SCAN Health Plan Earns Prestigious 4.5-Star Rating from Medicare

Date Posted: 10/07/2015

(LONG BEACH, Calif.) — SCAN Health Plan announced today that its largest health plans in California have received a 4.5-star rating by the Centers for Medicare & Medicaid Services (CMS). SCAN now has 4.5-star-rated plans in all 12 California counties it serves.

SCAN members with access to quality care, meaningful health benefits and exceptional customer service has always been our top priority,” said Chris Wing, CEO of SCAN Health Plan. “We are incredibly gratified that our commitment to these goals has been recognized by Medicare with this very high rating. It is a great testament to the combined efforts of our employees and our provider partners. This achievement is truly a team effort and underscores our passion and ongoing commitment for keeping seniors healthy and independent.”

The Star Rating System was established by CMS as part of an effort to help educate consumers on quality and make quality data more transparent and comparable between plans. Under the system CMS ranks health plans on a one- to five-star basis, weighing such factors as clinical outcomes, access to preventive services such as screenings and vaccines, managing chronic conditions, preventive care, and consumer satisfaction. Star ratings are calculated each year and may change from one year to the next.

The 4.5-star rating encompasses the majority of SCAN’s membership in both Northern and Southern California and includes all of SCAN’s “Classic” (HMO) plans as well as several special needs plans. In 2016 SCAN’s Classic plan will once again be available to Medicare-eligible beneficiaries in the following California counties: Los Angeles, Marin, Napa, Orange, Riverside, San Bernardino, San Diego, San Francisco, San Joaquin, Santa Clara, Sonoma and Ventura. Medicare beneficiaries living in these counties can join SCAN during the annual enrollment period, which runs October 15 to December 7, 2015.

SCAN recently announced that its 2016 benefit plans will 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 copays for most services and plan selections. Other benefits, depending on plan selection and county, may include vision, routine transportation and hearing aids. And for 2016 SCAN’s Classic Medicare Advantage plan (HMO) will feature a dramatic 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 pay for only two months.

The annual enrollment period for selecting a Medicare Advantage plan for 2016 runs from October 15 to December 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 January 1, 2016.

As governed by the CMS, 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, premium, copayments 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 800-559-3500, 8 a.m. to 8 p.m., 7 days a week. TTY users should call 711.

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Ross Goldberg
818-597-8453, x-1