Choosing the right healthcare plan is crucial, and understanding your provider network is a key part of that decision. If you’re considering SCAN Health Plan or are already a member in San Diego, it’s important to know how to find primary care doctors within their network. SCAN offers a broad network of healthcare providers, including primary care physicians (PCPs), specialists, and hospitals. For routine medical care, SCAN members are required to choose doctors within the SCAN network. This ensures that your healthcare costs are covered by your plan. Exceptions are made for emergency or urgent care situations and for out-of-area renal dialysis. For specific details regarding exceptions like VillageHealth and Embrace plans, it’s always best to refer to your plan’s Evidence of Coverage (EOC) or contact SCAN directly.
To ensure you receive the maximum benefits from your SCAN plan, remember that routine care should always be obtained from in-network providers. Seeking routine care from out-of-network providers may mean that neither Medicare nor SCAN will cover the costs.
How to Find a SCAN Primary Care Doctor in San Diego
Locating a primary care physician in San Diego who is part of the SCAN network is straightforward. SCAN provides resources to help both prospective and current members.
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Online Plan Search Tool: The most convenient way to check plan availability and find doctors is through SCAN’s online Plan Search Tool. Simply enter your zip code to confirm plan options in your area and search for primary care doctors.
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Contact SCAN Directly:
- Prospective Members: If you are considering joining SCAN, call SCAN Telesales at (877) 452-5898 (TTY: (888) SCAN-TTY) to verify plan availability and provider networks in San Diego.
- Existing Members: Current SCAN members can contact Member Services at 1-800-559-3500 (TTY: 711). Member Services is available from 8 a.m. to 8 p.m., seven days a week from October 1 to March 31, and Monday through Friday during the same hours from April 1 to September 30.
Understanding Wait Times for Appointments
SCAN is committed to providing timely access to healthcare services. Here are the standard wait times you can expect for primary care and behavioral health services:
- Immediately: For emergency or urgently needed services.
- Within 7 Days: For non-emergency or non-urgent services requiring prompt medical attention.
- Within 30 Days: For routine and preventative care appointments.
These guidelines ensure that SCAN members in San Diego can access primary care doctors and other necessary medical services in a timely manner. Always verify provider network information and plan details through official SCAN channels to ensure you have the most accurate and up-to-date information.
