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Form

Request a SCAN Form

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...

Form

Provider and Pharmacy Directory Request for Members

The Pharmacy and Provider Directory provides a list of SCAN’s network pharmacies and providers. SCAN's online search tool provides the most up-to-date...

Form

Provider and Pharmacy Directory Request for Prospects

The Pharmacy and Provider Directory provides a list of SCAN’s network pharmacies and providers. SCAN's online search tool provides the most up-to-date...

Form

Benefit Material Request for Members

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

Form

Special Investigations Referral

To submit a report directly to the SCAN Special Investigations Unit, fill this form out completely. If you wish to report anonymously, you do not have...

Form

Request a Formulary for Current Members

The Formulary provides a list of covered drugs.SCAN's Formulary search tool provides the most up-to-date listing of SCAN's covered drugs.  To search SCAN's...

Form

Request a Formulary for Prospective Members

The Formulary provides a list of covered drugs. SCAN's Formulary search tool provides the most up-to-date listing of SCAN's covered drugs.  To search...

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About SCAN

SCAN Health Plan (Senior Care Action Network) is a not-for-profit Medicare Advantage plan. Keeping seniors healthy and independent has been our mission...

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