¡Bienvenido! Nos complace prestarle servicios como nuevo miembro de Gold Coast Health Plan (GCHP). You were likely enrolled in our plan because you live in Ventura County and have Medi-Cal. To get the best care, you must use doctors and clinics that are in the GCHP network.
Elija un Proveedor de Atención Primaria (PCP)
You will soon get a welcome packet in the mail. It explains how to use your plan.
One of the first things you must do is choose a Primary Care Provider (PCP). A PCP is the doctor or clinic you see for most of your regular care, like checkups and sick visits.
You will not get a GCHP ID card until you choose a PCP.
How to Choose a PCP
- Select a PCP in our network within 30 days. If you do not choose one, we will choose one for you.
- Choose a PCP for each family member on your plan.
- Tell us your choice by:
- Calling Member Services at 1.888.301.1228 (TTY: 711) or,
- Mailing your PCP Selection Form. We provide a postage-paid envelope.
- Schedule a checkup appointment with your PCP within 120 days.
If you're not happy with your PCP, you can change to a new one after one month. Vea cómo cambiar su PCP.
You May Not Need to Choose a PCP
You do not need a PCP if you are an administrative member. This may apply if you:
- Have Medi-Cal with a share of cost.
- Vive en un centro de atención a largo plazo.
- Tiene la cobertura de Medi-Cal proporcionada por el Condado de Ventura pero vive fuera del área.
- Have other health insurance in addition to Medi-Cal.
Su manual para miembros y tarjeta de identificación
After you choose a PCP, you will get:
- A Member Handbook
- A GCHP ID card
Bring your ID card to all doctor visits.
If you need care right away and your ID card has not arrived:
- Show your welcome letter and your Medi-Cal Benefits Identification Card (BIC).
- You may see a doctor who accepts Medi-Cal Fee for Service (FFS). Ask the office if they accept FFS.
If you have an emergency:
- Call 911 or go to the nearest emergency room.
- Show your Medi-Cal BIC card.
If You Have Other Health Insurance
If you have insurance through work, a parent, a spouse, or Medicare, that insurance is your primary insurance and will pay first. Medi-Cal will be your secondary insurance.
Always bring all your insurance cards to appointments.
Tell Medi-Cal if you have other insurance. This helps avoid problems with care or prescriptions. To update your insurance information, call:
- Human Services Agency: 1.888.472.4463 (TTY: 711)
- Social Security Administration (if you have SSI or Medicare): 1.800.772.1213 (TTY: 1.800.325.0778)
How Can We Help?
If you have questions about GCHP or your benefits, call Member Services at 1.888.301.1228. Si usa TTY, llame al 711.