SCAN Health Plan Expands Southern California Provider Network
Date Posted: 11/01/2015
(LONG BEACH, Calif) — SCAN Health Plan announced today that four new medical groups have joined the health plan’s provider network in Southern California. As a result, SCAN members in Los Angeles, Orange and San Bernardino counties now have access to an expanded network of primary care and specialty physicians and hospitals.
SCAN is one of the nation’s largest not-for-profit Medicare Advantage plans currently serving more than 170,000 members. Unlike most health plans SCAN has no commercial members, which allows the plan to focus all of its energy and resources in serving the unique needs of seniors and understanding them better.
“We are pleased to add these well-known and well-respected groups to our already outstanding provider network,” said Sherry Stanislaw, general manager for SCAN in Southern California.
In San Bernardino County two new groups have joined SCAN’s provider network: Loma Linda University Faculty Medical Group and Upland Medical Group. Effective January 1, 2016, SCAN members will have access to 40 primary care physicians at Loma Linda University Faculty Medical Group as well as access to Loma Linda University Medical Center. Also effective January 1, 2016, Upland Medical Group will join the SCAN provider network, bringing 53 primary care physicians and offering SCAN members access to San Antonio Regional Medical Center.
In Los Angeles County Torrance Health IPA joined the SCAN provider network effective October 2015 giving SCAN members the option to choose from the group’s 98 primary care physicians and access to Torrance Memorial Medical Center.
Seoul Medical Group, whose primary focus is to provide quality healthcare to the Korean Community, also joined the SCAN provider network in Los Angeles and Orange counties effective October 2015. SCAN members now have the option to choose from the group’s 46 primary care physicians in Los Angeles County and 12 primary care physicians in Orange County. The group’s contracted hospitals are Hollywood Presbyterian Medical Center, St. Vincent Medical Center, Anaheim Regional Medical Center and Western Medical Center.
All SCAN members receive all of the basic benefits traditionally covered under Original Medicare as well as a prescription drug benefit (Medicare Part D), while paying no deductibles and low copays for most services. Other benefits may include vision, routine transportation and hearing aids.
The annual enrollment period for selecting a Medicare Advantage plan for 2016 runs from October 15 to December 7, 2015. During this time seniors and others on Medicare may choose to switch their health plan or move from traditional Medicare to a Medicare Advantage plan (or move back to Original Medicare) with their new elections taking effect January 1, 2016.
In 2016 the SCAN Classic plan will be available to Medicare-eligible beneficiaries in 12 California counties: Los Angeles, Marin, Napa, Orange, Riverside, San Bernardino, San Diego, San Francisco, San Joaquin, Santa Clara, Sonoma and Ventura. SCAN has earned a 4.5-star rating* in all 12 California counties it serves.
SCAN Health Plan is one of the nation’s largest not-for-profit Medicare Advantage plans. Further information may be obtained at www.scanhealthplan.com or on Facebook at www.facebook.com/scanhealthplan. governed by the Centers for Medicare and Medicaid Services, member benefits vary by county. Specific information on SCAN’s 2016 benefit plans is available at www.scan2016.com or by calling 855-561-7226, 8 a.m. to 8 p.m., seven days a week. TTY/TDD users may call 711.
SCAN Health Plan is an HMO plan with a Medicare contract. Enrollment in SCAN Health Plan depends on contract renewal.
*4.5-star rating applies to all plans offered by SCAN Health Plan (HMO) in California except Healthy At Home (HMO SNP) and VillageHealth (HMO SNP/HMO POS-SNP). Medicare evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next.
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. Benefits, premiums and/or copayments/co-insurance may change on January 1 of each year.
Other providers are available in our network. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Y0057_SCAN_9527_2015F File & Use Accepted 10312015