We suggest you print a copy of this form for your records.
You can find detailed information regarding the Grievance and Appeal process in your Evidence of Coverage booklet.
If you have a question about what type of complaint process to use please call Member Services at 1-888-540-7226, 8:00 am - 8:00 pm, 7 days a week. TTY users should call 711.
You may also file your Grievance by Mail. Simply write us a letter, include the same information noted above and mail to:
SCAN Health Plan Arizona
1313 E. Osborn Rd.
Suite # 150
Phoenix, AZ 85014
Attn: Grievance and Appeals Department
CMS# 062503 © 2003 SCAN - SCAN 75-2003