SCAN Health Plan provides members with access to a comprehensive network of healthcare professionals, including primary care physicians, specialists, hospitals, and various healthcare providers. To ensure optimal care and coverage, it’s important to understand how to utilize your SCAN plan effectively. For routine medical needs, SCAN members are required to receive care from providers within the plan’s network. This in-network requirement ensures cost-effectiveness and coordinated care. Exceptions to this rule are made for emergent or urgent care situations, as well as for out-of-area renal dialysis, ensuring you receive necessary medical attention when and where you need it. Seeking routine care from out-of-network providers may result in costs not being covered by Medicare or SCAN, highlighting the importance of staying within the network for regular healthcare services. Specific HMO-POS SNP plans, such as VillageHealth (in Riverside and San Bernardino counties, CA) and Embrace (in San Bernardino County, CA, and Maricopa and Pima counties, AZ), may have different rules, and members are advised to contact the plan directly or refer to the Evidence of Coverage (EOC) for detailed information regarding their specific plan’s network and coverage guidelines. It’s also important to note that SCAN’s formulary, pharmacy network, and provider network are subject to change. SCAN will provide necessary notifications should any changes occur, ensuring members are kept informed about their healthcare options. Plan availability may vary by county, and prospective members are encouraged to use the online Plan Search Tool on the SCAN website or contact SCAN directly to confirm plan availability in their area.
Contacting SCAN for Further Information:
For existing SCAN members seeking to verify information or have questions about their coverage, SCAN Member Services is readily available. You can reach them at 1-800-559-3500 (TTY: 711), operating seven days a week from 8 a.m. to 8 p.m. between October 1 and March 31. From April 1 to September 30, their hours are Monday through Friday, 8 a.m. to 8 p.m. Prospective members interested in learning more about SCAN plans can contact SCAN Telesales at (877) 452-5898 TTY: (888) SCAN-TTY for assistance. Please be aware that messages received on holidays or outside of business hours will be addressed on the next business day, ensuring timely responses to all inquiries.
Access to Timely Care:
SCAN Health Plan is committed to providing timely access to essential healthcare services. For urgently needed primary care and behavioral health services or in emergency situations, care is provided immediately. For services that are not emergencies but still require prompt medical attention, SCAN ensures access within 7 days. Routine and preventative care services are accessible within 30 days, ensuring members can receive the ongoing care they need in a timely manner. This commitment to access underscores SCAN’s dedication to member well-being and proactive healthcare management.
