What is MyGoldCare™?
MyGoldCare is Gold Coast Health Plan's (GCHP) palliative care program for qualified Plan members.
Palliative care is specialized medical care for people with advanced conditions or serious illnesses. 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 focuses on providing relief from the symptoms, reducing the stress of a serious illness, and addressing the physical, intellectual, emotional, social and spiritual needs of our 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
- MyGoldCare Palliative Care Program Changes – Effective January 1
- For Providers: Frequently Asked Questions About Palliative Care Services for GCHP Members
How Does a Member Qualify?
GCHP will provide palliative care services to all members who elect and qualify under the general eligibility and disease-specific criteria of the MyGoldCare program. Here is a provider memorandum that provides descriptions of the covered conditions.
Qualified conditions include, but are not limited to:
- Advanced cancer.
- Kidney failure.
- Chronic liver disease.
- Chronic obstructive pulmonary disease (COPD).
- Congestive heart failure.
If a GCHP member continues to meet the eligibility criteria, they may continue to access both palliative care and curative care.
If you believe a you or a family member qualifies for MyGoldCare, the referring provider can refer directly to one of GCHP's MyGoldCare palliative care providers. A prior authorization is not required for palliative care.