SCAN Health Plan is a nonprofit organization with roots in 1977. When considering a SCAN Medicare Advantage plan in California, identify the exact plan, contract, service area and plan year before comparing benefits. A carrier name alone does not establish which doctors, prescriptions or extra benefits are covered.
Check current plan documents and Medicare Plan Finder for the specific option available at your address. CMS star ratings describe the performance of an identified contract for a stated year; they are not a guarantee that a plan fits your care needs. Read the current rating details rather than relying on a carrier-wide number.
Contact All Seniors Foundation at (818) 581-4101 about senior-support resources and questions to prepare. Confirm enrollment help, credentials, fees and which plans an advisor can discuss directly with that organization. California’s HICAP program offers free, unbiased Medicare counseling.
SCAN Plan Review Checklist for 2026
| Review area | What to confirm for the exact plan |
|---|---|
| Plan identity and quality | Full plan and contract name, service area, plan year, and the corresponding CMS rating and measures. |
| Plan type and network | Whether the option is an HMO, HMO-POS or another type; participating doctors, hospitals and pharmacies; referral and out-of-network rules. |
| Premiums and medical costs | Monthly plan premium, deductibles, copays, coinsurance and the medical maximum out-of-pocket amount. Keep prescription-drug costs separate. |
| Part B premium reduction | Whether the specific plan offers this benefit, its amount and eligibility conditions. Do not assume every SCAN plan includes it. |
| Dental, vision and hearing | Covered services, participating providers, frequency limits, allowances, exclusions and charges. |
| Fitness, transportation and other benefits | Which benefits are included, how to use them and any limits or extra costs. |
| Service area | Availability at the person’s exact residential address for the current plan year. |
Benefits Beyond Original Medicare
Some Medicare Advantage plans offer benefits that Original Medicare does not cover. Check the exact SCAN plan’s Evidence of Coverage and Summary of Benefits before relying on an advertised benefit.
- Dental — Ask which preventive or restorative services are covered and whether an allowance, network or annual limit applies.
- Vision — Check routine exams, eyewear allowances, provider participation and frequency limits.
- Hearing — Ask about exams, hearing-aid coverage, eligible devices and patient charges.
- Fitness — Confirm whether a program is included, available locations and participation rules.
- Prescription Drugs — For 2026, the annual out-of-pocket cap for covered Part D drugs is $2,100. This is not a cap on all Medicare spending. A one-month supply of each covered insulin product costs no more than $35; check the specific plan’s formulary and pharmacy rules.
- Transportation — Confirm whether rides are available, which appointments qualify and how far in advance to arrange them.
- Telehealth — Check participating clinicians, covered visit types, technology requirements and copays.
For questions to compare supplemental benefits, see our dental, vision, and hearing benefits guide.
Before choosing a plan, verify each doctor and medication directly with the plan and provider. For senior-support resource questions, call (818) 581-4101.
Who Is SCAN Health Plan Best For?
The right plan depends on the person’s doctors, medications, location, costs and preferences. Use this plan comparison checklist to prepare questions and compare the specific available options.
If you need PPO flexibility or a particular benefit, verify which local plans meet that need. If you have both Medicare and Medi-Cal, ask Medicare or a qualified counselor about eligibility and coordination for D-SNP or PACE program options.
Counties Served
Plan availability can change by county, ZIP code and year. Confirm the exact residential address with SCAN and Medicare Plan Finder. The county guides below are general planning resources and do not establish that SCAN operates in every listed county.
See our county pages: Los Angeles, Orange County, San Diego, Sacramento, San Francisco, Alameda, Fresno.
How to Enroll
Check which enrollment period applies to you before submitting a request. Your initial Medicare enrollment, the October 15–December 7 annual enrollment period, or a Special Enrollment Period may allow different choices. The January 1–March 31 Medicare Advantage Open Enrollment Period is for people already enrolled in Medicare Advantage; it does not let everyone with Original Medicare join an Advantage plan. Confirm allowed changes and effective dates with Medicare’s enrollment guidance and the plan. Call (818) 581-4101 for senior-support resource questions.
Frequently Asked Questions
How much does SCAN Health Plan cost?
Costs depend on the exact plan, address, year, providers and prescriptions. Compare the plan premium, deductibles, medical copays and medical out-of-pocket maximum, plus separate drug costs. Most people must continue paying their Medicare Part B premium; ask about any assistance or plan-specific premium reduction.
Can I keep my doctor?
Confirm the exact plan and current year with both the plan and each provider office, including specialists, hospitals and medical groups. Use our doctor-network questions to prepare; participation in one SCAN plan does not establish participation in every plan.
Does SCAN Health Plan cover dental?
Dental, vision and hearing benefits vary by plan. Check the covered services, network, allowances, limits and patient charges in the current plan documents. Our benefits comparison guide lists questions to ask.
Related Resources
- Medicare Plan Review Questions — prepare an informed comparison
- Original Medicare vs. Medicare Advantage
- HMO vs. PPO Comparison
- Dental, Vision & Hearing Benefits
- Turning 65 Checklist
- PACE Programs in California
- LA County Plans | Orange County | San Diego | Sacramento
Official Sources and Important Information
Use SCAN’s official plan materials, Medicare Plan Finder and CMS’s explanation of 2026 star ratings to check the specific plan and year. SCAN’s published history describes its 1977 origins.
This page is educational information, not an enrollment recommendation or a guarantee of benefits, eligibility, network access or costs. Confirm current terms with Medicare, the plan and the provider offices before changing coverage.
