SCAN Classic (HMO)

Medicare Advantage HMO with drug coverage · SCAN Health Plan

Plan IDH5425-101-0
$0monthly premium, 2026
$699in-network out-of-pocket max
$250drug deductible
4.0overall star rating

Costs

Part C premium
$0
Part D premium
$0 (basic $0, supplemental $0)
Total monthly premium
$0
Out-of-pocket maximum
$699.00
Drug deductible
$250
Extra Help premium subsidy
$12

Plan details

Plan type
HMO
Drug coverage
Yes (enhanced alternative)
Organization
SCAN Group · SCAN HEALTH PLAN
Health plan rating
★★★★ 4.0
Drug plan rating
★★★★ 4.0
Region
California

Where this plan is available

California: Fresno, Kings, Madera, Tulare

Other plans under contract H5425

PlanMonthly premiumOut-of-pocket maxDrug deductibleStar rating
SCAN Classic (HMO)SCAN Health Plan · H5425-001-0 · HMO $0 $3,000 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-005-0 · HMO $0 $3,400 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-006-0 · HMO $0 $199 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-007-0 · HMO $0 $199 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-008-0 · HMO $0 $399 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-009-0 · HMO $0 $399 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-019-0 · HMO $0 $1,499 $250 ★★★★ 4.0
SCAN Balance (HMO C-SNP)SCAN Health Plan · H5425-034-0 · HMO C-SNP $0 $199 $250 ★★★★ 4.0
SCAN Prime (HMO)SCAN Health Plan · H5425-065-0 · HMO $20 $2,499 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-069-0 · HMO $0 $799 $250 ★★★★ 4.0
SCAN Balance (HMO C-SNP)SCAN Health Plan · H5425-070-0 · HMO C-SNP $0 $750 $250 ★★★★ 4.0
SCAN Classic (HMO)SCAN Health Plan · H5425-075-0 · HMO $0 $1,500 $250 ★★★★ 4.0
SCAN Balance (HMO C-SNP)SCAN Health Plan · H5425-076-0 · HMO C-SNP $0 $1,500 $250 ★★★★ 4.0
SCAN Alta (HMO)SCAN Health Plan · H5425-082-0 · HMO $0 $500 $250 ★★★★ 4.0
SCAN Venture (HMO)SCAN Health Plan · H5425-084-0 · HMO $0 $1,000 $250 ★★★★ 4.0
SCAN Venture (HMO)SCAN Health Plan · H5425-085-0 · HMO $0 $1,900 $250 ★★★★ 4.0
SCAN Embrace (HMO I-SNP)SCAN Health Plan · H5425-086-0 · HMO I-SNP $0 $799 $0 ★★★★ 4.0
SCAN Embrace (HMO I-SNP)SCAN Health Plan · H5425-087-0 · HMO I-SNP $0 $799 $0 ★★★★ 4.0
SCAN Embrace (HMO-POS I-SNP)SCAN Health Plan · H5425-091-0 · HMO-POS I-SNP $0 $799 $0 ★★★★ 4.0
SCAN Affirm partnered with Included LGBTQ+ Health (HMO)SCAN Health Plan · H5425-092-0 · HMO $0 $199 $250 ★★★★ 4.0
SCAN Affirm partnered with Included LGBTQ+ Health (HMO)SCAN Health Plan · H5425-096-0 · HMO $0 $500 $250 ★★★★ 4.0
SCAN Strive (HMO C-SNP)SCAN Health Plan · H5425-097-0 · HMO C-SNP $0 $9,250 $615 ★★★★ 4.0
SCAN Strive (HMO C-SNP)SCAN Health Plan · H5425-098-0 · HMO C-SNP $0 $9,250 $250 ★★★★ 4.0
SCAN Inspired by women for women (HMO)SCAN Health Plan · H5425-100-0 · HMO $15 $999 $250 ★★★★ 4.0
SCAN Balance (HMO C-SNP)SCAN Health Plan · H5425-102-0 · HMO C-SNP $0 $699 $250 ★★★★ 4.0
SCAN Balance (HMO C-SNP)SCAN Health Plan · H5425-104-0 · HMO C-SNP $0 $399 $250 ★★★★ 4.0
SCAN Balance (HMO C-SNP)SCAN Health Plan · H5425-105-0 · HMO C-SNP $0 $500 $250 ★★★★ 4.0
SCAN Balance (HMO C-SNP)SCAN Health Plan · H5425-106-0 · HMO C-SNP $0 $1,499 $250 ★★★★ 4.0
SCAN Affirm partnered with Included LGBTQ+ Health (HMO)SCAN Health Plan · H5425-107-0 · HMO $0 $1,499 $250 ★★★★ 4.0
SCAN MyChoice (HMO)SCAN Health Plan · H5425-108-0 · HMO $0 $999 $250 ★★★★ 4.0

Questions and answers

What is the monthly premium for SCAN Classic (HMO)?

For 2026 the plan premium is $0 a month in addition to the Medicare Part B premium.

What is the maximum out-of-pocket for SCAN Classic (HMO)?

The in-network maximum out-of-pocket limit is $699.00.

What is the drug deductible?

The annual Part D deductible is $250.

What is the star rating of SCAN Classic (HMO)?

CMS gave the plan an overall rating of 4.0 out of 5 stars.

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