Health library

Member reimbursements

Gold Coast Health Plan (GCHP) members that do not have a Share of Cost or a deductible with another primary insurance coverage should not pay for Medi-Cal covered services. If you are asked to pay for a medical service or item, call GCHP at 1-888-301-1228 to check if it is covered. If you use a TTY, call 1-888-310-7347. Some services, such as those that are out-of-network, need prior authorization. Sensitive services do not need prior authorization.

Rapid COVID-19 tests may not be covered by GCHP, and you will not be refunded if you pay for a test that is not covered by Medi-Cal. Please call us regarding COVID-19 testing to make sure it is covered by GCHP.

If you paid for a medical service that you do not think you should have paid for, please contact us. You will need to send proof of payment and a bill or detailed statement to GCHP. You also need to explain why you had to pay for the item or service. We will review the request and decide if you qualify for reimbursement.

For more information, read the Member Handbook at goldcoasthealthplan.org.