Welcome to SCAN

Your acupuncture benefit was designed specifically for the SCAN Allied plan. You have a $0 copay and unlimited visits per year for medically necessary acupuncture treatments through the Astrana network.

The Astrana network of acupuncturists includes many bilingual providers. That way you can communicate your needs comfortably.

Use your medical group’s directory to look for an acupuncture provider near you:

• Access Primary Care
• All American Medical Group
• Allied Pacific IPA

Note that the unlimited acupuncture benefit for the SCAN Allied plan is different from the acupuncture/chiropractor benefit available in other SCAN plans. Be sure to use an acupuncture provider who’s part of your medical group to enjoy the $0 unlimited benefit.

You can shop at over 70,000 locations nationally from major retailers like:

• CVS Pharmacy
• Walmart
• Vons
• Safeway
• Albertsons
• Family Dollar
• Kroger

You can also shop for OTC items at markets including 99 Ranch, Good Fortune Super Market and HMart. See the full list under the question “Where can I use the SCAN Flex Card to buy groceries?” But keep in mind: If you don’t qualify for the grocery benefit, your flexible allowance can only be used on over-the-counter items at all these markets.

Visit cvs.com/benefits or call OTC Health Solutions at 1-844-428-8135 (TTY: 711) to find more locations near you.

You can use your Flex Card on a wide variety of health and wellness items, from dental care to first aid to vitamins and herbal supplements.

For example:

• Antacids
• Pain relievers
• Bladder control products
• Cough, cold and flu remedies
• Eye drops
• Blood pressure monitors
• Safety devices like grab bars
• Canes and crutches
• Toothbrushes, mouthwash and toothpaste
• and much more!

The grocery portion of this benefit is an SSBCI benefit, which stands for Special Supplemental Benefits for the Chronically Ill. That means you must meet certain requirements to qualify for the grocery benefit.

Qualifying chronic conditions for the SSBCI benefit include cardiovascular disorders, chronic heart failure, diabetes, cancer, and chronic lung disorders. Other chronic conditions may apply. Medical records will be used to establish qualifications for the benefit.

To find out if you qualify, call SCAN Member Services at 1-800-559-3500 (TTY: 711).

Use your SCAN Flex Card at the markets* you like to shop at, including:

• 99 Ranch
• Good Fortune Super Market
• GW Supermarket
• Hmart
• Irving Seafood Market
• Mitsuwa Marketplace
• S & B Supermarket
• Seafood City Supermarket
• Super King
• TS Emporium Tak Shing Hong
• Wellmans Pharmacy

And, these major retailers too:

• CVS Pharmacy
• Walmart
• Vons
• Safeway
• Albertsons
• Family Dollar
• Kroger

* Not all markets are available in all counties. Please visit cvs.com/benefits or call OTC Health Solutions at 1-844-428-8135 (TTY: 711) to find locations near you.

If you qualify* for the grocery portion of this benefit, you’ll be able to spend your grocery allowance on healthy foods, such as:

• Beans and legumes
• Meat and seafood
• Eggs and dairy products
• Fresh, frozen or canned fruits and vegetables
• Grains such as bread, rice and pasta
• Nutrition shakes and bars
• Pantry staples like flour and spices
• Soups
• Water

Note: The allowance can’t be used to buy tobacco, alcohol, candy, soda, chips or lottery tickets.

* See the question “Can I use the SCAN Flex Card for groceries?” to find out if you qualify.

Your allowance can be used for fitness memberships, personal training, classes and more. Check your Evidence of Coverage for more details about what is included and your Flexible Allowance amount.

Note that the Flex Card allowance for the SCAN Allied plan is in place of, not in addition to, the fitness benefit offered in other SCAN plans.

Your SCAN Allied plan comes with a $2,000 Dental Allowance to spend on dental services each year. Here’s how it works:

• No more primary dentist—you can choose any dentist from Delta Dental’s extensive EPO network, and you can go to any of these dentists at any time.
• You pay $0 for all procedures up to your allowance amount. That means no copays at all until you’ve hit your $2,000 allowance.
• After you hit your allowance, your coverage ends. You’ll pay the full cost of any other dental care.
• Preventive care does not count toward your allowance. So keep up with your exams and cleanings!
• For other services, reduced rates apply toward your allowance.

You’ll be responsible for all dental costs after your allowance is spent, so you will need to keep track of expenses. Ask your dentist for a treatment plan before you get any work done, so you can prioritize the most needed care first.

You can use your allowance at any dental office in Delta Dental’s extensive EPO network.

You’re covered for emergency and urgent care services wherever you travel. If you’re outside of the U.S. and its territories, SCAN will reimburse you at Original Medicare reimbursement rates for the covered services you received. This link will take you to the forms you’ll need.

We also recommend that you buy medical travel insurance to help you pay for any unforeseen medical incidents while traveling outside of the country. This type of policy can protect you from paying for services not covered by your SCAN plan while traveling.

Be sure to take care of any routine or preventive care while you’re still at home—routine and preventive care are not covered while traveling.

Yes, the SCAN Allied plan includes a transportation benefit. Simply call to schedule rides to and from healthcare services, including doctor visits, dental appointments, and even the pharmacy to pick up a prescription. The number of covered rides will depend on the county you live in and there is no cost for these rides. Just call the phone number on the back of your SCAN ID card to schedule your rides. Learn more about how to use this benefit.