How to Get Care During a Declared State of Emergency

When there is a local state of emergency due to a natural disaster or a public health emergency on a county, state or federal level, here is what you need to know about getting care.

  • If you’re experiencing a medical emergency, call 911 or go to your nearest emergency room.
  • Please continue to contact your SCAN doctor’s office as you normally would to receive care.
  • Most SCAN plans also include a Telehealth benefit. This “virtual” doctor visit can be a good option to an urgent care visit. Get more information on the Telehealth benefit.
  • Your plan also includes a Nurse Advice line available 24/7 when you have healthcare questions but don’t know if you need to see a doctor. Get more information on the Nurse Advice Line.

SCAN may make temporary changes in response to a declared state of emergency. In those cases:

If your regular SCAN doctors or medical group are not available due to issues related to the emergency, you may receive medically necessary covered services from any available Medicare-certified provider or facility, including those outside the medical group to which you’re assigned with SCAN. Please make reasonable efforts to access care from your SCAN doctors and medical group, as they are best suited to provide your healthcare needs.

If you need to access care outside of your medical group with SCAN for medically necessary covered services, please keep these things in mind:
  • Use only Medicare-certified providers and facilities. Be sure to confirm that a provider or facility participates in the Medicare program before receiving care.
  • Any costs of care will be the same as if you received the care from your SCAN doctors during this time.
  • You do not need to get prior authorization from your medical group or SCAN.
  • For prescription medications, please contact your pharmacy.
  • Please remember that you should only seek access to non-emergency care outside your medical group if your SCAN doctors are not available to provide for your healthcare needs due to the declared emergency.
Once the state of emergency ends, any temporary changes will also end. Please check the SCAN website for updates during this time.
Get more information about what to do before and during a state of emergency or natural disaster here.

Updated: August 1, 2023
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