Ventura County Medi-Cal Managed Care Commission
What the CMS Data Shows About Ventura County Medi-Cal Managed Care Commission
Ventura County Medi-Cal Managed Care Commission operates under CMS contract H9623, issued by Gold Coast Health Plan (parent organization Ventura County Medi-Cal Managed Care Commission). The contract is classified as a HMO product, which governs how enrollees access care: HMOs require in-network providers and referrals for most specialist care, trading network flexibility for lower cost-sharing. This contract is also flagged in CMS data as a Special Needs Plan (SNP), meaning enrollment is restricted to beneficiaries meeting specific eligibility criteria — chronic condition, dual Medicare-Medicaid status, or institutional residence. Service area spans 1 state (CA) and 1 counties, a geography set at the CMS service-area definition level.
The overall CMS Star Rating for this contract is not yet published by CMS. Individual measure-level data is not published for this contract. Ratings at 4+ stars trigger federal Quality Bonus Payments that insurers typically reinvest in supplemental benefits.
On costs, this contract lists a monthly plan premium of not reported. Beyond standard Medicare Parts A and B, the contract documents 4 supplemental benefits in the CMS benefits file — coverage extras such as dental, vision, hearing aids, fitness programs, and OTC allowances that Original Medicare does not provide. Before enrolling, verify that your preferred providers participate in the plan's network for your specific county, review the current Summary of Benefits, and confirm that your prescriptions appear on the plan formulary. All figures shown come from CMS public-use files for the 2026 contract year; this page is informational only and is not personalized Medicare counseling advice.
Supplemental Benefits
| Benefit | Covered | Max Benefit | Copay |
|---|---|---|---|
| Hearing Aids | ✓ Yes | — | — |
| Hearing Exam | ✓ Yes | — | — |
| Vision — Eye Exam | ✓ Yes | — | — |
| Vision — Eyewear | ✓ Yes | — | — |
Medicare Advantage Star Rating Distribution
Percentage of Medicare Advantage plans at each CMS star rating level (2026 plan year)
Source: CMS Medicare Advantage Star Ratings 2026. Distribution reflects national plan-county records.
Medicare Advantage Guides
Related Healthcare Data
Frequently Asked Questions
What is the star rating for Ventura County Medi-Cal Managed Care Commission?
Ventura County Medi-Cal Managed Care Commission (Contract H9623) by Gold Coast Health Plan has an overall CMS star rating of Not yet rated out of 5. Star ratings are based on quality measures including preventive care, chronic disease management, and member satisfaction.
How much does Ventura County Medi-Cal Managed Care Commission cost per month?
Ventura County Medi-Cal Managed Care Commission has a monthly premium of data not available. Plan costs may vary by county.
What type of plan is Ventura County Medi-Cal Managed Care Commission?
Ventura County Medi-Cal Managed Care Commission is a HMO Medicare Advantage plan offered by Gold Coast Health Plan. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs. HMO plans generally require you to use in-network providers and get referrals for specialists.
Where is Ventura County Medi-Cal Managed Care Commission available?
Ventura County Medi-Cal Managed Care Commission is available in 1 state (CA) across 1 counties. Coverage area can vary — check with the insurer or Medicare.gov for exact availability in your ZIP code.
What supplemental benefits does Ventura County Medi-Cal Managed Care Commission offer?
Ventura County Medi-Cal Managed Care Commission covers 4 supplemental benefits beyond standard Medicare, including hearing aids, hearing exam, vision eye exam, vision eyewear. Many Medicare Advantage plans include dental, vision, and hearing coverage not available under Original Medicare.
Data Source
Data from CMS Medicare Advantage 2026 Star Ratings and Plan Finder datasets. Contract ID: H9623. Last updated: 2026 plan year.
Read our methodology — how this data is sourced, computed, and verified.