If You Need to See a Specialist
There may come a time when you need to get specialty care.
In most cases, you’ll start with your primary care doctor.
No referral needed for extra benefits.
Your SCAN extra benefits are separate from your medical care. That means you don’t need a referral for:
Vision care. For your yearly vision exam, call EyeMed to find a vision provider near you. (For medical eye care, you will need to see your primary care doctor for a referral to a specialist, like an ophthalmologist.)
Dental care. If your SCAN plan includes dental, or if you’ve chosen a buy-up supplemental dental plan, you will go directly to your Delta Dental dentist for care.
Acupuncture and chiropractic. Most SCAN plans include coverage for routine acupuncture and chiropractic visits. You can go to any ASH-affiliated provider.
Hearing exams. SCAN members call TruHearing directly for an appointment with a hearing provider.
Learn more about these benefits at scanhealthplan.com/extras
In most cases, you’ll start with your primary care doctor.
- Your primary care doctor will submit a referral request to the medical group they work with for review. Most will process a referral in seven to 10 days.
- You’ll receive a letter letting you know whether the referral has been approved. If it has, the letter will include the specialist’s name, address and phone number. That’s the go-ahead for you to schedule an appointment with the specialist.
- If it’s been 10 days and you haven’t heard anything, or if your referral is not approved and you want to know what to do next, call your doctor’s office or the patient service department at your medical group. If they can’t help, call SCAN Member Services.
No referral needed for extra benefits.
Your SCAN extra benefits are separate from your medical care. That means you don’t need a referral for:
Vision care. For your yearly vision exam, call EyeMed to find a vision provider near you. (For medical eye care, you will need to see your primary care doctor for a referral to a specialist, like an ophthalmologist.)
Dental care. If your SCAN plan includes dental, or if you’ve chosen a buy-up supplemental dental plan, you will go directly to your Delta Dental dentist for care.
Acupuncture and chiropractic. Most SCAN plans include coverage for routine acupuncture and chiropractic visits. You can go to any ASH-affiliated provider.
Hearing exams. SCAN members call TruHearing directly for an appointment with a hearing provider.
Learn more about these benefits at scanhealthplan.com/extras
