We care about your health wherever you are. In the SCAN service areas you enjoy many benefits to help you stay healthy and independent. When you leave home there are differences in the benefits, so before you go on a trip or to a non-SCAN hospital in your area, know your coverage.
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What is covered when you are outside the SCAN service areas?
- Emergency medical care.
- Urgently needed care.
- Dialysis (kidney) services when you are outside the service area for a short time.
- Services already authorized and arranged by your primary doctor or Medical Group. Examples are oxygen, routine blood tests, chemotherapy or non-emergency surgery.
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What is not covered?
- Most services you get from non-SCAN providers. These are also not covered by Original Medicare.
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Except the items listed in #1, covered services must be
- Given by plan providers
- Approved in advance by SCAN providers, or
- Authorized by SCAN.
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What if you do get sick or hurt outside the SCAN service area?
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A “medical emergency” is when you believe that your health is in serious danger. In this case, every second counts. It means severe pain, a bad injury, a serious illness, or condition that is quickly getting worse.
- Get medical help as soon as possible. Call 911 or go to the nearest emergency room or hospital.
- If you are outside the U.S., the embassy or consulate can assist in locating medical services.
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Urgently needed care, or a non-emergency situation is where you need medical attention right away for an unforeseen illness, injury or condition. This is the case when it isn’t reasonable for you to get medical care through the SCAN provider network.
- If you need urgently needed care, you may get it from any provider. If you are not sure whether the situation is urgent you can call your primary doctor or SCAN OnCall™ for advice. Your primary doctor’s number is on the front of your SCAN card. Reach SCAN OnCall at 1-800-793-1717.
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If you need emergency or urgent care while outside the SCAN service area, please call your primary doctor within 48 hours or as soon as reasonably possible. He or she needs be involved in your care. Your primary doctor’s number is on the front of your SCAN card.
- Please tell SCAN so we can help arrange care. We can also answer any questions.
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For something other than an emergency or urgently needed care:
Please remember, we only cover SCAN providers in your chosen network. See #1 for exceptions listed.
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Save all receipts and bills.
You will need to send copies of emergency and urgent care from non-scanscanscan providers to SCAN so that we can pay our share of the costs.
When you leave the SCAN service area, your medical problems go with you. But when you travel you probably want to avoid the need for medical care. See our checklist that helps you plan ahead. Be prepared for something unforeseen.
Plan to travel? See our Travelers' Checklist:
click here
To learn more about any of these or other benefits please call SCAN Member Services.
SCAN Member Services
1-800-559-3500. Members calling SCAN from outside the U.S. and Canada should check local dialing directions. From most countries we can be reached at 00-1-800-559-3500.
TTY Users: 1-800-735-2929
SCAN has a contract with the Federal Government. SCAN is a Medicare Advantage Prescription Drug Plan (MAPD) offered by SCAN Health Plan, which is an HMO with Medicare Advantage contracts. Please see the Plan Evidence of Coverage for details.Co-payments apply for most services. Limitations and Exclusions may apply.
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