What is the MyGoldCare™ Program?
The MyGoldCare™ is Gold Coast Health Plan’s palliative care program that is available for qualified Plan members.
Palliative care is specialized medical care for people with a terminal illness. It is a way of providing care that addresses the difficulty of treatment with a unique focus on patient choice and improving quality of life for both the patient and the family. A palliative care team works with patients and families to determine what is most important to them in managing their illness. This type of care is focused on providing relief from the symptoms, reducing the stress of a serious illness, and addressing the physical, intellectual, emotional, social and spiritual needs of GCHP’s members in the most compassionate way possible.
Palliative care is provided by a specially-trained team of doctors, nurses and other specialists who work with the patient’s other doctors to provide an extra layer of support and ensure that the patient’s and family’s goals of care align with the treatment options available to them.
More information on MyGoldCare™:
- VC Star Article
- Provider Memorandum: MyGoldCare™ – Palliative Care Program
- For Providers: Frequently Asked Questions About Palliative Care Services for GCHP Members
How does a member qualify?
A member must meet eligibility and disease-specific criteria to qualify for MyGoldCare™. The chronic conditions available for palliative care services include: advanced cancer, kidney failure, chronic liver disease, chronic obstructive pulmonary disease (COPD) and congestive heart failure.
A provider memorandum that provides descriptions of the covered conditions is located here on the GCHP website. If you believe a patient qualifies for MyGoldCare™, please submit an authorization request. Prior authorization is required for Palliative Care.