Your Benefit Information ​

IMPORTANT HEALTH COVERAGE TAX DOCUMENTS REGARDING YOUR IRS 1095-B FORM

Group Health Cooperative of South Central Wisconsin will mail 1095-B Health Coverage tax forms to members. Please note, it may take up to 30 days to receive your 1095-B Form from the date the request was received.

If you had coverage through more than one insurance plan or policy during 2022, you will receive a 1095-B Form for each plan or policy for the time period that you had coverage.

There are 3 versions of the 1095 Form:​

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Additional ways to obtain a copy of your 1095-B Form:

1. Easily view, download and print a copy of your 1095-B Form in your GHCMyChart^SM account.
2. E-mail a request to Enrollment@ghcscw.com with “1095-B Form" in the subject line and be sure to include your
   member name and member number.
3. Mail a written request to:
   Group Health Cooperative – Enrollment Department
   1265 John Q Hammons Drive
   Madison, Wisconsin 53717
   

Questions?  Contact our Member Services department (608) 828-4853 or toll-free at (800) 605-4327.​

Member Materials

GHC-SCW Member information is available to help current Members understand their plans. Please view, print or save the documents you find in MyPlanFin

r.

Membership Guides

Membership Guides are provided to new GHC-SCW Members, but are helpful tools for all GHC-SCW Members. Click on the applicable Membership Guide below (HMO, POS, or PPO) for useful information related to your health insurance plan.

2023 Membership Guides

• 2023 HMO GHC-SCW Membership Guide
• 2023 POS GHC-SCW Membership Guide

Use MyPlanFinder to View Your Plan Documents   

MyPlanFinder is an online tool containing important plan documents. If you are an existing GHC-SCW member, use MyPlanFinder to find details about your current plan. Your plan number, which you will need to access your plan information, is located on your membership card.

The Benefit Summary, Summary of Be​nefits and Coverage (SBC), Member Certificate and Formulary documents located within MyPlanFinder are available to help you better understand your coverage by summarizing key features of insurance plans.

Privacy

• Notice of Privacy Practices (printable)
• Notice of Privacy Practices (Spanish)
• Privacy Information

Transparency in Coverage​

• 2023 QHP Transparency in Coverage
• 2022 QHP Transparency in Coverage
• ​2021 QHP Transparency in Cove​rage

• Protections Against Surprise Medical Bills
• 2021 Explanation of Benefits (EOB)

Member Information

• Health Plan Member Information
• Member Rights and Responsibilities
  
• BadgerCare Plu​s Ha​ndbook
  

Questions

We are currently working on implementing legal sex of x into all of our member facing functions. We hope to have this im​plemented as soon as possible as we work with our third-party vendors to add the legal sex of x to their systems. (Accurate as of 5/25/2022)

Call GHC-SCW Member Services at (608) 828-4853 or (800) 605-4327 and request Member Services.

If you prefer, GHC-SCW will print and mail to you a free copy of your Summary of Benefits and Coverage (SBC), Benefits Summary or other member materials located here.  To make this request, contact our Member Services team at (608) 828-4853 or toll-free at (800) 605-4327 and request Member Services or contact us by email.

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