- APPOINTMENTS
- COMPLAINTS AND GRIEVANCES
- REFERRALS
- DMPO MEDICAL PLAN MEMBER TERMS

Member services are available for assistance with any questions or concerns you may have regarding your membership. We will make every effort to accommodate your needs.

Please contact us in writing with any changes to your plan. All requests will be processed within 30 days of receipt.

We ask that you notify us immediately if any of the following information changes:

All requests must be made by the primary member. Please update information by submitting a "Change Request Form" or by contacting member services at 866-568-WELL(9355). All updates to plan or payment information must be authorized by the individual responsible for payment (i.e. primary member or employer).

APPOINTMENTS:

[Back to Top]

Please choose a provider from the list of providers included in your handbook. Contact the provider of choice to schedule an appointment and notify the provider that you are a member of the discount medical plan. If you are not able to maintain your appointment, please notify your provider 24 hours in advance of cancellation. It is the member's responsibility to check the website or contact member services for the most current list of providers. All Gulf Coast Discount Medical Plan (DMP) members will expect to receive the same level of care and treatment for covered services in compliance with standards and procedures utilized by Participating Provider for all of the Provider's patients. In return members are expected to follow all rules and regulations at Provider sites within compliance of the Provider's Policies and Procedures.

COMPLAINTS AND GRIEVANCES:

[Back to Top]

We take pride in our plan and feel it is our duty to address member complaints, concerns, suggestions and comments in a timely manner.

If you have a complaint or grievance please submit in writing and forward to the address provided below. Complaint forms may be downloaded from our website.

Grievance (Self-Statement) Form (72 KB)
Grievance Form (19 KB)

Please forward complaints or grievances to:

Our staff will make every effort to resolve your complaint or grievance within 30 days of receipt.

REFERRALS:

[Back to Top]

If a member is referred for covered services it is the responsibility of the member to ensure the referral is made to a Gulf Coast DMP Participating Provider. Please visit our website http://www.gulfcoastdmpo.org, for a complete and up-to-date list of Participating Providers. If you are referred to a non-Participating Provider you may request a change in your referral to a Gulf Coast DMP Participating Provider.

---

GULF COAST DISCOUNT MEDICAL PLAN MEMBER TERMS and CONDITIONS

[Back to Top]

• Gulf Coast Discount Medical Plan is a discount medical plan, not an insurance plan or program.
• Covered Individuals are responsible for paying for all services rendered by Participating Providers.
• Participating Providers are solely responsible for the professional advice and quality of treatment provided to members. 
• Participating Providers will provide medical services within their scope of practice at a discounted rate to covered individuals once eligibility is established.  Members must provide a picture ID and membership card at time of service.
• Payment is due when services are rendered.  If the member is unable to make payment at this time, the member may not receive the discounted rate.
• This agreement and eligibility automatically renew monthly as payments are received. 
• Eligibility is established once payment is received and is established each month with receipt of monthly payment. All memberships are effective on the 1st of the month following receipt of your initial payment. Failure to make a timely membership payment will result in termination of eligibility. To maintain eligibility, payments will be withdrawn automatically from your bank or credit card account on the 5th of each month. If we are unable to debit your designated bank or credit card account for any reason, you must correct the problem before the 20th of the month or your eligibility will be terminated.
• If you are not satisfied with the discount medical plan for any reason within the first 30 days, you may cancel your membership and you will receive a refund.
• If you wish to cancel this agreement, you must provide thirty (30) days advance written notice to Gulf Coast Discount Medical Plan, P.O. Box 445, Parrish, Florida 34219. 
• Members are required to return all member cards upon cancellation or termination of agreement.
• To take advantage of the deeply discounted rates on prescription medications at pharmacies operated by Manatee County Rural Health Services, Inc. (MCRHS), you must either have a prescription written by an MCRHS provider or your primary care physician must be an MCRHS provider.
• All members must sign an individual member application upon reaching the age of 19.
• Please notify Gulf Coast Discount Medical Plan of any changes in address, telephone numbers, and other information by completing an enrollment “Change Request Form” or by contacting our member services office. 
• Gulf Coast Discount Medical Plan may make changes to its Provider Network without prior notice. Members and Participating Providers are required to check our website, www.gulfcoastdmpo.org, for periodic updates and network changes.
• Members will be charged $25 for every returned check.  Members are required to use other forms of payment after two (2) or more returned checks.
• Please notify Participating Providers twenty-four (24) hours in advance for all appointment cancellations.
• Members are entitled to receive services in accordance with the Florida Patient Bill of Rights.
• Members are entitled to file a complaint/grievance. If you have a complaint or grievance, please submit it in writing to: Gulf Coast DMPO, P.O. Box 445, Parrish, Florida 34219 or by e-mail at membersupport@gulfcoastdmpo.org.  Complaint forms may be downloaded from our website.
• Gulf Coast Discount Medical Plan will provide a notification of changes within 30 days of the effective date of change.  All changes are contingent on approval from the Florida Office of Insurance Regulation.
• If you elect monthly Automatic Bank or Credit Card draft, you authorize Gulf Coast DMP to deduct your monthly membership fee from your bank or credit card account. 

 

DISCLOSURES: Gulf Coast Discount Medical Plan members are entitled to discounts when participating health care provider’s bills are paid at the time of service.  Gulf Coast Discount Medical Plan is not a health insurance plan and will not make any payment on a member’s behalf.

---