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
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.
- 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.
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.
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: