Welcome to Wisconsin Personal Care Plan

Enrollment Information
Enrollment Application, Eligibility information and New Member Information
Service Area
The Wisconsin Personal Care Plan Service Area
Provider & Pharmacy Directories
A list of pharmacies, doctors, clinics, hospitals, and other health care providers in your area.
Formulary
A list of prescription drugs we cover
Evidence of Coverage

2007 Evidence of Coverage
2008 Annual Notice of Change / Evidence of Coverage

This booklet explains your rights, benefits and responsibilities as a member of our plan. If you have any questions about this information, please call Member Services at 1-715-552-4300 or 1-888-203-7770 (toll free). Our normal business hours are Monday through Friday, 8:00 am - 5:00 pm; a voice mail system is available for all after hour calls from 5:00 pm - 8:00 pm, and during weekends and holidays. (TDD/TTY 1-800-947-3529).
Summary of Benefits

2007
2008

This describes your benefits, exclusions or limitations under Wisconsin Personal Care Plan and information about cost sharing (such as premiums, copays, coinsurance and deductibles). If you have questions about whether a service or benefit is covered, please call Member Services at 1-715-552-4300 or 1-888-203-7770 (toll free). Our normal business hours are Monday through Friday, 8:00 am - 5:00 pm; a voice mail system is available for all after hour calls from 5:00 pm - 8:00 pm, and during weekends and holidays. (TDD/TTY 1-800-947-3529).
Grievance & Appeals, Coverage Determinations and Exceptions
How to file an appeal or grievance, ask for coverage determinations, or ask for exceptions to the prescription drug formulary.
Quality Policies and Procedures
Group Health Cooperative is committed to quality improvement and strives to incorporate this philosophy and practice throughout all areas of the organization. This is an overview of our quality policies and procedures.
Important Contact Information
Phone numbers and addresses
www.medicare.gov
Official U.S. website for Medicare
H7065_GHC07064
CMS Approval: 12/25/07