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Gold Coast Health Plan will be closed on February 15 in observance of the Presidents' Day holiday.

Starting April 1, 2021, pharmacy services will provided under a new program called Medi-Cal Rx. Learn more (English and Spanish).

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Member Resources

Access to Protected Health Information

Individual request for access to protected health information (English and Spanish)

Contracted Hospitals

Los Robles Hospital and Medical Center
215 W. Janss Road
Thousand Oaks, CA 91360
1.805.497.2727
losrobleshospital.com

Ojai Valley Community Hospital (CMH)
1306 Maricopa Highway
Ojai, CA 93023
1.805.646.1401
cmhshealth.org

Santa Paula Hospital (VCMC)
825 N. 10th St.
Santa Paula, CA 93060
1.805.933.8600
vchca.org/hospitals/santa-paula-hospital

Simi Valley Hospital and Health Care Services
2975 N. Sycamore Drive
Simi Valley, CA 93065
805.955.6000
simivalleyhospital.com

St. John's Pleasant Valley Hospital
2309 Antonio Ave.
Camarillo, CA 93010
1.805.389.5800
stjohnshealth.org

St. John's Regional Medical Center
1600 N. Rose Ave.
Oxnard, CA 93030
1.805.988.2500
stjohnshealth.org

Ventura County Medical Center (VCMC)
3291 Loma Vista Road
Ventura, CA 93003
1.805.652.6000
vchca.org/hospitals/ventura-county-medical-center

Grievance and Appeals

Gold Coast Health Plan's (GCHP) grievance and appeals process provides a mechanism for members to report complaints regarding their health care benefits. Please use the Member Grievance & Appeals Form to submit your complaint.

Submit your completed forms to:

Gold Coast Health Plan
Attn: Member Grievance & Appeals
P.O. Box 9176
Oxnard, CA 93031

Human Services Agency

The County of Ventura Human Services Agency provides a broad array of services that include the protection of children and vulnerable adults and support for those needing assistance with food, housing, healthcare and employment. Access the Medi-Cal site.

Member Authorization Form

Member authorization form (English and Spanish)

Member Benefits Video

English

Spanish

Member Handbook

2020 member handbook (English and Spanish)

  • October 2020: There was a recent change to the Member Handbook that was issued in April 2020. Under Section 4 – Benefits and services, GCHP will be adding:

    Section 4 – Benefits and services

    Medi-Cal benefits covered by Gold Coast Health Plan

    The Provisional Postpartum Care Extension Program

    The Provisional Postpartum Care Extension (PPCE) Program provides extended coverage for Medi-Cal members who have a maternal mental health condition during pregnancy or the time period after pregnancy.

    Gold Coast Health Plan covers maternal mental health care for women during pregnancy and for up to two months after the end of pregnancy. The PPCE program extends that coverage for up to 12 months after the diagnosis or from the end of the pregnancy, whichever is later.

    To qualify for the PPCE program, your doctor must confirm your diagnosis of a maternal mental health condition within 150 days after the end of pregnancy. Ask your doctor about these services if you think you need them. If your doctor thinks you should have the services from PPCE, your doctor completes and submits the forms for you.

    If you have any questions, call GCHP’s Member Services Department Monday through Friday between 8 a.m. and 5 p.m. at 1.888.301.1228. If you use a TTY, call 1.888.310.7347.

Member Rewards

Gold Coast Health Plan (GCHP) values the health of its members. To encourage healthy behavior, GCHP offers rewards to members who complete these preventive care exams:

  • Annual Well-Care Exam. Members 3 through 21 years of age who have a well-care visit in 2020 can receive a $15 gift card. Download the form. Read more about well-care visits with GCHP's guide, Well-Care Visits: What to Expect (English and Spanish).
  • Cervical Cancer Screening. Members 21 through 64 years of age who have a cervical cancer screening (Pap test) in 2020 can receive a $25 gift card. Download the form.
  • Postpartum Care Exam. This member reward is no longer available as of December 31, 2019.

Member Services Information and Resource Guide

Gold Coast Health Plan (GCHP) has a brochure to help answer some questions you might have about Medi-Cal and GCHP benefits.

This brochure has important phone numbers and information about services. It also talks about member rights and responsibilities. View the brochure (English and Spanish).

Newborn Referral Form

Notice of Privacy Practices

Notice of privacy practices (English and Spanish)

Primary Care Provider Selection Form

Primary care provider selection form (English and Spanish)

Provider Directory

Tri-Counties Regional Center

Tri-Counties Regional Center (TCRC) helps people with developmental disabilities of any age with services and support for living, working, learning and recreating in our community.

If you are receiving TCRC services and need help with getting care for a medical problem, talk to your Primary Care Provider (PCP). Your PCP can ask Gold Coast Health Plan's (GCHP) Care Management nurses to work with TCRC and the PCP to help ensure your care needs are met.

TCRC offices in Ventura County:

Oxnard
2401 E. Gonzales Road, Suite 100
Oxnard, CA 93036
1.805.485.3177 or 1.800.664.3177
Fax 1.805.988.9521

Simi Valley
1900 E. Los Angeles Ave., Second Floor
Simi Valley, CA 93065
1.805.522.8030 or 1.800.517.2524
Fax 1.805.522.8142

Access the Tri-Counties Regional Center website.