Winning Health | Gold Coast Health Plan | Issue 1 | Summer 2021

WINNING HEALTH 4 Help us stop fraud, waste and abuse Millions of taxpayer dollars are wasted every day when health plans are billed for the wrong services or for services that were not provided. This can be an accident or done on purpose. It is called fraud, waste and abuse. Gold Coast Health Plan (GCHP) is taking steps to identify fraud, waste and abuse. GCHP would like your help to prevent this from happening. After GCHP has paid your provider, you may get a letter called an Explanation of Benefits (EOB). The letter lists the services a provider says you received and the dates you received them. The letter also shows what services were paid for by GCHP. If the services listed do not match the services you or your family member received, GCHP wants to hear from you. If you suspect any fraud, waste or abuse, you do not have to receive a letter for you to contact GCHP. Please give us as much information as you can. Tell us your name, address and phone number. Please provide dates and tell us what happened. Send your report to: Gold Coast Health Plan Attn: Compliance Officer – Fraud Investigation 711 E. Daily Drive, Suite 106 Camarillo, CA 93010 You can also make a report by: ● Calling the toll-free hotline at 1-866-672-2615 . It is available 24 hours a day, seven days a week. ● Using GCHP’s Fraud, Waste or Abuse website at gchp.alertline.com . We all need to work together to stop fraud, waste and abuse! Do you or your child qualify? Set up an exam with your doctor today! Contact the Health Education Department for information about the annual well-care exam and/or Pap test. View the member reward forms at goldcoasthealthplan.org . Click “For Members,” then “Member Resources,” then “Member Rewards.” Transportation Do you need a ride to your medical appointment or to the pharmacy? Call Member Services at 1-888-301-1228 for more information on transportation services. If you use a TTY, call 1-888-310-7347 . Member rewards GCHP members can get rewarded for completing preventive care exams! ANNUAL WELL-CARE VISIT: Members 3 to 21 years of age with full-scope Medi‑Cal who have a well‑care visit in 2021 can get a $15 gift card. CERVICAL CANCER SCREENING (PAP TEST): Female members 21 to 64 years of age who have a cervical cancer screening (Pap test) in 2021 can get a $25 gift card.