Alyssa Lane
SCAN Health Plan is a Medicare Advantage plan that offers Medicare beneficiaries healthcare coverage and services beyond what the federal program covers. SCAN has been keeping seniors healthy and independent for over 40 years, providing healthcare coverage to more than 270,000 Medicare beneficiaries across 13 counties in California, Nevada, and Arizona. SCAN offers Medicare Advantage prescription drug plans and provides reliable rides to medical appointments and pharmacies at no cost.
| Characteristics | Values |
|---|---|
| Company Name | SCAN Health Plan |
| Type of Insurance | Medicare Advantage Plan |
| Area Served | California, Arizona, Nevada, Texas |
| Number of Beneficiaries | 270,000+ |
| Services | Healthcare coverage, transportation to medical appointments, urgent care, allowance for over-the-counter health items, access to gyms and health clubs |
| Plan Types | HMO, POS, SNP |
| Ratings | 4.5/5 stars in 2022, above-average ratings from CMS in 2025 |
| Cost | Most plans have a $0 premium, with lower maximum out-of-pocket costs compared to competitors |
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What You'll Learn
SCAN Health Plan's Medicare Advantage plans
SCAN Health Plan is a not-for-profit Medicare Advantage organisation that has been providing healthcare coverage to over 270,000 Medicare beneficiaries for over 40 years. SCAN Health Plan offers Medicare Advantage prescription drug plans and operates in 22 counties across five states: Arizona, California, Nevada, New Mexico, and Texas.
SCAN Health Plan provides a range of benefits to its members, including prescription drug coverage, dental, and vision. Members also have access to discounts on fitness tools, gym memberships, acupuncture, and transportation to medical appointments. SCAN Health Plan also offers supplemental benefits, such as urgent care services and an allowance for over-the-counter health items.
SCAN Health Plan has received high star ratings from the Centers for Medicare & Medicaid Services (CMS) for its quality of care and customer satisfaction. In 2022, it received a 5-star rating from CMS, the only Medicare Advantage plan in California to do so. SCAN Health Plan has also consistently achieved high member satisfaction ratings, scoring 90% or higher for five consecutive years.
SCAN Health Plan offers plans tailored to specific communities, such as women and LGBTQ+ older adults. In 2025, SCAN introduced the SCAN Allied HMO plan, designed to meet the needs of Asian American older adults. SCAN's plans are highly rated and low-cost, with most plans having a $0 premium and lower maximum out-of-pocket costs compared to other major providers.
SCAN Health Plan provides reliable rides to medical appointments and pharmacies at no cost to its members. Additionally, members can utilise urgent care benefits when they need immediate but non-emergency care. SCAN also offers an allowance for a wide range of over-the-counter health items.
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SCAN Health Plan's history and ratings
SCAN Health Plan is a non-profit Medicare Advantage plan that has been in existence since 1977. SCAN was founded by seniors aiming to improve care and services for their fellow seniors. SCAN has been focusing on the unique needs of people with Medicare for over 40 years. It currently has around 285,000 members nationwide.
SCAN Health Plan has received high ratings from the Centers for Medicare & Medicaid Services (CMS) for its Medicare Advantage plans. In 2022, SCAN received an overall rating of 4.5 out of 5 stars for the sixth consecutive year, the only Medicare Advantage plan in California to do so. In 2023, SCAN's California CMS rating declined to 3.5 stars, but SCAN successfully sued CMS, arguing that it had failed to follow its own regulations in calculating the star ratings. As a result, SCAN's rating was restored to 4 stars. For 2025, SCAN Health Plan Medicare Advantage plans received an average rating of 4.48 stars out of 5 from CMS, higher than the industry average.
SCAN Health Plan offers Medicare Advantage plans in five states: Arizona, California, Nevada, New Mexico, and Texas. SCAN offers specialized plans for specific communities, such as women, LGBTQ+ older adults, and Asian American older adults. However, these specialized plans are only available in a few counties in California. SCAN's plans are generally HMO and HMO-POS plans, which can provide less flexibility in seeking medical care.
Reviews of SCAN Health Plan on WalletHub and wallethub.com are mixed. While some users praise SCAN for its services, others have faced obstacles when trying to schedule doctor's appointments or dealing with customer service.
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SCAN Health Plan's availability
SCAN Health Plan is a not-for-profit Medicare Advantage plan that has been keeping seniors healthy and independent for over 40 years. SCAN was founded in 1977 by seniors who wanted to improve care and services for their fellow seniors. The organization provides healthcare coverage to more than 270,000 Medicare beneficiaries in 13 counties across Northern California, Southern California, Nevada, Arizona, and Texas.
In 1983, SCAN was awarded a contract from the federal government to pilot the Social Health Maintenance Organization (SHMO) demonstration program, which aimed to provide home-based services to seniors to avoid or delay nursing home placement. The following year, SCAN was officially licensed as a health plan in California, and it began enrolling members in its Social HMO in 1985. After the SHMO program ended in 2004, SCAN continued to operate as a Medicare Advantage plan, offering beneficiaries healthcare coverage and services beyond what the federal program covers.
SCAN Health Plan has received high star ratings from the Centers for Medicare & Medicaid Services (CMS). In 2022, it received a 5-star Quality Rating for the sixth consecutive year, making it the only Medicare Advantage plan in California to achieve this rating. SCAN also achieved a 91% member satisfaction rating for 2023.
SCAN Health Plan offers a range of benefits to its members, including reliable rides to medical appointments and the pharmacy at no cost, urgent care benefits, an allowance for over-the-counter health items, and access to gyms and health clubs. SCAN also provides supplemental benefits, such as dental and vision coverage, and plans tailored to specific communities, such as women and LGBTQ+ older adults.
SCAN Health Plan is available in 22 counties across five states, including California, Arizona, Nevada, and Texas. However, it is important to note that availability may vary by ZIP code, and not all areas are currently accepting enrollments.
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SCAN Health Plan's costs
SCAN Health Plan is a not-for-profit Medicare Advantage plan that has been keeping seniors healthy and independent for over 40 years. SCAN provides healthcare coverage to more than 270,000 Medicare beneficiaries in 13 counties across California, Nevada, Arizona, New Mexico, and Texas.
SCAN Health Plan offers Medicare Advantage prescription drug plans. A health maintenance organization (HMO) plan generally requires that you use a specific network of doctors and hospitals. You may need a referral from your primary doctor to see a specialist, and out-of-network benefits are usually very limited. HMO point of service (POS) plans are HMO plans that allow members to access some out-of-network services, but they will have to pay more for those services.
SCAN Health Plan has received high ratings from the Centers for Medicare & Medicaid Services (CMS) for 2025. Most SCAN Health Plan Medicare Advantage plans have a $0 premium, and the average maximum out-of-pocket cost is much lower than other major providers. In 2025, nine out of ten SCAN Health Plan standard Medicare Advantage plans with prescription drug coverage have a $0 premium. However, you will still be responsible for paying your Medicare Part B premium, which is $185 per month in 2025. Most people pay this standard amount, but if your income is above a certain threshold, you will pay the income-related monthly adjustment amount (IRMAA). Some Medicare Advantage plans cover part or all of your Part B premium.
Other out-of-pocket costs to consider include whether the plan covers any part of your monthly Medicare Part B premium, the plan's yearly deductibles and any other deductibles, and copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.
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SCAN Health Plan's supplemental benefits
SCAN Health Plan is a not-for-profit Medicare Advantage plan that has been keeping seniors healthy and independent for over 40 years. It provides healthcare coverage to over 270,000 Medicare beneficiaries across 13 counties in Northern California, Southern California, Nevada, Arizona, and Texas.
SCAN Health Plan offers a range of supplemental benefits to its members, which vary depending on the specific plan chosen. These benefits are designed to help individuals stay healthy and independent. Some of the supplemental benefits offered by SCAN include:
- Dental and vision coverage: SCAN Medicare Advantage plans provide routine vision care, including eye exams and prescription eyewear. They also offer dental benefits through Delta Dental, allowing individuals to maintain their oral health.
- Prescription drug coverage: SCAN plans include coverage for prescription drugs, helping individuals manage their medication costs.
- Transportation to appointments: SCAN provides reliable and free transportation services to medical appointments and pharmacies, ensuring convenient and stress-free access to healthcare.
- Fitness benefits: Members can access discounts on fitness tools and gym memberships, encouraging healthy and active lifestyles.
- Worldwide coverage: SCAN members can utilise many SCAN benefits not just across the U.S. but also worldwide, providing peace of mind while travelling.
- Health and wellness items: SCAN offers a preloaded debit card that can be used to purchase thousands of eligible health and wellness items, making it convenient to access necessary products.
- Fresh food delivery: In partnership with Instacart, SCAN provides members with fresh and healthy food delivered directly to their door, promoting nutritious eating habits.
- Emotional health support: SCAN members can receive care from professionals to diagnose and treat conditions related to their emotional health and well-being, prioritising holistic care.
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Frequently asked questions
SCAN Health Plan is a Medicare Advantage plan that offers Medicare beneficiaries healthcare coverage and services beyond what the federal program covers. SCAN provides healthcare coverage to over 270,000 Medicare beneficiaries in 13 counties across California, Nevada, and Arizona.
Medicare Advantage plans offer prescription drug coverage and help cover the costs of services provided by hospitals, doctors, lab tests, and some preventive screenings. They also provide reliable rides to medical appointments and pharmacies at no cost, urgent care benefits, and an allowance for over-the-counter health items.
SCAN Health Plan offers low-cost plans, with most of their Medicare Advantage plans having a $0 premium. The average maximum out-of-pocket cost is also lower compared to other major plans.
