VillageHealth is a unique health plan for dialysis, kidney transplant and post-transplant Medicare patients in Riverside and San Bernardino Counties. Care is based on individual case management, with specially trained nurses as a resource for all your health care needs – not just dialysis. You may see any Medicare Participating Provider (open access network) No need to get prior authorization for services (Medical necessity may be required) Access to a nurse 24 hours a day/7 days a week A pharmacist assigned to regularly review and help you manage your medications No out of pocket Medicare Part B annual deductible Medicare prescription drug coverage with no out of pocket annual deductible Contact VillageHealth for more information about how we can help you or those you know with ESRD. 7 days a week, 8:00 a.m. - 8:00 p.m. TTY Users: 1-866-525-7833 For current VillageHealth members and medical providers, contact the VillageHealth Service Center: 7 days a week 7:00 a.m. - 8:00 p.m. TTY Users: 1-866-525-7833 Benefit Highlights - 2008 Summary of Benefits - 2008 Evidence of Coverage - 2008 Drug Formulary Search - 2008 Provider Directory - 2008 Drug Formulary Updates Pharmacy Search Grievances Part D Drug Forms Part D Quality Assurance En Espanol Puntos Destacados - 2008 Resumen de Beneficios - 2008 You must reside within the VillageHealth approved service area You must be 18 years of age or older You must have Medicare Parts A and B You must have End Stage Renal Disease (ESRD) - ESRD is permanent kidney failure and requires regular kidney dialysis or a transplant to stay alive. To check patient eligibility, the status of a claim or download priort autorization forms, click here: Eligibility Claims Prior Auth MedWatch Reporting Program VillageHealth is a Plan offered through SCAN Health Plan. SCAN is a Medicare Advantage Prescription Drug Plan (MAPD), with Medicare Advantage contracts. Please see the Plan Evidence of Coverage for details. Limitations and Exclusions may apply. H5943_SCAN_3513-2007F_CMS121207