With Gold Coast Health Plan Total Care Advantage (HMO D-SNP), you get:
- One plan for everything: All your Medicare and Medi-Cal benefits in one easy plan.
- One card: Use one member ID card for all your health care needs.
- No extra costs: $0 premium and no out-of-pocket costs for all your medical coverage.
- Personalized support: Care managers to help you manage your health care needs.
Gold Coast Health Plan Total Care Advantage (HMO D-SNP) is your local health plan in Ventura County – and it’s by the community, for the community! With Total Care Advantage, you can get all your medical care from one plan using one card. PLUS, Total Care Advantage includes extra benefits. Here is what’s included.
|
You Get |
What’s Included |
You Pay |
|
Inpatient Hospital |
Unlimited days* |
$0 |
|
Skilled Nursing Facility (SNF) |
Unlimited days* |
$0 |
|
Emergency care |
Unlimited |
$0 |
|
Urgent care |
Unlimited |
$0 |
|
Ambulance |
Emergency transportation |
$0 |
|
Primary and Specialty Care |
Through your medical group / clinic |
$0 |
|
Outpatient Surgery |
Outpatient hospital or Ambulatory Surgical Center |
$0 |
|
Durable Medical Equipment (DME) |
Walkers, canes, wheelchairs, etc. |
$0 |
|
Outpatient tests and procedures |
CT scans, X-rays, blood tests, etc. |
$0 |
|
Vision (including eye exam and glasses or contacts) |
One exam per year; one pair of glasses per year |
$0 |
|
Hearing (including hearing exam, hearing aid fitting, and hearing aids) |
One exam per year; unlimited fitting for the first 12 months; hearing aids every year |
$0 |
|
Fitness |
Gym membership; online classes |
$0 |
|
Transportation: Non-medical |
Up to 24 one-way trips per year* |
$0 |
|
Readmission prevention (including home delivered meals and personal care in your home) |
If you are hospitalized, you can receive up to 28 meals and up to 64 hours of personal care per year |
$0 |
|
Caregiver classes and support |
Learn ways to stay healthy while taking care of others |
$0 |
|
Worldwide Emergency Care |
Up to $100,000 |
$0 |
|
Community Supports |
Housing assistance, home modifications, deposits, help transitioning home, etc. |
$0 |
|
Care management |
Help coordinating your medical care |
$0 |
|
Emergency response system |
Care in case of a fall or emergency |
$0 |
|
Transportation to medical appointments |
Medi-Cal transportation services |
$0 |
|
Maternity services |
Doula services and family planning |
$0 |
*Criteria apply
If you have any questions or need help, please call our Member Services Team at 1.888.301.1228, 8 a.m. to 8 p.m., seven days a week from Oct. 1 through March 31, and 8 a.m. to 8 p.m. Monday through Friday from April 1 through Sept. 30. If you use a TTY, call 711. You can also visit our website at www.goldcoasthealthplan.org. We are here to help you!