What complaints have been filed against SCAN Health Plan?


Quick Answer

The state of California accused SCAN of overcharging for services by over $300 million, reports Anthony Brino for Healthcare Payer News. Additionally, SCAN subscribers on Health Insurance Providers complain about the quality of customer service, lack of follow through on promised services and random drops of coverage.

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Full Answer

California Controller John Chiang estimates that SCAN overcharged by about $339 million between 2001 and 2011, explains Christina Jewett for the Huffington Post. The company paid $323 million to the state, federal government and a former employee according to the terms of a 2012 settlement, states Brino. A former SCAN employee acted as a whistle blower in the case, bringing fraudulent Medicare charges to the attention of the federal government.

SCAN subscribers' primary customer service complaint on Health Insurance Providers is they never hear back from representatives who claim to follow up with them. Others find that different representatives answer the phone every time they call, and there is no record of the callers' previous complaints. Some subscribers report they have trouble scheduling medical appointments through SCAN, and some doctors do not accept the health insurance plan. The average overall rating for SCAN on the website is 1.5 stars out of a possible five.

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