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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.
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Walgreens users: Click here to read an important notice about Walgreens.
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- VillageHealth will help you connect the dots between all your healthcare providers and medical services to help you better monitor your overall health care needs.
- You may see any Medicare Participating Provider – Open Access Plan
- Referrals and authorizations are not required.
- Access to a VillageHealth Nurse 24 hours a day, 7 days a week.
- Part D prescription coverage tailored to your ESRD needs.
- A VillageHealth Pharmacist to regularly review and help you manage your medications.
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Additional benefits at no extra cost to you include:
- Basic dental coverage that includes preventative care at no extra cost
- Transportation to physician offices and pharmacies
- Eyewear Benefit
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If you're ready to take advantage of the many benefits VillageHealth offers click on the Enrollment Form button below in order to print the form. Then mail the form to the address listed below. We strongly encourage you to call us at 1-877-916-1234, 7 days a week, 7:00 a.m. - 8:00 p.m. (TTY Users: 1-866-525-7833) for assistance in completing the form so your enrollment will not be delayed.
SCAN Health Plan
Enrollment Department
3800 Kilroy Airport Way Suite #100
Long Beach, CA 90806
Individuals must have both Part A and Part B to enroll. You must continue to pay your Medicare Part B premium. You must have been diagnosed by your doctor with End Stage Renal Disease (ESRD), or be in a pre or post kidney transplant status. There are no restrictions to the time of year when you may enroll in VillageHealth.
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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
VillageHealth
3800 Kilroy Airport Way, Suite 100
Long Beach, CA 90806
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Are you looking for discounts on products and services?
Link to this online resource, provided free to you as a member of VillageHealth, which offers comprehensive health information. Search through many health topics and find over 3,000 health tips online. Simply click the button below.
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Premium and Cost Sharing Information
To assist you in making an informed decision about SCAN, below you will find links to our benefit materials.
SCAN benefits, formulary, pharmacy network, premium, co-payments and/or co-insurance may change on January 1, from year to year.
SCAN offers verbal interpreter services in your language. These materials may be available in other languages. SCAN also offers basic enrollee information in other formats to accommodate beneficiaries with disabilities. Please call SCAN for details, 1-877-586-1648, 7:00 a.m. – 8:00 p.m., seven days a week. TTY users call 1-866-525-7833. This information is available for free in other languages. Please contact our customer service number at 1-877-586-1648 for additional information.
For the 2012 Benefit Overview click here:
En español
Para ayudarle a tomar decisiones informadas sobre SCAN, encontrará a continuación enlaces a nuestros materiales de beneficios.
Los beneficios, el formulario, la red de farmacias, la cuota, los copagos y/o coseguro de SCAN pueden cambiar el 1 de enero de cada año.
SCAN ofrece servicios de interpretación en su idioma. Estos materiales pueden estar disponibles en otros idiomas. SCAN también ofrece información básica de la persona inscrita en otros formatos para los beneficiarios con discapacidades. Para más detalles, llame a SCAN al 1-877-586-1648 de 7:00 a.m. a 8:00 p.m., los siete días de la semana. Los usuarios de TTY llamen al 1-866-525-7833. Esta información está disponible gratuitamente en otros idiomas. Comuníquese a nuestro número de servicio al cliente al 1-877-586-1648 para obtener más información.
VillageHealth benefits, formulary, pharmacy network, premium, co-payments and/or co-insurance may change on January 1, from year to year.
For more information on the items below, please refer to your Evidence of Coverage. A link can be found in the benefits section above.
- Member Rights and Responsibilities
- Applicable Conditions and Limitations
- Potential for Contract Termination
- How to obtain an aggregate number of grievances and appeals filed with VillageHealth
Important VillageHealth Information
Federal and state laws protect the privacy of your medical records and personal health information. Our plan protects your personal health information as required by these laws. For detailed information regarding your privacy rights, please refer to the Evidence of Coverage booklet under Chapter 8, Your Rights and Responsibilities, Section 1.4 We Must Protect the Privacy of Your Personal Health Information.
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| Statement of Practitioner Support |
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To check patient eligibility, the
status of a claim, review crossover billing Remittance Advice or download prior authorization forms, click the appropriate "go" button:
| Eligibility |
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| Claims |
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| Remittance Advice |
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| MedWatch Reporting Program |
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Medicare Complaint Form
You are now able to submit feedback about your Medicare health plan or prescription drug plan directly to Medicare using the form below. The Centers for Medicare & Medicaid Services values your feedback and will use it to continue to improve the quality of the Medicare program. If you have any other feedback or concerns, or if this is an urgent matter, please call 1-800-MEDICARE (1-800-633-4227). TTY/TTD users can call 1-877-486-2048. This number is available for you to call 24 hours a day, 7 days a week.
Medicare Complaint Form
You may also visit the Office of the Medicare Ombudsman (OMO): The Medicare Beneficiary Ombudsman can help you with complaints, grievances, and requests for information. To be directed to the Office of the Medicare Ombudsman, please click on the following link:
Office of the Medicare Ombudsman
VillageHealth is a Coordinated Care Plan with a Medicare Advantage contract; and is an ESRD Special Needs Plan with a Point of Service (POS) option. This plan is available to ESRD dialysis patients, pre-kidney transplant, and post-kidney transplant patients. Individuals must have both Medicare Part A, and Medicare Part B to enroll. Eligible beneficiaries must have been diagnosed by their doctor with End Stage Renal Disease (ESRD), or be in pre-kidney transplant, or post-kidney transplant status. There are no restrictions to the time of year when you may enroll in VillageHealth.
To review complete VillageHealth legal explanatory disclaimer information click here.
H9104_H5425_H5811_H9385_H5943_SCAN_6929_2011 CMS Approved XXXXXXXX (Pending CMS Approval)
Last updated on 1/1/2012
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