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Member Login

Create an account via the Member Login. This tool allows members to:

  • View member-specific coverage information
  • View Explanation of Benefits (EOB) statements
  • Submit a question about a claim or EOB
  • Order an ID card
  • Submit a pharmacy exception request
  • Enroll in a disease management program
  • Request an out of pocket financial estimate for a healthcare service

Plan Documents

Summary of Benefits and Coverage (SBC)

Once you enter your member identification number, you can view your Summary of Benefits and Coverage (SBC). If you have questions about your SBC, please refer to the glossary or contact Customer Service.

Referral and Prior Authorization

A referral or prior authorization may be needed for some medical services and prescriptions to be covered by Gundersen Health Plan. This means that you or your doctor must get approval from Gundersen Health Plan before the service is provided. To find out more, access your plan documents, using the Member Materials Tool, or contact Customer Service.

 

MEMBER MATERIALS TOOL

The Member Materials tool located below provides quick access to member-specific benefit documents such as your Summary of Benefits and Coverage (SBC), Certificate of Coverage, Schedule of Benefits, Provider Directory and Prescription Drug Formulary search, as well as other documents specific to your plan.

ACCESS TO THE MEMBER MATERIALS TOOL

This tool is for most Commercial and GundersenOne members. It does not produce documents for some self-funded employer group members, BadgerCare members or Senior Preferred members. If you have questions, please contact Customer Service.

ENTER YOUR ID NUMBER

Enter your member identification (ID) number, located on your member ID card, and click the submit button. When you enter your number, enter all 11 digits with no spaces, such as 91234567801.