SCAN Health Plan is with you every step of the way, providing comprehensive coverage that's designed to meet your current and changing needs.
- $5 primary care office visits
- $0 access to a "virtual doctor" 24/7 through SCAN's telehealth benefit
- $5,000 Maximum out-of-pocket (MOOP)
- Worldwide and urgent care coverage available
- NEW! 100-day supply, Mail and Retail.
- $0 Tiers 1 & 2 for a 3-month supply through home delivery from Express Scripts PharmacySM.
- $0 Personal emergency response system (PERS) (includes installation and monthly fees)
Primary Care Office Visits
Maximum Out-Of-Pocket (MOOP)
|Inpatient Hospital Care||$250 (Days 1-7)
$0 (Days 8 and beyond)
|Outpatient Surgery||Ambulatory Surgical Center - $175
Hospital Facility - $200
|Skilled Nursing Facility||$0 (Days 1-20)
$125 (Days 21-100)
|Durable Medical Equipment (e.g. wheelchair, walker, oxygen)||$0 = Items $0-$99
20% = Items $100 or greater
|Emergency Care||$90 ($0 if admitted immediately) - Worldwide|
|Urgent Care Services||$35 - Worldwide|
|Specialist Office Visits||$15|
|Diagnostic Radiology Services (e.g. MRI, CT,ultrasound)||$60|
|Prescription Tier 1: Preferred Generic||Preferred: $3
|Prescription Tier 2: Generic||Preferred: $5
|Prescription Tier 3: Preferred Brand||Preferred: $42
|Prescription Tier 4: Non-Preferred Drug||Preferred: $95
|Prescription Tier 5: Specialty Tier||Preferred: 33%
Free Seminars in San Francisco County
Join us for a free virtual SCAN seminar to learn more about your coverage options, Medicare Advantage, prescription drug coverage and more.
Looking for More? Get to Know SCAN
Take A Closer Look
Click here to download a 2021 brochure with benefits, copay costs, and more for your area.