SCAN Health Plan Announces Enhanced Prescription Drug Plan for 2016

Date Posted: 09/30/2015

(LONG BEACH, Calif.) — SCAN Health Plan announced today its 2016 benefit plans, which feature all of the basic benefits traditionally covered under Medicare, as well as a prescription drug benefit (Medicare Part D), with no deductibles and low co-pays for most services. Other benefits include vision, routine transportation and hearing aids. Specific benefits may vary depending on plan selection and county.

Beginning January 1 SCAN’s Classic Medicare Advantage plan (HMO), will feature a significant savings opportunity on prescription drugs. While copayments vary by county, all SCAN Classic members will be able to get a three-month supply (90 days) of Tier 1 and Tier 2 drugs at either a retail pharmacy or SCAN Mail Order Pharmacy and only pay for two months.

“Many seniors take several medications to help them manage chronic, long-term conditions and we don’t want the cost of these drugs to be a barrier to good health,” said Cathy Batteer, senior vice president and general manager at SCAN. “Our new benefit for 2016 makes substantial savings available to our Medicare Advantage members at both retail and mail order pharmacies.”

In 2016 the SCAN Classic plan will continue to be available to Medicare-eligible beneficiaries in 12 California counties: Los Angeles, Marin, Napa, Orange, Riverside, San Bernardino, San Diego, San Francisco, San Joaquin, Santa Clara, Sonoma and Ventura.

In addition, in many of these counties SCAN also offers SCAN Connections, a special needs plan (SNP) expressly designed for individuals who are dually eligible for both Medicare and Medi-Cal. In some counties SCAN offers SNPs that are available to eligible individuals with chronic conditions. SCAN Heart First (HMO SNP) is for people with cardiovascular disease or congestive heart failure, and SCAN Balance (HMO SNP) is for individuals with diabetes. Both offer similar benefits as the SCAN Classic plan as well as additional benefits specific to managing heart disease or diabetes.

“We understand that the annual enrollment period can be a confusing time for Medicare beneficiaries given all of the choices and changes that can take place from year to year,” added Batteer. “SCAN is committed to providing stable, dependable benefits plans–and keeping copayments as low as possible–so our members can better budget for their healthcare costs.”

The annual enrollment period for selecting a Medicare Advantage plan for 2016 runs from Oct. 15 to Dec. 7, 2015. During this time seniors and others on Medicare may choose to switch their health plan or move from traditional Medicare to a Medicare Advantage plan (or move back to Original Medicare) with their new elections taking effect Jan. 1, 2016.

As governed by the Centers for Medicare and Medicaid Services, member benefits vary by county. Specific information on SCAN’s 2016 benefit plans is available at or by calling 855-561-7226, 8 a.m. to 8 p.m., seven days a week. TTY/TDD users may call 711.

SCAN Health Plan is an HMO plan with a Medicare contract. Enrollment in SCAN Health Plan depends on contract renewal.

You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, formulary, provider/pharmacy network, premium, co-payments and/or co-insurance may change on January 1 of each year.

You can get prescription drugs shipped to your home through our network automated mail order delivery program. Typically, you should expect to receive your prescription drugs within 14 days from the time that the mail order pharmacy receives the order. If you do not receive your prescription drug(s) within this time, please contact SCAN Health Plan’s Member Services line at 1-800-559-3500, 8 A.M.-8 P.M., 7 days a week. TTY users should call 711.

Y0057_SCAN_9460_2015F File & Use Accepted


Ross Goldberg
818-597-8453, x-1