Authorization may be required for these services. Specialty Care outside of GHC-SCW–owned clinics must be provided by contracted Providers at UW Hospital and Clinics, UW Health Clinics, or Meriter (special cases only).

URGENT AND EMERGENCY CARE See pages 8–9.

INPATIENT CARE Care must be received at Stoughton Hospital, UW Hospital and Clinics, or Meriter Hospital (special cases only)

INPATIENT LABOR & DELIVERY CARE Care must be received at St. Mary’s Hospital.

PHARMACY Receive prescriptions through GHC-SCW Clinic Pharmacies and/or participating pharmacies in our national Navitus network, see page 8 for details.

29Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.28

GET CARESpecialty and Ancillary services at GHC-SCWAs a GHC-SCW member, you have access to outstanding Specialty and Ancillary services at our GHC-SCW owned and operated clinics. You do not need prior authorization if you receive Specialty and Ancillary services in a GHC-SCW–owned clinic. That means you can schedule directly for most of the following services.

CAPITOL CLINIC (608) 257–9700675 W. Washington Ave.Madison, WI 53703

» Chiropractic Services » Clinical Health Education » Imaging » Lab » Occupational Therapy:

(608) 662–5060 » Physical Therapy:

(608) 662–5060 » PT/OT in Urgent Care Clinic:

(608) 661–7350

CAPITOL REGENT MENTAL HEALTH CLINIC (608) 441–3290700 Regent St., Suite 302Madison, WI 53703

» Mental Health

COMPLEMENTARY MEDICINE CENTRAL CLINIC(608) 662–5090740 Regent St., Suite 106Madison, WI 53703

» Complementary Medicine

EAST CLINIC(608) 222–97775249 E. Terrace Dr.Madison, WI 53718

» Chiropractic Services » Clinical Health Education » Complementary Medicine:

(608) 662–5090 » Imaging » Lab » Mental Health » Occupational Therapy:

(608) 441–3989 » Physical Therapy:

(608) 441–3989

HATCHERY HILL CLINIC (608) 661–72003051 Cahill MainFitchburg, WI 53711

» Chiropractic Services » Clinical Health Education » Complementary Medicine:

(608) 662–5090 » Dermatology » Eye Care » Imaging and Advanced Imaging

(e.g., CT scans, mammography, ultrasound, bone mineral scans)

» Lab » Mental Health » Podiatry

MADISON COLLEGE COMMUNITY CLINIC(608) 441–3220Health Education Center – Truax Campus1705 Hoffman St.Madison, WI 53704

» Clinical Health Education » Imaging » Lab » Podiatry

PRINCETON CLUB WEST PT/OT CLINIC (608) 662–5060Princeton Club West8054 Watts Rd.Madison, WI 53719

» Chiropractic Services » Occupational Therapy » Physical Therapy

SAUK TRAILS CLINIC (608) 831–17668202 Excelsior Dr.Madison, WI 53717

» Chiropractic Services » Clinical Health Education » Complementary Medicine:

(608) 662–5090 » Imaging » Lab » Mental Health » Podiatry

Michael Wirth, DC

Dan Olson, DC

Peter Leonhard, DC

Daniel Futch, DC

Kelly Andrews, DC

CHIROPRACTIC SERVICES

CLINICAL HEALTH EDUCATION

Tim Ballweg, RRT, CPFT, AE–C

Ruby Ann Bradt Vanderzee, ICCE

Anne Marie (Dolly) Wagner, ICCE

Ann Steck,RN, BSN

Laurie Ehlers,BSN, RN, CDE

ADVANCED DIABETES MANAGEMENT

RESPIRATORY EDUCATOR

DIABETES NURSE EDUCATORS

CHILDBIRTH EDUCATORS

CHIROPRACTORS

Barb Lazaris, MS, LPC

Carly DeGrood, MS, RD, CD, CDE

Julie Crow, RD, CD

Amanda Hesse,RD, CD

Lisa Hansen, RD, CD, IBCLC, RLC

Melissa Baraboo,MS, CGC

Julie McLaughlin, MS, RD, CD, CDE

GENETIC COUNSELOR

REGISTERED DIETITIANS

LACTATION CONSULTANT/REGISTERED DIETICIAN

TOBACCO CESSATION COUNSELOR

Donna Twining,APNP,

BC–ADM

31Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.30

LOCATIONS & PHONE NUMBER (608) 662–5090

COMPLEMENTARY MEDICINE CENTRAL CLINIC

740 Regent St., Suite 106Madison, WI 53703

EAST CLINIC5249 East Terrace Dr.Madison, WI 53718

HATCHERY HILL CLINIC3051 Cahill Main

Fitchburg, WI 53711

SAUK TRAILS CLINIC8202 Excelsior Dr.

Madison, WI 53717

GHC-SCW complements traditional Primary Care medicine with integrative therapies so you can reach your highest potential for wellbeing.

THERAPEUTIC SESSIONSWe offer private, one–on–one therapeutic sessions for massage therapy, acupuncture, reiki, and more.

GROUP CLASSESJoin our wide variety of healthy and fun classes including yoga, zumba, tai chi, and more.

COMPLEMENTARY MEDICINE

mind. body. spirit.

BEGIN YOUR EXPERIENCE TODAY Therapeutic sessions may be scheduled and paid for in advance using your GHCMyChartSM account. Register and pay for group classes at ghcscw.com when you select “Be Well” in the top navigation menu.

Or call (608) 662–5090.

Kathi Drake,MSOM

Richard Oberg,MSOM

Xuehui Wang,MSOM

Khadija Zayed,CMT, RMT

Cyndi Fine,CMT

Miranda Merkes,CMT

ACUPUNCTUREA method of encouraging the body to promote natural healing and improve functioning. This is done by inserting needles and applying heat or electrical stimulation at very precise acupuncture points.

CRANIOSACRAL THERAPYA very gentle, hands–on bodywork technique that brings about equilibrium to the craniosacral system.

Cyndi Fine,CMT

Miranda Merkes,CMT

INFANT MASSAGE THERAPY Infant massage can make profound changes that last a lifetime, helping create a strong relationship between parents and child. It may also relieve the daily stress and overstimulation that babies experience.

COMPLEMENTARY MEDICINE – THERAPEUTIC SESSIONS

Khadija Zayed,CMT, RMT

Mary Karls,CMT

AROMATHERAPY Aromatherapy is the use of essential oils from plants for healing. Aromatherapists utilize massage, inhalation or other applications of the essential oils.

Jaime Irving, LAc, LMT

Dan Fox,LMT

Kelly Gray,LMT

32 33Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

Ellen Bass,LMT

Dan Fox,LMT

Holly Dahl,LMT

MASSAGE THERAPYDepending on the technique, therapists press, rub or knead the muscles and soft tissues of the body to relieve tension or pain and promote relaxation.*Also performs prenatal massage.

Debra Clark-Clemens,

CMT*

Wendy Grapentine,CMT

Elizabeth Bushkofsky, CMT*

Mary Karls,CMT*

Miranda Merkes,CMT*

Julie McNeil,CMT*

Sam Riddle,CMT*

Jessica Boggs, LMT*

Jaime Irving, LAc, LMT*

David Parrell, CMT*

Katherine Olson, LMT

Cyndi Fine,CMT

Dustin Honguyen,LMT

Kelly Gray,LMT*

Bridget O’Brien,LMT

MIND/BODY THERAPYAn approach that helps individuals process where and how emotions are held in the body. It may relieve headaches, chronic pain and emotional trauma.

Dustin Honguyen, LMT

Kelly Gray, LMT

MYOFASCIAL MASSAGE Focuses on releasing muscular shortness and tightness. This service may help increase flexibility or function following an injury or ongoing body pain. *Also performs prenatal massage. Jessica Boggs,

LMT

Bonnie Milgrim,MA, CPC

Debra Clark-Clemens,

CMT*

Wendy Grapentine,CMT

Sam Riddle,CMT*

David Parrell, CMT*

Katherine Olson, LMT

COMPLEMENTARY MEDICINE – THERAPEUTIC SESSIONSCOMPLEMENTARY MEDICINE – THERAPEUTIC SESSIONS

34 35Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

COMPLEMENTARY MEDICINE – THERAPEUTIC SESSIONSCOMPLEMENTARY MEDICINE – THERAPEUTIC SESSIONS

Miranda Merkes,CMT

Julie McNeil,CMT

Jessica Boggs, LMT

THAI MASSAGE (“THAI YOGA”) THERAPYInvolves the therapist moving the client into a series of yoga-like stretches. *Also performs prenatal massage.

Katherine Olson, LMT

Ellen Bass,LMT

Dan Fox,LMT

David Parrell, CMT*

Mary Karls,CMT

Debra Clark-Clemens,

CMT*

Miranda Merkes,CMT

Khadija Zayed,CMT, RMT

Wendy Grapentine, CMT

Julie McNeil,CMT

REIKI A form of meditation for stress reduction and relaxation that also promotes healing. *Also performs prenatal massage.

Mary Karls, CMT

REFLEXOLOGYIncludes pressure to areas on the foot that correspond to the affected organs, which may help relieve pain and other symptoms.

FNU Ruddy, ND

NATUROPATHIC MEDICINE A natural approach to wellness, that teaches diet, exercise, and lifestyle changes along with cutting-edge natural therapies to enhance the body’s ability to ward off and combat disease.

Dan Fox,LMT

Ellen Bass,LMT

Jessica Boggs, LMT

Julie McNeil,CMT

Debra Clark-Clemens,

CMT*

Mary Karls,CMT

David Parrell,CMT

ONCOLOGY CARE THERAPYWe incorporate the healing therapies of acupuncture, yoga, massage, and more to promote a healthy life in the context of conventional cancer care. The overall goal is to help enhance quality of life and increase self–awareness. *Also performs prenatal massage.

Bonnie Milgrim,MA, CPC

36 37Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

COMPLEMENTARY MEDICINE – GROUP CLASSES

Ghadeer Alafifi

ZUMBA A dance fitness program that makes exercise fun by combining Latin and international music with an effective workout system.

YOGA Typically combines physical postures, breathing techniques, and meditation or relaxation. It is used as part of a general health regimen and for a variety of health conditions.

Maruti Isabel Landau

Jill Lundberg, RYT

Jeanne Kolker, RYT

Kelsey Barnes,OD

Nathan Catterson,OD, FAAO

Brady Haferman,OD

Sacha Lundgren,OD

Robert Mertz,OD

Timothy Schwefel,OD, FAAO

Kurt Walters,OD, FAAO

Christine Tock, MD, PhD

DERMATOLOGYDERMATOLOGY PROVIDER

GHC-SCW Eye Care Center Your Eyes Deserve Better

Our Eye Care Center is your one–stop–shop for all of your vision needs, including eye exams, treating vision symptoms, stylish

eyewear, sunglasses, contact lenses, and more!

SERVICES» COMPREHENSIVE EYE EXAMS skilled doctors whose main concern is your vision and eye health

» GLASSES stylish frames at a competitive price

» SUNGLASSES from sports to safety, find the perfect prescription and

non-prescription sunglasses

» CONTACT LENSES full service fittings for lenses that are available for order through your GHCMyChartSM account

SEE US TODAYStop in the GHC-SCW Eye Care Center to see all of our eyewear on display and to speak with our expert staff. For an eye exam appointment, call (608) 257–7328 or schedule through your GHCMyChartSM account.

(608) 257–7328

Hatchery Hill Clinic – Eye Care Center3051 Cahill MainFitchburg, WI 53711

Mon – Fri, 7:30 a.m. – 6 p.m.

Timothy Ruder, OD

EYE CAREDOCTORS OF OPTOMETRY

SELF AS SOURCE A cognitive behavior training using both mind and body awareness. It is a set of learnable skills to harness power to take charge of life experiences.

Terri Pellitteri

TAI CHI A martial art that combines breath with action, which may increase flexibility, strengthen the body, restore balance, and generate peace of mind.

Linda Wankerl

Linda Wankerl

PERSONAL FITNESS Involves working one-on-one with an instructor to create a custom fitness or yoga program tailored to your specific needs and abilities.

PIYOPiYo is a fun, challenging class that fuses Pilates and Yoga. Participants burn calories, tone muscles, work on balance, and get a great stretch. The class changes each time, but is always a great workout.

Michael Smith,EdS, LPC

Michael Smith,EdS, LPC

MINDFULNESS MEDITATION Techniques include specific postures, focused attention, or an open attitude toward distractions. This practice can help suspend streams of thoughts and relax the body and mind, increases calmness and improves psychological balance.

Pam Sprecher, PA–C

38 39Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

MENTAL HEALTHMENTAL HEALTH PROVIDERS

Richard Adelman,MSSW, LCSW

Jeff Anders, MD

Stephen Billingham, PhD

Graham Cody,MD

Kathryn Coleman,MSSW, LCSW

Ralph Froelich,MD

Karla Handel,MSSW, LCSW

Shelly Brookens,MSE, LPC

Lisa Hunter,MD

Michael Hussey,LCSW, CSAC

Paul Johnson,LCSW, CSAC

Sam Mak,LCSW, CSAC

Sven Midelfort,MSSW, LCSW

Penny Majors, MA, LCSW

Danielle Ogno,LCSW, LMFT

Carlene Oakley, MD

Michelle O’Meara,LCSW, LMFT

LuAnne Rosa,MSN, PMHNP-BC

Nancy Schiro,MSN, LCSW

Bethany Fucci,MA, LPC

Amy Bourne,MD

Jennifer Brandt,CPNP, PMHNP–BC

Elizabeth Lucht, PA–C, LCSCW

Deborah Sullivan,MS, LCSW

Judith Utevsky,MSW, LCSW

Sarah Strong,MSSW, LCSW

Jacquelyn Finley,OTR, CHT, CSHE

Kaitlin Hellenbrand,OTR, CLT

OCCUPATIONAL THERAPYOCCUPATIONAL THERAPISTS

Lisa Mowbray,MSSW, LCSW

Certified Batterer Treatment Provider

Mark Seymour, MS, LCSW

Certified Batterer Treatment Provider

DOMESTIC VIOLENCE Intervention Program

PRIMARY CARE BEHAVIORAL HEALTH

Jacob Austin, Psy.D.

Peter Weiss, PhD

Bill Windels,APNP

Nancy Yaffe,MS, LPC

MENTAL HEALTH PROVIDERS (CONTINUED)

Stephen Billingham,PhD

Armando Hernández,

PhD

Kathyrn Coleman,MSSW, LCSW

Paul Johnson,LCSW, CSAC

40 Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

William Chubb, DPM, FACFAS

Stephen Bogue,DPM

Stephen Merckx,DPM

PODIATRYPODIATRISTS

SPORTS MEDICINESPORTS MEDICINE PROVIDERS

Eric Hilquist, MD

Steven Crade,PT

Gina Droessler,LPTA, CSCI, CPI

Ted German,DPT, CIMT, CPRS

Jacqueline Kimble,PT, Cert MDT,

CSCS

Kate Latorraca,PT

Pranali Mhadolkar,MPT

Brenda Milbrath,PT, OCS, CIMT

Wendy Parsons,MPT

Dan Russo,MPT, LMT

Marcy Schulz,DPT, SCS, ATC

Scott Theado,PT

Barb Urmann, PT, MOMT

Rama Ahuha,MPT

Jaime Reich,DPT

PHYSICAL THERAPYPHYSICAL THERAPISTS

Afton O’Reilly, DPT

Taylor Mildenhall,DPT

Steve Almassi, MD

SPECIALTY CARE OUTSIDE OF GHC-SCW CLINICS

Specialty Care appointments outside of GHC-SCW-owned clinics require a prior authorization request from your Primary Care Provider (PCP) and an approval letter from GHC-SCW Care Management. Please check your Benefits Summary and Member Certificate for details on Specialty Care services that require a prior authorization. For a listing of common services that require a Prior Authorization, visit ghcscw.com and select “Prior Authorization CPT Code Lookup” from the bottom footer section of the homepage.

1. Prior Authorization Request • After you and your PCP determine that a Specialty Care service is needed, your PCP will send a prior authorization request to the GHC-SCW Care Management team. The team will check to see if the Specialty Care service is covered under your health insurance plan and they will review the request against national care guidelines to determine whether the Specialty Care service is medically necessary. • Most decisions occur within 4-5 business days. Up to 15 days are allowed for review by the GHC-SCW Care Management team and/or the GHC-SCW Medical Director.

2. Approval Letter • Once the GHC-SCW Care Management team approves the prior authorization request, an approval letter will be mailed to you and the Specialty Care Provider. At that point, you may schedule the Specialty Care appointment. If you make an appointment without an approval letter from GHC-SCW Care Management, you may be responsible for full payment of the Specialty Care services provided. • You may wish to take your approval letter to your appointment, as it is not always seen in the Specialty Care Provider’s electronic medical records.

Approval does not guarantee benefits: GHC-SCW approves services or supplies based on the information that is available at the time of the approval/denial decision. Approval does not guarantee a member’s eligibility or benefits under his or her health plan. It is the responsibility of the member to know their deductible, copay or coinsurance amounts that apply to Specialty Care services.

Denied requests: You will receive a denial letter in the mail explaining the reason for the denial and your member appeal rights.

Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. 41

GHC ACH WFM UWFM UW UWS

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location = Approved Location GHC ACH WFM UWFM UW UWS

42 43Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

ALLERGY/ASTHMAUW Health – 20 South Park20 S. Park St., Madison (608) 287–2600 UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 265–1280 UW Health – West Clinic451 Junction Rd., Madison (608) 263–6180 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008 CARDIOVASCULARUW Health – 202 South Park202 S. Park St., Atrium 3, Madison (608) 417–5970 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 263–1530 UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–1530 UW Health – West Clinic451 Junction Rd., Madison (608) 263–1530 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008

GHC = GHC-SCW ClinicsACH = Access Community Health CentersWFM = Wingra Family Medical Center

UWFM = UW Health Family Medicine Clinics UW = UW Health ClinicsUWS = UW Health–Stoughton Clinic

CHIROPRACTIC CAREGHC-SCW – Capitol Clinic675 W. Washington Ave., Madison (608) 257–9700 GHC-SCW – East Clinic5249 E. Terrace Dr., Madison (608) 222–9777 GHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 661–7200 GHC-SCW Sauk Trails Clinic8202 Excelsior Dr., Madison (608) 831–1766 LSM ChiroMedicine Clinic, S.C.185 W. Netherwood Rd., Oregon (608) 835–8635 CLINICAL HEALTH EDUCATION (NOT ALL SERVICES OFFERED AT EACH LOCATION)

GHC-SCW – Capitol Clinic675 W. Washington Ave., Madison (608) 257–9700 GHC-SCW – East Clinic5249 E. Terrace Dr., Madison (608) 222–9777 GHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 661–7200 Madison College Community ClinicHealth Education Center, Truax Campus1705 Hoffman St., Madison (608) 441–3220

GHC-SCW – Sauk Trails Clinic8202 Excelsior Dr., Madison (608) 831–1766 COMPLEMENTARY MEDICINEGHC-SCW Complementary Medicine Central Clinic740 Regent St. Suite 106, Madison (608) 662–5090 GHC-SCW – East Clinic5249 E. Terrace Dr., Madison (608) 662–5090 GHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 662–5090 GHC-SCW – Sauk Trails Clinic8202 Excelsior Dr., Madison (608) 662–5090

Prior Authorization may be required for some Specialty Care services provided outside of a GHC-SCW–owned Clinic. Please refer to your Benefits Summary and Member Certificate.

GHC ACH WFM UWFM UW UWS

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location = Approved Location GHC ACH WFM UWFM UW UWS

44 45Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

DENTAL SERVICESDental Health Associates – East Clinic49 N. Walbridge Ave., Madison (608) 246–2555Orthodontics: (608) 246–3691

Dental Health Associates – West Old Sauk Clinic7017 Old Sauk Rd., Madison (608) 833–1889 Dental Health Associates – West Gammon Clinic7001 Old Sauk Rd., Madison (608) 833–2578Orthodontics: (608) 833–6112

Dental Health Associates – South Clinic2971 Chapel Valley Rd., Madison (608) 661–6400Orthodontics: (608) 661–6420

Dental Health Associates – University Clinic2713 Marshall Ct., Madison (608) 442–4400 Dental Health Associates – Downtown Clinic (Starting 2015)44 E. Mifflin St., Suite 204, Madison (608) 256–0499 DERMATOLOGYGHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 661–7200 UW Health – 1 South Park1 S. Park St., Madison (608) 287–2450 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 265–1288 UW Health – West Clinic 451 Junction Rd., Madison1st Floor: (608) 265–7670Lower Level: (608) 265–0700MOHS/Dermatologic Surgery: (608) 263–6226

Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000

GHC = GHC-SCW ClinicsACH = Access Community Health CentersWFM = Wingra Family Medical Center

UWFM = UW Health Family Medicine Clinics UW = UW Health ClinicsUWS = UW Health–Stoughton Clinic

EAR, NOSE & THROATUW Health – 1 South Park1 S. Park St., Madison (608) 287–2500 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 265–7760

UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–6190 Dean Stoughton Clinic225 Church St., Stoughton (608) 877–2777 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 ENDOCRINOLOGY/DIABETESGHC-SCW – Capitol Clinic 675 W. Washington Ave., Madison Diabetes Management Only: (608) 257–9700

UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 265–7406(608) 890–6526 Pediatrics

UW Health – West Clinic451 Junction Rd., MadisonDiabetes: (608) 263–7741Endocrinology: (608) 263–5010Pediatrics: (608) 263–6420

Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000

Prior Authorization may be required for some Specialty Care services provided outside of a GHC-SCW–owned Clinic. Please refer to your Benefits Summary and Member Certificate.

GHC ACH WFM UWFM UW UWS

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location = Approved Location GHC ACH WFM UWFM UW UWS

46 47Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

EYE CAREGHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 257–7328 GASTROENTEROLOGYUW Health – 20 South Park20 S. Park St., Madison (608) 287–2680 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – Digestive Health Center750 University Row, Madison (608) 890–5000 Dean/St Mary’s Digestive Health Center700 S. Park St., Madison (608) 259–3500 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 GENERAL SURGERYUW Health – 1 South Park1 S. Park St., Madison (608) 287–2100 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 265–6969 UW Health – UW Hospital & Clinics 600 Highland Ave., Madison (608) 263–7502(608) 266–6400 Breast Center

Dean Stoughton Clinic225 Church St., Stoughton (608) 877–2777 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008 Associated Physicians, LLP (select providers only)4410 Regent Street, Madison (608) 233–9746

HEMATOLOGYUW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW – Carbone Cancer Center600 Highland Ave., Madison (608) 265–1700 UW – Carbone Cancer Clinic1 S. Park St., Madison (608) 287–2552 INFERTILITYWisconsin Fertility Institute3146 Deming Way, Middleton (608) 824–0075 Generations Fertility Care2365 Deming Way, Middleton (608) 824–6160 MENTAL HEALTH AND SUBSTANCE ABUSEAUTISMWisconsin Early Autism Project, Inc. 6402 Odana Rd., Madison (608) 288–9040 Integrated Development Services, Inc.6506 Schroeder Rd., Madison (608) 441–0123 Achieving Collaborative TreatmentP.O. Box 259691, Madison (608) 443–7032 Lund Van Dyke, LLC701 Lois Drive, Sun Prairie (608) 318–2495 MENTAL HEALTHGHC-SCW – Capitol Regent Mental Health Clinic 700 Regent St., Suite 302, Madison (608) 441–3290

GHC-SCW – East Clinic5249 E. Terrace Dr., Madison (608) 441–3970 GHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 661–7200 GHC-SCW – Sauk Trails Clinic8202 Excelsior Dr., Madison (608) 831–1766 SUBSTANCE ABUSEUW Health – Behavioral Health and Recovery1102 S. Park St., Madison (608) 282–8270

Prior Authorization may be required for some Specialty Care services provided outside of a GHC-SCW–owned Clinic. Please refer to your Benefits Summary and Member Certificate.

GHC = GHC-SCW ClinicsACH = Access Community Health CentersWFM = Wingra Family Medical Center

UWFM = UW Health Family Medicine Clinics UW = UW Health ClinicsUWS = UW Health–Stoughton Clinic

GHC ACH WFM UWFM UW UWS

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location = Approved Location GHC ACH WFM UWFM UW UWS

48 49Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

NEPHROLOGYUW Health – 20 South Park20 S. Park St., Madison (608) 287–2045 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – Kidney Clinic3034 Fish Hatchery Rd., Madison (608) 270–5656 UW Health Wisconsin Dialysis – East Clinic4600 American Parkway, Madison (608) 243–3003 UW Health Wisconsin Dialysis – Fitchburg Clinic3034 Fish Hatchery Rd., Madison (608) 270–5600 Dean Clinic1313 Fish Hatchery Dr., Madison (608) 252–8000 Madison Area Renal Specialist (Dean)2840 Index Rd., Madison (608) 229–7221 NEUROLOGYUW Health – 20 South Park20 S. Park St., Madison (608) 287–2090 UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 263–9550 UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–5442Pediatrics: (608) 890–6500

Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean Stoughton Clinic225 Church St., Stoughton (608) 877–2777

GHC = GHC-SCW ClinicsACH = Access Community Health CentersWFM = Wingra Family Medical Center

UWFM = UW Health Family Medicine Clinics UW = UW Health ClinicsUWS = UW Health–Stoughton Clinic

OBSTETRICS & GYNECOLOGYUW Health – 20 South Park20 S. Park St., Madison (608) 287–2830 UW Health East Clinic5249 E. Terrace Dr., Madison (608) 265–1230 UW Health – East Towne4122 East Towne Blvd., Madison (608) 242–6840 UW Health – Fitchburg Clinic5543 E. Cheryl Pkwy., Fitchburg (608) 274–5300 UW Health – UW Hospital & Clinics600 Highland Ave., Madison Gynecology Only: (608) 263–6240

UW Health – West Clinic451 Junction Rd., Madison (608) 265–7601 UW Health – West Towne7102 Mineral Point Rd., Madison (608) 828–7610 Meriter De Forest – Windsor ClinicUW Health Obstetrics & Gynecology4200 Savannah Dr., DeForest (608) 417–3300

Meriter McKee Clinic3102 Meriter Way, Madison (608) 417–8800 Meriter Monona Clinic –UW Health Obstetrics & Gynecology6408 Copps Ave., Monona (608) 417–3000

Meriter Woman Care Clinic 20 S. Park St., Madison (608) 417–5433 Gynecology Only

Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008

Prior Authorization may be required for some Specialty Care services provided outside of a GHC-SCW–owned Clinic. Please refer to your Benefits Summary and Member Certificate.

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location GHC ACH WFM UWFM UW UWS

51

GHC ACH WFM UWFM UW UWS

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location

50 Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

OCCUPATIONAL THERAPYGHC-SCW – Capitol Clinic675 W. Washington Ave., Madison (608) 257–9700 GHC-SCW – East Clinic5249 E. Terrace Dr., Madison (608) 222–9777 GHC-SCW – Princeton Club West PT/OT Clinic8054 Watts Rd., Madison (608) 662–5060 GHC-SCW – Urgent Care675 W. Washington Ave., Madison (608) 661–7350 Stoughton Hospital2300 US Highway 51–138, Stoughton (608) 873–2292 ONCOLOGYUW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW – Carbone Cancer Clinic1 S. Park St., Madison (608) 287–2552 UW – Carbone Cancer Center600 Highland Ave., Madison (608) 265–1700 Dean Clinic, Ste 4001200 John Q Hammons Dr., Madison (608) 252–8000 Dean Stoughton Clinic225 Church St., Stoughton (608) 877–2777 OPHTHALMOLOGYUW Health – Deming Way2349 Deming Way, Middleton (608) 824–3937 UW Health – East Eye Clinic5249 E. Terrace Dr., Madison (608) 265–1270 UW Health – Madison Eye Associates780 Regent St., Madison (608) 257–4286 UW Health – University Station 2880 University Ave., Madison Adults: (608) 263–7171, Pediatrics: (608) 263–6414

Dean Clinic 1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000

GHC = GHC-SCW ClinicsACH = Access Community Health CentersWFM = Wingra Family Medical Center

UWFM = UW Health Family Medicine Clinics UW = UW Health ClinicsUWS = UW Health–Stoughton Clinic

OPHTHALMOLOGY (CONTINUED)

Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008 Dean Stoughton Clinic 225 Church St., Stoughton (608) 877–2777 ORAL SURGERYCenter For Oral and Maxillofacial Surgery, S.C.20 S. Park St., Suite 506, Madison (608) 256–1961 Center For Oral and Maxillofacial Surgery, S.C. 7007 Old Sauk Rd., Madison (608) 819–8760 Center For Oral and Maxillofacial Surgery, S.C. 5302 Buttonwood Dr., Madison (608) 240–0863 ORTHOPEDICSUW Health – 1 S. Park1 S. Park St., Madison (608) 287–2700 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – East ClinicS249 E. Terrace Blvd., Madison Orthopedic Surgery: (608) 890–6100Sports Medicine: (608) 890–6560

UW Health – Research Park621 Science Dr., Madison Sports Medicine: (608) 263–8850Spine Medicine: (608) 263–3207

UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–7540 Orthopedic Associates, Ltd.1520 Vernon St., Stoughton (608) 873–4100 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008 Dean Stoughton Clinic225 Church St., Stoughton (608) 877–2777 John Rogerson at Stoughton Hospital2 Science Court, Madison (608) 231–3410

Prior Authorization may be required for some Specialty Care services provided outside of a GHC-SCW–owned Clinic. Please refer to your Benefits Summary and Member Certificate.

GHC ACH WFM UWFM UW UWS

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location = Approved Location GHC ACH WFM UWFM UW UWS

52 53Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

PAIN MANAGEMENTUW Health – East Clinic5249 E. Terrace Dr., Madison (608) 263–9550 UW Health – Research Park Clinic621 Science Dr., Madison (608) 263–9638 PHYSICAL MEDICINE AND REHABILITATIONUW Health – East Clinic5249 E. Terrace Dr., Madison (608) 265–1250 UW Health – Rehabilitation Clinic6630 University Ave., Middleton (608) 263–6540 UW Health – Research Park621 Science Dr., MadisonSpine Medicine: (608) 265–3207

PHYSICAL THERAPYGHC-SCW – Capitol Clinic675 W. Washington Ave., Madison (608) 257–9700 GHC-SCW – East Clinic5249 E. Terrace Dr., Madison (608) 222–9777 GHC-SCW – Princeton Club West PT/OT Clinic8054 Watts Rd., Madison (608) 662–5060 GHC-SCW – Urgent Care675 W. Washington Ave., Madison (608) 661–7350 Stoughton Hospital – Rehab & Sports Medicine Clinic at the Stoughton Wellness & Athletic Center 2300 US Highway 51–138, Stoughton (608) 873–2292

Oregon Rehabilitation and Sports Medicine Clinic 990 Janesville St #1, Oregon, WI (608) 835–5373 PLASTIC SURGERYUW Health – 1 South Park1 S. Park St., Madison (608) 287–2500 / (608) 287–2100 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–7502 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000

GHC = GHC-SCW ClinicsACH = Access Community Health CentersWFM = Wingra Family Medical Center

UWFM = UW Health Family Medicine Clinics UW = UW Health ClinicsUWS = UW Health–Stoughton Clinic

PODIATRYGHC-SCW – East Clinic5249 E. Terrace Dr., Madison (608) 222–9777 GHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 661–7200 GHC-SCW – Sauk Trails Clinic8202 Excelsior Dr., Madison (608) 831–1766 PULMONARY MEDICINEUW Health – 202 S. Park202 S. Park St., Madison (608) 417–5950 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–7203 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 Dean Sun Prairie Clinic10 Tower Dr., Sun Prairie (608) 825–3008 Dean Stoughton Clinic225 Church St., Stoughton (608) 877–2777 RADIATION ONCOLOGYUW Health – East Clinic5249 E. Terrace Dr., Madison (608) 263–8500 UW Health – Carbone Cancer Center600 Highland Ave., Madison (608) 263–8500 UW Health – Johnson Creek250 Doctors Court, Johnson Creek (920) 699–3500 Turville Bay MRI and Radiation Oncology Center1104 John Nolen Dr., Madison Radiation Oncology: (608) 251–6868

Prior Authorization may be required for some Specialty Care services provided outside of a GHC-SCW–owned Clinic. Please refer to your Benefits Summary and Member Certificate.

GHC ACH WFM UWFM UW UWS

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

ALL SPECIALTY CARE LOCATIONSLocate your Primary Care Clinic in the top right row and look below to determine where you go for specialty care services.

= Approved Location = Approved Location GHC ACH WFM UWFM UW UWS

54 55Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers. Visit ghcscw.com and select “Find a Provider” at the top of the page for a complete and current listing of providers.

RADIOLOGY/IMAGINGGHC-SCW – Hatchery Hill Clinic3051 Cahill Main, Fitchburg (608) 661–7200 UW Health – 1 S. Park1 S. Park St., Madison (608) 287–2050 UW Health – 202 S. Park202 S. Park St., Madison (608) 417–6090 UW Health – Research Park621 Science Dr., Madison (608) 265–8333 UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–8340 Stoughton Hospital Medical Imaging900 Ridge St., Stoughton (608) 873–2299 Turville Bay MRI and Radiation Oncology Center1102 John Nolen Dr., Madison (608) 258–7820 RHEUMATOLOGYUW Health – 1 S. Park1 S. Park St., Madison (608) 287–2800 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 265–1280 UW Health – West Clinic451 Junction Rd., Madison (608) 263–7577 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 SLEEP DISORDERS Wisconsin Sleep6001 Research Park Blvd., Madison (608) 232–3333 St. Mary’s Sleep Center2844 Index Rd., Fitchburg (608) 258–5266 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000

GHC = GHC-SCW ClinicsACH = Access Community Health CentersWFM = Wingra Family Medical Center

UWFM = UW Health Family Medicine Clinics UW = UW Health ClinicsUWS = UW Health–Stoughton Clinic

Prior Authorization may be required for some Specialty Care services provided outside of a GHC-SCW–owned Clinic. Please refer to your Benefits Summary and Member Certificate.

THORACIC SURGERY UW Health – UW Hospital & Clinics600 Highland Ave., Madison Thoracic: (608) 263–7502 Cardiac: (608) 263–1530

UW Health – 202 S. Park202 S. Park St., Madison (608) 263–0439 Dean Clinic – Outpatient Surgery700 S. Park St., Madison (608) 259–3500 UROLOGYUW Health – 1 S. Park1 S. Park St., Madison (608) 287–2900 UW Health – American Family Children’s Hospital – Pediatrics1675 Highland Ave., Madison (608) 263–6420

UW Health – East Clinic5249 E. Terrace Dr., Madison (608) 265–6966 UW Health – UW Hospital & Clinics600 Highland Ave., Madison (608) 263–4757 Dean Clinic1313 Fish Hatchery Rd., Madison (608) 252–8000 Dean East Clinic1821 S. Stoughton Rd., Madison (608) 260–6000 Dean West Clinic752 N. High Point Rd., Madison (608) 824–4000 Dean Stoughton Clinic225 Church St., Stoughton (608) 877–2777

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COMMON TERMSThe following terms and explanations are to help guide you. They are not definitions. For definitions, refer to your Member Certificate.

CARE MANAGEMENT is a department that is responsible for processing, approving, and denying Prior Authorization requests for medical and behavioral health services prior to services being rendered.

CARE TEAMS are a unique and member-focused approach to providing care to members, found exclusively in GHC-SCW-owned clinics. In GHC-SCW-owned clinics, a team of medical experts uses their skills and expertise to work together to provide exceptional and coordinated care that supports members. The Care Team includes: Primary Care Providers (Physicians, Certified Physician Assistants, and Advanced Practice Nurse Prescribers), Registered Nurse Coordinators, Clinical Case Managers, Care Team Specialists, Behavioral Health Consultants, and Pharmacists.

CARE TEAM SPECIALISTS are key players on Care Teams (found within GHC-SCW-owned clinics) who support the Primary Care Provider during a member’s visit. They also gather information about a member’s health and assist with member communication. A Care Team Specialist can be a Licensed Practical Nurse or a Certified Medical Assistant.

CASE MANAGERS assist Primary Care Providers in coordinating medical or behavioral health care. If you have a complex medical situation or are facing an inpatient visit, you might work with a Case Manager. The Case Manager coordinates the care and services needed, works with medical providers to develop a plan of care to meet your needs, answers your questions, and helps you with any medical or behavioral health needs. If needed, they help connect you to available community resources, provide support to you and your family, and help with complex financial concerns.

A CERTIFIED PHYSICIAN ASSISTANT (PA–C) and an ADVANCED PRACTICE NURSE PRESCRIBER (APNP) are qualified, licensed health care professionals with extensive academic training and clinical experience. They provide a range of services such as routine physical examinations along with evaluation and management of common medical problems. Like the GHC-SCW Primary Care Physicians, PA–C and APNP are certified and committed to personalized comprehensive health care for you and your family.

CLINICAL HEALTH EDUCATION (CHE) helps you learn about your health and how to prevent or manage chronic conditions. CHE Providers may help you create an individualized plan to improve your health, based on credible and easy–to–understand health information.

COMPLEMENTARY MEDICINE includes many forms of treatments and therapies that are not considered part of conventional medicine. Complementary Medicine focuses on “building blocks for health” such as prevention and addressing the underlying causes of a disease, rather than simply treating the external symptoms.

The goal of COMPLEX CASE MANAGEMENT (CCM) is to assist members with multiple, complex, or acute life threatening conditions so they may get access to appreciate health care services. A Case Manager will assist the member with health goals, self-management care plans, and Prior Authorizations to specialty care. Members are accepted into Complex Case Management by meeting a certain enrollment criteria.

EMERGENCY CARE is care for a life–threatening medical condition that includes severe symptoms, which couldcause serious jeopardy to a person’s health.

FAMILY MEDICINE involves broad training and may include expertise in the areas of obstetrics and gynecology, pediatrics or internal medicine. Family Medicine concentrates on health care for the entire family, with an emphasis on continuity of care for all ages. Family Medicine Providers are ideal for members who have families or anticipate having children.

A FORMULARY is a list of covered prescription drugs under a benefit plan. They have been proven to be safe, effective and cost–efficient. As a member of GHC-SCW, your prescription drug coverage includes only the drugs listed on the GHC-SCW formulary, except in certain cases of medical necessity.

INTERNAL MEDICINE specializes in adult medicine and complex health care. The focus is on the interrelated systems of the body and how they are affected by illness. Older adults often prefer Internal Medicine Providers for this reason. An Internal Medicine Provider may be a good choice if you or your family members are over the age of 16.

IN–PLAN PRIMARY AND SPECIALTY CARE is provided by a panel of Providers under contract with GHC-SCW. Prior Authorizations for specialty care are limited to this panel of contracted Providers. Specialty medical care provided by a contracted non–GHC-SCW Provider is not covered if the service requested may beprovided by a GHC-SCW Specialty Provider.

A MEMBER is a person who is enrolled with GHC-SCW as either a subscriber or a dependent of a subscriber.

A NETWORK may be considered a “path” through the health care system. GHC-SCW offers multiple networks for Primary and Specialty Care. Benefits coverage is only provided to members who stay within their chosen network.

PEDIATRICS focuses on the special health conditions of childhood and adolescence, as well as a wide range of preventive services. A Pediatrician will coordinate the necessary health screenings and immunizations to help your child stay healthy. Children age 17 or younger often see a Pediatrician to coordinate their Primary Care.

PHARMACISTS are knowledgeable professionals that help with medication needs. They provide medication consultations and explain medication information. Professional pharmacists have completed either a Bachelor of Science in Pharmacy or a Doctor of Pharmacy degree program at an approved and accredited College of Pharmacy. They have also passed several licensing examinations.

PRIMARY CARE is the first point of contact for the member within the health care system. It includes a broad spectrum of health care services and preventive care. The aim of Primary Care is to provide a foundation for good health and to coordinate the care that the patient receives.

A PRIMARY CARE PROVIDER (PCP) is a health care Provider who provides Primary Care to the member. The PCP also helps to provide continuity of care, and to coordinate services, if necessary, with recommended Specialty Care Providers. A PCP may be a Family Medicine Physician, an Internal Medicine Physician, a Pediatrician, a Physician Assistant or a Nurse Practitioner.

PRIOR AUTHORIZATION is the process of approving Specialty Care services and specific procedures or services when needed, based on appropriateness of care and location.

A REGISTERED NURSE (RN) is a professional nurse who has completed a course of study at an approved and accredited school of nursing and who has passed the National Council of Licensure Examination. RNs are licensed to practice by individual states.

SPECIALTY CARE is care for a specific condition, or care to provide diagnosis and treatment by a Provider with training in a particular field of medicine.

A SPECIALTY CARE PROVIDER is an individual, team or facility who provides Specialty Care to the member. Specialty Care Providers specialize in one or more field of medicine and have developed advanced skills in that area.

URGENT CARE is same–day or after–hours care for non-life-threatening conditions that require immediate attention, or persistent or unusual discomfort associated with an illness. Some examples of Urgent Care include colds and flu, migraine headaches, and minor injuries.

Virtuwell®

Virtuwell is your 24/7 online clinic for a diagnosis, treatment plan, and even a prescription for common medical conditions. Get better faster.Visit ghcscw.com/Virtuwell

GHCNurseConnectGHCNurseConnect is your 24-hour nurse advice line when you need general care advice and triage over the phone. Get the information you need when you need it.

Call (608) 661-7350 or toll-free (855) 661-7350

MK13–150–0(05/13)PD

Please clip and keep as a quick reference.

GHC-SCW CLINICSCapitol Clinic(608) 257–9700675 W. Washington Ave., Madison 53703 Mon., Wed., Fri., 8 a.m. – 5 p.m.Tues., Thurs., 8 a.m. – 7 p.m.

DeForest Clinic(608) 846–4787815 S. Main St., DeForest 53532 Mon. – Fri., 8 a.m. – 4:30 p.m.

East Clinic(608) 222–97775249 E. Terrace Dr., Madison 53718 Mon., 9 a.m. – 7 p.m.Tues. – Fri., 8 a.m. – 5 p.m.

Hatchery Hill Clinic(608) 661–72003051 Cahill Main, Fitchburg 53711 Mon., Wed. – Fri. 8 a.m. – 5 p.m.Tues., 8 a.m. – 7 p.m.

Madison College Community Clinic (608) 441–3220Health Education Center Truax Campus1705 Hoffman St., Madison 53704Mon, 7 a.m. – 7 p.m. Tue – Fri, 7 a.m. – 5 p.m.

Sauk Trails Clinic(608) 831–17668202 Excelsior Dr., Madison 53717 Mon., 8 a.m. – 7 p.m.Tues. – Fri., 8 a.m. – 5 p.m.

UW HEALTH FAMILY MEDICINE CLINICSBelleville Clinic(608) 424–33841121 Bell West Blvd, Belleville 53508Mon. – Fri., 8 a.m. – 5 p.m.

Northeast Clinic Family Medical Center(608) 241–90203209 Dryden Dr., Madison 53704Mon. – Fri., 8 a.m. – 5:30 p.m.

Verona Clinic(608) 845–9531100 N. Nine Mound Rd., Verona 53593Mon. – Fri., 8 a.m. – 5 p.m.

UW HEALTH CLINICSCottage Grove Clinic(608) 839–3104500 Westlawn Dr., Cottage Grove 53527 Mon. – Fri., 8 a.m. – 5 p.m. Cross Plains Clinic(608) 798–33442418 Brewery Rd., Cross Plains 53528Mon. – Fri., 8 a.m. – 5 p.m.

Mt. Horeb Clinic(608) 437–3064600 N. 8th Street, Mt. Horeb 53572Mon. – Fri., 8 a.m. – 5 p.m.

UW HEALTH – STOUGHTON CLINICStoughton Clinic(608) 877–26601001 Nygaard St., Stoughton 53589Mon. – Fri., 8 a.m. – 5 p.m.

ACCESS COMMUNITY HEALTH CENTERSJoyce and Marshall Erdman Clinic(608) 443–54802202 S. Park St., Madison 53713Mon. – Fri., 8 a.m. – 5 p.m.

William T. Evjue Clinic(608) 443–54803434 E. Washington Ave., Madison 53704Mon. – Fri., 8 a.m. – 5 p.m.

Wingra Family Medical Center(608) 263–31111102 S. Park St., Madison 53715Mon. – Fri., 8:00 a.m. – 5 p.m.

GHC-SCW URGENT CAREAnytime you need medical care (except for emergencies), you should first call your Primary Care Clinic for an available appointment. If you need medical care after normal Primary Care Clinic hours, call the GHC-SCW Urgent Care Clinic to schedule an appointment:

(608) 442–8100675 W.Washington Ave., Madison, WI 53703Monday – Friday, 8 a.m. – 9 p.m. & Saturday – Sunday, 9 a.m. – 9 p.m.We schedule urgent care appointments to better serve your same-day access needs.

Group Health Cooperative of South Central Wisconsin (GHC-SCW)

ghcscw.com

PRIMARY CARE CLINICS

PRIMARY CAREIncludes Lab and Radiology.

Care can be received at any of the following: Black Earth Medical Clinic, Lodi Medical Clinic, Plain Medical Clinic, River Valley Medical Clinic, Prairie Clinic, or Reedsburg Area Medical Center Physicians Group, Divine Savior Portage Clinic, Divine Savior Crossroads Clinic (Oxford), or Divine Savior Pardeeville Clinic.

SPECIALTY CARE Prior Authorization may be required for these services.

Specialty Care can be provided by any of the following: • Sauk Prairie Healthcare • Reedsburg Area Medical Center • Divine Savior Hospital • UW Specialty Providers • GHC-SCW contracted network Providers (please see attached list of contracted ancillary service providers)

URGENT CARE Care can be received at any of the following: Prairie Clinic (Express Clinic), Sauk Prairie Healthcare, Reedsburg Area Medical Center - Hospital, Divine Savior Hospital, or GHC-SCW Capitol Clinic.

EMERGENCY CARE Care can be received at any of the following: Sauk Prairie Healthcare, Reedsburg Area Medical Center - Hospital, Divine Savior Hospital, UW Hospital, or Meriter Hospital.

INPATIENT CARE Care can be received at any of the following: Sauk Prairie Healthcare, Reedsburg Area Medical Center - Hospital, Divine Savior Hospital, or UW Hospital.

INPATIENT LABOR & DELIVERY CARE Care can be received at any of the following: Sauk Prairie Healthcare, Reedsburg Area Medical Center - Hospital, Divine Savior Hospital, or St. Mary’s Hospital.

PHARMACY SERVICES Receive prescriptions through GHC-SCW Clinic Pharmacies and/or participating pharmacies in our national Navitus network. Visit ghcscw.com and select “Pharmacy” for details.

REGIONALNETWORK

DIRECTORY

TIPS FOR CHOOSING A PRIMARY CARE PROVIDER (PCP)Choosing the right PCP to meet your needs is important. By doing so, you create a relationship of trust and comfort between you and your PCP.

Here are some tips: » Think about your health goals. » Think about your preferences for: your PCP’s

gender, location, and their medical interests. » Learn more about your PCP options in this Provider Directory and online at ghcscw.com when you select “Find a Provider.”

You may change your PCP and clinic location within your network at any time.

AREAS OF PRACTICEPCPs generally focus on different medical areas of practice for different life stages:

» Family Medicine focuses on health care for the entire family, with an emphasis on care for all ages.

» Family Medicine with Obstetrics focuses on health care for the entire family, with an emphasis on delivering babies.

» Internal Medicine focuses on adult medicine and complex health care. Older adults may prefer Internal Medicine because of its focus on the interrelated systems of the body and how they are affected by illness.

» Pediatrics focuses on childhood medicine and health care (including preventive care). A Pediatric PCP may be ideal for children ages 17 or younger.

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BLACK EARTH MEDICAL CLINICPhone: (608) 767-2526Address: 1529 State Street #A Black Earth, WI 53515Hours: Mon, Tues, Thurs, Fri, 8 a.m. –5 p.m. Wed, 10 a.m.–7 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Janelle Hupp, MDAgnes Kanikula, PA-C

SAUK COUNTYSAUK PRAIRIE HEALTHCARE

LODI MEDICAL CLINIC Phone: (608) 592-3296Address: 160 Valley Drive Lodi, WI 53555Hours: Mon–Fri, 7:30 a.m.–5 p.m. Sat, 8 a.m.–12 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

David Eberdt, PA-C Dale Fanney, MD Deanna Lord, PA-C Karen Meng, APNP

PediatricsAndrea Chao, MD

PLAIN MEDICAL CLINICPhone: (608) 546-4211Address: 825 Main Street Plain, WI 53577Hours: Mon–Fri, 8 a.m.–5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Jeffrey Collins, MD

PRAIRIE CLINICPhone: (608) 643-3351Address: 112 Helen Street Sauk City, WI 53583Hours: Mon, Wed, 7 a.m.–7:30 p.m. Tues, 9 a.m.–7:30 p.m. Thurs, 7:30 a.m.– 7:30 p.m. Fri, 7 a.m.–5 p.m. Sat, 8 a.m.–12 p.m. Express Clinic: Visit prairieclinic.com for Express Clinic details. Mon–Thurs, 1 p.m. –7 p.m. Fri, 1 p.m.–4 p.m.

RIVER VALLEY MEDICAL CLINICPhone: (608) 588-2502Address: 436 Sunrise Drive Spring Green, WI 53588Hours: Mon, 7:30 a.m.–5 p.m. Tues, 10 a.m.–5 p.m. Wed–Fri, 8 a.m.–5 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Maria Denu, PA-CMasaru Furukawa, MD (and Sports Medicine)Mark Timmerman, MD (and Sports Medicine)Ellen Wermuth, MD, MS

Family MedicineCarleen Acker, PA-CMaria Andres, PA-CRita Bindl, APNPValerie Clary, APNPGretchen Considine, PA-CArminda Gensler, MD David Graf, PA-CSteven Johnson, MD

Rachel Kadervek PA-C John Koch, MDJohn McAuliffe, MDJessica Premo, DO Dan Riethmiller, MDRenee Schutte, PA-C Barclay Shultz, MDGlenna Spears, APNP

SAUK PRAIRIE HEALTHCAREPhone: 608) 643-3311Address: 260 26th Street Prairie du Sac, WI 53578ER Hours: 24 hours a day, 7 days a weekUrgent Care Hours: Mon–Fri, 5–10:30 p.m. Sat–Sun, 9 a.m.–9 p.m. Holidays, 9 a.m.–9 p.m.

URGENT CARE AND EMERGENCY CARE

Anytime you need medical care (except for an emergency), you should first call your Primary Care Clinic for an available appointment.

• If you need medical care after hours, call Sauk Prairie Healthcare for urgent care (see above).

• If you can safely go to Sauk Prairie Healthcare in an emergency, please go there for treatment. If that is not possible, please call 911 or go to the nearest hospital emergency room.

Family Medicine with ObstetricsMaribeth Baker, MD Matthew Grade, MDTrevver Buss, MD Thomas Varley, MD

PediatricsBeatrice Murray, MD Carolyn Rank, MD

Obstetrics and GynecologyTodd Schad, MD Suzanne Welsch, MD

PRIMARY CARE PROVIDERS

REEDSBURG AREA MEDICAL CENTER PHYSICIANS GROUPPhone: (608) 524-8611Address: 1900 North Dewey Avenue Reedsburg, WI 53959Hours: Mon–Thurs, 7:30 a.m.–6 p.m. Fri, 7:30 a.m.–5 p.m. Sat, 8:30 a.m.–12 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Renee Mikonowicz, APNPMichael Schonfeld, FAAFPMary Beth Shear, MDEmily Weiss, APNP

Family Medicine with ObstetricsDeanna Benish, MDSpencer Fast, MDAnne Harris, MDRobert Koontz, MDJoanna Laukant, MDDebbie Ondersma, DORebecca Reim, MDChristopher Wenninger, MD

PediatricsSteven Kincaid, MD

Internal Medicine Robert Turner, MD, PhD(and Cardiology)

REEDSBURG AREA MEDICAL CENTERPhone: (608) 524-6487Address: 2000 North Dewey Avenue Reedsburg, WI 53959ER Hours: 24 hours a day, 7 days a weekUrgent Care Hours: Mon–Fri, 3 p.m.–9 p.m. Sat–Sun, 10 a.m.–9 p.m.

URGENT CARE AND EMERGENCY CARE Anytime you need medical care (except for an emergency) you should first call your Primary Care Clinic for an available appointment.

• If you need medical care after hours, call Reedsburg Area Medical Center for urgent care (see above).

• If you can safely go to Reedsburg Area Medical Center in an emergency, please go there for treatment. If that is not possible, please call 911 or go to the nearest hospital emergency room.

REEDSBURG

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PORTAGE CLINICPhone: (608) 745-4598Address: 2817 New Pinery Road Portage, WI 53901Hours: Mon, 8 a.m –7 p.m. Tues–Fri, 8 a.m.–4:30 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Christi Barden, APNPBrenda Blohm, MDCaitlin Boettner, PA-CBridget Hoffman, APNPJill Pogorelec, DOLindsay Schehr, APNPDarcy Steinhorst, PA-CJames Swan, APNPKelly Toijala, PA-C

Family Medicine with ObstetricsSusan Kreckman, MDThaddeus Whiting, DO

PediatricsAngela M.W. O’Connor, MD

COLUMBIA COUNTYDIVINE SAVIOR HEALTHCARE

CROSSROADS CLINIC Phone: (608) 589-5333Address: N4390 Crossroads Clinic Road Oxford, WI 53952Hours: Mon–Fri, 8 a.m.–4:30 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Christi Barden, APNP

DIVINE SAVIOR HOSPITALPhone: (608) 742-4131Address: 2817 New Pinery Road Portage, WI 53901Hours: Mon-Fri, 24/7Urgent Care: Mon–Fri, 5 p.m.–11 p.m. Sat–Sun, 11 a.m.–11 p.m. (Use the Emergency Department entrance)

URGENT CARE AND EMERGENCY CARE Anytime you need medical care (except for an emergency) you should first call your Primary Care Clinic for an available appointment.

• If you need medical care after hours, call Divine Savior Hospital for urgent care (see above).

• If you can safely go to Divine Savior Hospital in an emergency, please go there for treatment. If that is not possible, please call 911 or go to the nearest hospital emergency room.

PARDEEVILLE CLINICPhone: (608) 429-2185Address: 102 Gillette Street Pardeeville, WI 53954Hours: Mon–Fri, 8 a.m.–4:30 p.m.

PRIMARY CARE PROVIDERSFamily Medicine

Andrea Langan, APNPJames Swan, APNP

ANCILLARY CLINIC PROVIDERS

Specialty Care provided by Ancillary Clinic Providers: Members can schedule a consultation with the below Ancillary Clinic Providers without a referral. However, some services may require Prior Authorization, such as: certain DME, Physical Therapy/Occupational Therapy visits, manipulations, or procedures. Please call (800) 605-4327, ask for Member Services, and then verify if Prior Authorization is needed before scheduling an appointment for care. If your service does require Prior Authorization, your provider will submit a Prior Authorization request to the GHC-SCW Care Management team. Most decisions occur within four to five business days. Up to 15 days are allowed for review by the GHC-SCW Care Management team and/or the GHC-SCW Chief Medical Officer.

CHIROPRACTORS

Allied Health Chiropractic Center Providers: Jason Theobald, DC Phone: (608) 355-4100 Address: 550 W Maple Street Baraboo, WI 53913 Web: alliedhealthchiro.com/

Anderson Chiropractic Clinics Providers: Robert Anderson, DC Christopher Anderson, DC Traci Peterson, DC Travis Tann, DC Phone: (608) 524-2616 Address: 346 Second Street Reedsburg, WI 53959 Web: andersonchiropracticclinics.com

Bre Chiropractic Providers: Breanna Ballweg, DC Phone: (608) 630-9040 Address: 1250 Prairie Street, Lower Level Prairie du Sac, WI 53578 Web: brechiropractic.com

Burkhalter Chiropractic Providers: Melanie Burkhalter, DC Ronald Burkhalter, DC Phone: (608) 356-3811 Address: 920 8th Avenue Baraboo, WI 53913

Chiropractic & Health Center Provider: Pamela Thompson, DC Phone: (608) 356-0177 Address: 215 8th Avenue Baraboo, WI 53913

Cody Chiropractic Wellness Center Provider: Jonathan Cody, DC Phone: (608) 643-5060 Address: 421 Water Street, Suite 101 Prairie Du Sac, WI 53578 Web: codywellness.com

HealthSource of Baraboo Providers: Michael Zolper, DC Angela Zolper, DC Phone: (608) 355-7999 Address: 701 Ash Street Baraboo, WI 53913 Web: zolperchiro.com

Hohenstein Chiropractic Provider: Randall J. Hohenstein, DC Wayne Christianson, DC Phone: (608) 643-8643 Address: 707 Phillips Boulevard Sauk City, WI 53583 Web: hohensteinchiropractic.com

Jorandby Chiropractic Office Providers: Richard Jorandby, DC Shelly Jorandby, DC Phone: (608) 524-2213 Address: 149 N Park Street Reedsburg, WI 53959 Web: jorandbychiropractic.com

Joseph Chiropractic Provider: Daniel Joseph, DC, CCN Phone: (608) 254-4244 Address: 1000 State Highway 13 Wisconsin Dells, WI 53965 Web: dellschiropractic.com

Kincaid Chiropractic Providers: Melissa Kincaid, DC Zachary Landon, MS, DC Phone: (608) 524-1198 Address: 1104 21st Street, Suite D Reedsburg, WI 53959 Web: kincaidchiropractic.com

Lodi Chiropractic Clinic Provider: Joel Cooper, DC Phone: (608) 592-7030 Address: 154 Lodi Street Lodi, WI 53555 Web: lodichiro.com

Manville Chiropractic LLC Provider: Jo Ellen Manville, DC Phone: (608) 524-1757 Address: 144 S Walnut St Reedsburg, WI 53959

River Valley Chiropractic Provider: Kathleen McDonald, DC Phone: (608) 588-7400 Address: 127 N Washington Street Spring Green, WI 53588

Sauk Prairie Chiropractic Provider: Thomas Terbilcox, DC Phone: (608) 643-4285 Address: 590 4th Street Prairie du Sac, WI 53578 Web: spchiro.com

CLICK ON THEWEB LINK TO GODIRECTLY TO PAGE

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DURABLE MEDICAL EQUIPMENT

Home Health United Baraboo Phone: DME (608) 355-4083 Address: 1111 Eightg Street Baraboo, WI 53913 Web: homehealthunited.org

Home Health United Portage Phone: DME (608) 742-2538 HH (608) 742-6583 Address: 2888 Village Road Portage, WI 53901 Web: homehealthunited.org

Home Health United Prairie du Sac Phone: DME (608) 643-4318 HH (608) 643-6103 Address: 470 Oak Street Prairie du Sac, WI 53578 Web: homehealthunited.org

Home Health United Reedsburg Phone: DME (608) 524-8440 HH (608) 524-2567 Address: 164 Second Street, Reedsburg, WI 53959 Web: homehealthunited.org

Sauk County Health DepartmentSauk County Home Care – no DME Phone: (608) 355-3290 Address: 505 Broadway, Room 372 Baraboo, WI 53913 Web: https://www.co.sauk.wi.us adrcpage/helping-hands-home

Group Health Cooperative of South Central Wisconsin (GHC-SCW)

ANCILLARY CLINIC PROVIDERS (CON’T)

MENTAL HEALTH

Apollo Psychological Services Phone: (608) 524-6477 Address: 1900 N Dewey Avenue Reedsburg, WI 53959 Web: ramchealth.com

Goodman’s Behavioral Health Clinic Phone: (608) 768-4545 Address: 1104 21st Street Reedsburg, WI 53959 Web: goodmansbehavioralhealth.com Pathway Clinic Phone: (608) 643-3663 Address: 560 4th Street Prairie du Sac, WI 53578

Pauquette Center forPsychological Services Phone: (608) 356-9055 Address: 1002 Lincoln Avenue Baraboo, WI 53913

Phone: (920) 623-5578 Address: 1339 Park Avenue Columbus, WI 53925

Phone: (608) 742-5518 Address: 2901 Hunter Trail Portage, WI 53901

Phone: (608) 643-3147 Address: 50 Prairie Avenue Prairie du Sac, WI 53578

Phone: (608) 524-5151 Address: 701 N Webb Avenue Reedsburg, WI 53959

Phone: (608) 647-4705 Address: 23295 Highway 14 Richland Center, WI 53581

The Psychology Clinic Inc.

Phone: (608) 448-2797 Address: 701 Ash Street Baraboo, WI 53913

Phone: (608) 238-9991 Address: 310 N Midvale Blvd., Suite 202 Madison, WI 53705

Phone: (608) 370-6551 Address: 1190 Prairie Street Prairie du Sac, WI 53578 Web: thepsychologyclinicinc.com

Sauk County Department of Human Service

Phone: (608) 355-4200 Address: 505 Broadway - 4th Floor Baraboo, WI 53913

Phone: (608) 355-4298 Address: 425 6th Street Reedsburg, WI 53959 Web: co.sauk.wi.us/humanservices

OPTOMETRISTS

Baraboo Eye Clinic Provider: Paul Webb, OD Phone: (608) 356-6276 Address: Walmart Vision Center 920 US 12 Baraboo, WI 53913 Web: baraboodellseyeclinic.com

Joe G. Prell Optometrist Provider: Joe Prell, OD Phone: (608) 524-4334 Address: 251 2nd Street Reedsburg, WI 53959 Web: drjoeprelloptometrist.com

May Vision Center Provider: David May, OD Elisa Skadahl-Kurt, OD Phone: (608) 849-3937 Address: 330 N Century Avenue Waunakee, WI 53597 Web: visionsource-mayvisioncenter.com

Spring Green Vision Center Provider: Jeffrey Vodak, OD Phone: (608) 588-2612 Address: 150 E Jefferson Street Spring Green, WI 53588

Wisconsin Dells Eye Clinic Provider: Paul Webb, OD Phone: (608) 253-4593 Address: Walmart Vision Center 130 Commerce Street Wisconsin Dells, WI 53965 Web: baraboodellseyeclinic.com

PODIATRISTS*

Associated Podiatrists Prairie du Sac Provider: Stephen Bogue, DPM, FACFAS, FACFAON Phone: (608) 643-7192 Address: 260 26th Street Prairie du Sac, WI 53578

Associated Podiatrists Reedsburg Provider: Dr. Steven Merckx , DPM, FACFAS, FACFAON Phone: (800) 595-4265 Address: 2670 Main Street Reedsburg, WI 53959

Associated Podiatrists Spring Green Provider: Dr. Steven Merckx, DPM, FACFAS, FACFAON Phone: (608) 588-7413 Address: 150 E Jefferson Street Spring Green, WI 53581* Not available to members receiving Primary Care from a Divine Savior Healthcare Clinic.

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