How SCAN Works
Medicare can be complicated. Even long-time members tell us they’re not entirely clear on how SCAN works. So whether you’re new to Medicare, new to SCAN or have been with us for years, we think the information here will help you make the most of your benefits and services.
Medicare
The Centers for Medicare and Medicaid Services (CMS) contracts with Medicare Advantage plans, like SCAN, to provide your Medicare benefits. This contract is reviewed every year. When you join a Medicare Advantage plan, you must then go through your plan to make use of your Medicare coverage.
SCAN—Your Medicare Advantage Prescription Drug (MAPD) Plan
Medicare Advantage Plans are also known as Medicare Part C. MAPD plans combine Original Medicare’s Part A (hospital coverage), Part B (medical coverage) and Part D (drug coverage) into one comprehensive plan. CMS pays SCAN to provide your Medicare-covered medical and prescription drug benefits. We then use those dollars to provide many extra benefits that Original Medicare doesn’t offer—like dental, vision and transportation.
Medical Providers
SCAN contracts with community-based medical groups, doctors, hospitals and other healthcare providers in your area to deliver your care and make healthcare decisions, like referrals for specialty care. If you disagree with a healthcare decision, SCAN can get involved to help.
Primary Care Doctor
Your primary care doctor oversees your healthcare. You’ll see your doctor for your annual physical or wellness visit, as well as for other care needs. Most primary care doctors are part of larger medical group organizations that also offer specialty and urgent care.
Specialists
Your doctor can refer you to specialists in their medical group. Depending on your medical group or SCAN plan, you may be able to visit certain specialists without a referral from your primary care doctor.
Hospitals
For a scheduled stay, you will go to a hospital your doctor works with. In a medical emergency, you can go to the nearest emergency room.
Medicare
The Centers for Medicare and Medicaid Services (CMS) contracts with Medicare Advantage plans, like SCAN, to provide your Medicare benefits. This contract is reviewed every year. When you join a Medicare Advantage plan, you must then go through your plan to make use of your Medicare coverage.
SCAN—Your Medicare Advantage Prescription Drug (MAPD) Plan
Medicare Advantage Plans are also known as Medicare Part C. MAPD plans combine Original Medicare’s Part A (hospital coverage), Part B (medical coverage) and Part D (drug coverage) into one comprehensive plan. CMS pays SCAN to provide your Medicare-covered medical and prescription drug benefits. We then use those dollars to provide many extra benefits that Original Medicare doesn’t offer—like dental, vision and transportation.
Medical Providers
SCAN contracts with community-based medical groups, doctors, hospitals and other healthcare providers in your area to deliver your care and make healthcare decisions, like referrals for specialty care. If you disagree with a healthcare decision, SCAN can get involved to help.
Primary Care Doctor
Your primary care doctor oversees your healthcare. You’ll see your doctor for your annual physical or wellness visit, as well as for other care needs. Most primary care doctors are part of larger medical group organizations that also offer specialty and urgent care.
Specialists
Your doctor can refer you to specialists in their medical group. Depending on your medical group or SCAN plan, you may be able to visit certain specialists without a referral from your primary care doctor.
Hospitals
For a scheduled stay, you will go to a hospital your doctor works with. In a medical emergency, you can go to the nearest emergency room.
