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 call1-866-525-7833. This information is available for free in other languages. Please contact our customer service number at1-877-586-1648for additional information.
For the 2012 Benefit Overview click here:
Benefits Overview 2012
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 al1-877-586-1648de 7:00 a.m. a 8:00 p.m., los siete días de la semana. Los usuarios de TTY llamen al1-866-525-7833. Esta información está disponible gratuitamente en otros idiomas. Comuníquese a nuestro número de servicio al cliente al1-877-586-1648para obtener más información.
2012 Descripcion do beneficios - Español
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
Provider Search
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.
Extra Help for people with limited resources
For those members who qualify for extra help: premiums, co-pays and deductibles may vary based on the level of help received. For more information click on the button below.
Low Income Subsidy Premium Summary Chart - 2012
Tabla de resumen de cuotas de subsidio para bajos ingresos – 2012
| 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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