Wellness Reimbursement Program Form
GHC Ranked 8th Among 253 Commercial Health Plans Nationwide!

Take the Journey to Good Health!

Discover the benefits of the NEW GHC-SCW wellness reimbursement program.

Wellness Reimbursement Program

Effective January 2008, enrolled GHC-SCW members (age 12 or older) may receive one reimbursement per year of $100 (individual) or $200 (family of two or more enrolled members). Members may choose from any of the following services:

  1. 1. Exercise for Excellence
  2. 2. Community Supported Agriculture (CSA)
  3. 3. Weight Watchers
  4. 4. Jenny Craig
  5. 5. Community Classes at UW Health and Meriter

The new reimbursement program will go into effect on January 1, 2008. You may submit a request for reimbursement for any of the above programs at any time throughout the year, after program criteria is met. GHC-SCW will reimburse you either $100 (individual) or $200 (family of two or more enrolled members) for the year. The deadline for reimbursement submission is January 15th of each calendar year. Checks will be issued by March 15th of the following year. The reimbursement program only applies to the services listed above and is subject to GHC-SCW Policies and Procedures.

To obtain your reimbursement, complete and print the Wellness Reimbursement Form, request a paper form by calling GHC-SCW Marketing at (608) 828-4831 or pick up a form from any GHC-SCW Clinic or your fitness center/health club. You must include your full name, GHC-SCW member number, date of birth and address to be eligible for reimbursement. You must also attach a receipt, or obtain a signature from the program coordinator, CSA or fitness center/health club verifying your completion of the program requirements.

Print and send the completed form, with receipt or signature, to:

  • GHC-SCW Marketing Department
  • Attn. Wellness Reimbursement
  • P.O. Box 44971
  • Madison, WI 53744-4971

If you have any questions regarding the wellness reimbursement program, please contact the GHC-SCW Marketing Department at (608) 828-4831.

Log in to GHCMyChart

GHCMyChart ID

PASSWORD

Forgot Password?
NEW USERS! Click here to activate your account!
© Group Health Cooperative of South Central Wisconsin (GHC-SCW). All Rights Reserved
MyChart © licensed from Epic Systems Corporation, Copyright © 1999-2005. Patents pending.