Winning Health | Gold Coast Health Plan | Issue 2 | Fall 2021

Office of Civil Rights–U.S. Department of Health and Human Services If you believe you have been discriminated against on the basis of race, color, national origin, age, disability or sex, you can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights by phone, in writing or electronically: ● By phone: Call 1-800-368-1019 . If you cannot speak or hear well, please call TTY/TDD 1-800-537-7697 . ● Electronically: Visit the Office for Civil Rights Complaint Portal at ocrportal.hhs.gov/ocr/portal/ lobby.jsf . ● In writing: Fill out a complaint form or send a letter to: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 Complaint forms are available at www.hhs.gov/ocr/ office/file/index.html . Office of Civil Rights– California Department of Health Care Services You can also file a civil rights complaint with the California Department of Health Care Services, Office of Civil Rights by phone, in writing or electronically: ● By phone: Call 1-916-440-7370 . If you cannot speak or hear well, please call 711 (Telecommunications Relay Service). ● In writing: Fill out a complaint form or send a letter to: Deputy Director, Office of Civil Rights Department of Health Care Services Office of Civil Rights P.O. Box 997413, MS 0009 Sacramento, CA 95899-7413 Complaint forms are available at www.dhcs.ca.gov/ Pages/Language_Access.aspx . ● Electronically: Send an email to CivilRights@dhcs.ca.gov . How to file a grievance If you believe that GCHP has failed to provide these services or unlawfully discriminated in another way on the basis of sex, race, color, religion, ancestry, national origin, ethnic group identification, age, mental disability, physical disability, medical condition, genetic information, marital status, gender, gender identity or sexual orientation, you can file a grievance with GCHP’s Grievance and Appeals Department. You can file a grievance by phone, in writing, in person or electronically: ● By phone: Contact GCHP between 8 a.m. and 5 p.m., Monday through Friday, by calling 1-888-301-1228 . Or if you cannot hear or speak well and use a TTY, call 1-888-310-7347 . ● In writing: Fill out a complaint form or write a letter and send it to: Gold Coast Health Plan Attn: Grievance and Appeals P.O. Box 9176 Oxnard, CA 93031 ● In person: Visit your doctor’s office or GCHP and say you want to file a grievance. ● Electronically: Visit GCHP’s website at goldcoasthealthplan.org .