Patient Incentive
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Gold Coast Health Plan Members (GCHP) values your health. Getting a cervical cancer screening (Pap Test) can help prevent or detect cervical cancer early and is an important part of women's health care.
If you are 21 to 64 years of age and have not had a PAP, you may be able to receive a $25.00 gift card to Amazon, or Target, or Wal-Mart. Limit one card per member per year. Schedule your PAP at West Ventura Medical Clinic (805-641-5600) before December 31, 2021. |
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Bring this form filled out to have the provider sign and then mail it in to:
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Gold Coast Health Plan
Attn: Quality Improvement P.O Box 9153 Oxnard, CA 93031-9826 |
Or West Ventura Medical Clinic can fax in your behalf:
1-805-248-7616 |
| gchp_ccs_jan2021_ws_v1p_wv.pdf |
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Gold Coast Health Plan Members, if you are between 3 to 21 years of age. A once-a-year well-care check-up can help you (or your child) stay healthy. A well-care visit is a routine check-up. Your doctor checks the health and development of you or your child. The doctor also answers any questions you may have. Gold Coast Health Plan would like to give you (or your child) a gift card for having a well-care visit in 2021.
You may be able to receive a $15.00 gift card to Amazon, or Target, or Wal-Mart. Limit one card per member per year. Schedule your Well-Care visit at West Ventura Medical Clinic (805-641-5600) before December 31, 2021. |
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Bring this form filled out to have the provider sign and then mail it in to:
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Gold Coast Health Plan
Attn: Quality Improvement P.O Box 9153 Oxnard, CA 93031-9826 |
Or West Ventura Medical Clinic can fax in your behalf:
1-805-248-7616 |
| gchp_well-care_incentive_jan2021_ws_finp_wv.pdf |
