Media Inquiry

Member ID Card Request Form

Benefit Material Request for Prospects

Find contact forms, phone numbers, hours, and information requests.

Login Help Form

If you are having issues retrieving your username, resetting your password, or logging into the website in general, please fill out the form below.  We...

Contact SCAN

Find contact forms, phone numbers, hours, and information requests.

SCAN Advertising List Removal

At SCAN, we realize receiving unwanted mail can be frustrating. To remove your name from our advertising mailing list, choose a response below, complete...

Fall Prevention Care Kit Request Form

To request a Fall Prevention Care Kit, please answer the questions below, and a kit will be mailed to your home address in 3 to 4 weeks. Be sure to answer...

Caregiver Form

SCAN recognizes that taking on the responsibility of caring for a family member or friend can be difficult. Because of that, we look to work with our caregivers,...

Appeals Grievances and Exceptions Report

SCAN Member Requests As a member of our plan you may ask a question, request a replacement member identification card, request member materials or change...