Problems With Your Order

Returned Prescriptions There may be times when the Express Scripts PharmacySM cannot fill your prescription. It may be that your coverage has expired,...

Part D Coverage Determination Process

Category: Part D Coverage Determinations & Appeals Coverage Determination A coverage determination is an initial coverage decision made by SCAN regarding...

Documents Relevant to Formulary

Eliminating Fraud, Waste and Abuse is an obligation, responsibility and legal requirement of all SCAN Health Plan employees.

Transition Policy Documents

Quality 5 Star Resources

This section includes best practices and tip sheets for important 5-Star measures such as Annual Flu Vaccine, Adult BMI Assessment, Breast Cancer Screening,...

Medicare Part D Prescription Benefits: File a Redetermination/Appeal

Category: File an Appeal An appeal to the plan about a Part D Drug Coverage Decision we made is called a Redetermination (Appeal). Use this process to...

Locate a pharmacy

Use this tool to filter down and easily find the right pharmacy that’s closest to your desirable location.

Appoint a Representative

Category: File an Appeal If you decide to ask for a coverage decision or appeal a decision, either about your medical coverage (Part C) or your drug coverage...

Find a Doctor

Search our list of doctors to find a doctor near you in the SCAN Health Plan network. You can filter by location, name, gender, and more.

Frequently Asked Questions

Here’s where you’ll find our most up-to-date information on health plan benefits, printable provider directories, claims and enrollment forms, and more. Please...