Winning Health | Gold Coast Health Plan | Issue 3 | Spring 2020

3 Member Services: 1-888-301-1228/TTY 1-888-310-7347 Chronic Disease Self-Management Program Do you have a chronic health issue? A chronic health issue is one that lasts for a long time. This includes arthritis, diabetes, heart disease, depression, obesity, pain and more. Gold Coast Health Plan (GCHP) would like to invite members to join the free Chronic Disease Self-Management Program (CDSMP). The CDSMP is a self- management education workshop for people with chronic health issues. THE WORKSHOP: ❱  ❱ Is once a week for 2½ hours. ❱  ❱ Lasts six weeks. ❱  ❱ Will help you gain self- confidence in taking charge of your health symptoms. ❱  ❱ Teaches you how to make an action plan and about pain and fatigue management. You will also learn how to build communication skills, work with your doctor on medication usage and more. For more information, please call the Health Education Department at 1-805-437-5718 Monday through Friday, 8 a.m. to 5 p.m. If you use a TTY, call 1-888-310-7347 . Committed to your satisfaction Gold Coast Health Plan (GCHP) wants you to be happy with your health care and services. But sometimes you might not be, and GCHP wants to hear about it. If you are not happy with a provider or the provider’s office, it is best to talk to GCHP first. The same goes if you are not happy with your experience in a hospital or other facility. If you have a problem, GCHP is here to help. You can file a grievance or an appeal by calling Member Services at 1-888-301-1228 . If you use a TTY, call 1-888-310-7347 . You may file a grievance with GCHP if you are not happy with: ●  ● The care your doctor is providing or how you were treated in the office. ●  ● The ability to get the care you need. ●  ● The services you get from GCHP. You may file an appeal with GCHP if services have been changed or denied. Once you let GCHP know about your grievance or appeal, someone will look into it. If you are getting a bill for services covered by GCHP, call the billing office at the number on your statement. Let them know what insurance you have and ask them to send a claim to GCHP. Gold Coast Health Plan (GCHP) wants to help you stay healthy! GCHP has partnered with HMS Eliza to provide member outreach. The program will remind you to complete preventive care ser vices and help you make appointments with your primar y care doctor. Preventive care includes services such as getting your flu shot, Pap tests, mammograms and well-child visits. You may get a call from a phone number that is out-of-the-area (267 area code). This is the HMS Eliza agent doing outreach on behalf of GCHP. The recorded message will tell you: FOR MORE INFORMATION, please call Member Ser vices at 1-888-301-1228 . If you use a TTY, call 1-888-310-7347 . Preventive care outreach program ❱  ❱ That you may be missing some important preventive ser vices. ❱  ❱ That you can be transferred to someone who can tell you what service(s) you or your family is missing and help you make an appointment. GCHP encourages you or your family to participate in the member outreach programs. It’s for your good health!