The 2017 Health Check Record is here!

Health Check Record

2017 Health Check Record

Every year, SCAN sends its members an updated and personalized Health Check Record. This helpful booklet can be used as a reminder and an organizer. Hold on to it, take it to your doctor appointments and update it throughout the year.


If you do nothing else with the Health Check Record, we hope you will review the chart of recommended preventive care and screenings with your doctor.

Because the Health Check Records are customized, we do not reprint them during the year. You can print out blank copies of the preventive care and screenings charts.

Filling out the charts is optional.

Click here for the general care and screenings chart.

Click here for the diabetes care and screenings chart.


To help you make the most of the Health Check Record, we’d like to call your attention to the following pages

Front pocket

Use the small pocket to hold things like appointment reminders and prescription forms you may get during an office visit. You’ll also see places to write down your doctors’ names and phone numbers.

If we know the urgent care centers that your doctor and medical group use, we will have included an insert with the names and addresses. If not, please check with your primary care team and fill in the information in this section.

2017 Health Check Record (chart) – pages 3-4

The preventive care and screenings chart includes those that are generally recommended for people over the age of 65. If you are due for a screening, get it scheduled and then write down the date you have it done.

Note: If you have diabetes, your Health Check Record will have an extra chart on page 2 with the screenings and preventive care you need to help keep your diabetes under control.

What do you need to ask your doctor? – page 6-7

This checklist includes some of the most common concerns we hear from our members. Do any of these apply to you? If so, check the box and show it to your doctor. Be sure to find out your next steps. Write down other questions or concerns in the notes area.

What’s Your Prescription for Exercise? – page 7

This page encourages you to talk with your doctor about the amount and type of physical activity you do every day. Get his or her recommendations to ensure you are doing all you can do – and doing it safely!

Where can I learn more about my benefits? – page 8

This page tells you were you can find important information on your SCAN member ID card about your primary doctor, how to contact him or her and the office copay amounts you’ll owe when you see your regular provider or a specialist. We also tell you where in the printed and online versions of the Evidence of Coverage you can find out more about your benefits

How long before I can see someone? – page 9

Have you ever wondered how long it will take before you can see your primary care physician? Or how long you’ll need to wait to receive your lab test results? This page covers it all.

My 2017 Planning Calendar – pages 10-11

Whether it’s a doctor’s appointment or a prescription refill, this is a convenient spot to write down upcoming appointments or reminders. Circle the dates on the calendar to help you plan ahead.

How to request a referral – pages 12-13

Your primary care doctor is your first stop for healthcare – including when you need to see a specialist. For most specialty care, you will need a referral authorization. These pages explain how it works.

Urgent Care Center vs. the Emergency Room – page 14

When a sudden health concern comes up, do you go to an urgent care center or the emergency room? Page 14 explains where to go when you need care now.

Save Money at Preferred Pharmacies – page 16

Learn the difference between SCAN’s Preferred and Standard pharmacies and save money on your prescriptions.

Medications Matter! – page 17

This page includes some messages tailored to you and the medications you take (if we have that information for you).

My Medication List – page 18

Whether you take one prescription or several, use this page to write down everything you are taking, including over-the-counter remedies, vitamins, etc. Make sure your doctor is aware of all of it.

My Medical Information – page 19

Your primary care doctor works with a medical group that offers a number of helpful resources. If we have this information on file for you, we filled in the chart for you. If your chart is blank, ask you primary care team to help you fill in the rest.

If you have any questions about your benefits, please call SCAN’s Member Services department at           1-800-559-3500 (TTY: 711) from 8 a.m. to 8 p.m., seven days a week, from Oct. 1 to Feb. 14.         From Feb. 15 to Sept. 30, Member Services hours are 8 a.m. to 8 p.m., Monday through Friday.   Messages received on holidays and outside of regular business hours will be returned within one     business day. You may also email SCAN Member Services at