Winning Health | Gold Coast Health Plan | Issue 1 | Summer 2023

Medi-Cal Rx: Pharmacy benefits Medi-Cal Rx provides your pharmacy benefits. To use your benefits, you must find a participating pharmacy. You need to show your Medi-Cal Benefits ID Card (BIC) at the pharmacy. Your medication coverage may

24-hour Advice Nurse Line As a Gold Coast Health Plan (GCHP) member,

you have access to a registered nurse 24 hours a day, seven days a week. A nurse can speak to you over the phone in your preferred language when you or a family member needs urgent medical care. The nurse will help you decide if you: ● Need to go to an urgent care facility. ● Can wait to see your doctor. ● Can take care of your symptoms at home. The nurse can also answer questions or address concerns about COVID-19, the flu and RSV. To reach the Advice Nurse Line: ● Call 1-805-437-5001 . ● Call 1-877-431-1700 (toll-free). ● If you use a TTY, call 711 . When you call, have your GCHP or Medi-Cal Benefits ID card ready. If you are calling for someone else, please have that person near you. The advice nurse may have questions about their condition. For the most current information on GCHP member resources, visit goldcoasthealthplan.org .

change. If a medication is not covered, your doctor may need to ask Medi-Cal Rx for special approval. Or your doctor may change the medication to one that is covered.

To find out more about Medi-Cal Rx, you can:

● Visit medi-calrx.dhcs.ca.gov/home . ● Find important forms and information at medi-calrx.dhcs.ca.gov/member/ forms-information . To find a participating pharmacy: ● Visit medi-calrx.dhcs.ca.gov/home/ find-a-pharmacy . To review the Covered Products List: ● Visit medi-calrx.dhcs.ca.gov/ member/forms-information . The list is updated each month. To file a complaint: ● Log on to medi-calrx.dhcs.ca.gov to securely email a complaint. ● Fill out a Medi-Cal Rx Complaint Form at medi-calrx.dhcs.ca.gov/ member/forms-information and mail it to:

Medi-Cal Rx Customer Service Center Attn: Complaints and Grievances Unit P.O. Box 730 Rancho Cordova, CA 95741-0730 ● Fax the complaint form to 1-800-869-4325 . You can also call the Medi-Cal Rx Customer Service Center at 1-800-977-2273 , 24 hours a day, seven days a week, 365 days a year. If you use a TTY, call 711 .

WINNING

Member Services Health Education Editor-in-Chief

Luis Aguilar

WINNING HEALTH is published as a community service for the friends and patrons of GOLD COAST HEALTH PLAN, 711 E. Daily Drive, Suite #106, Camarillo, CA 93010-6082, telephone 1-888-301-1228/TTY 711. Information in WINNING HEALTH comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider.

Lupe González, PhD, MPH Susana Enriquez-Euyoque

Chief Medical Officer

Felix Nuñez, MD

Copy Editor

Cecilia Gómez Reyes

If you are a Kaiser member, this information may not apply to you.

Models may be used in photos and illustrations.

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24-Hour Advice Nurse Line: 1-877-431-1700/TTY 711 2