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New for 2021

SCAN Options (HMO) for Santa Clara County

Plan Features

SCAN Options (HMO) is SCAN's most competitive Medicare Advantage Prescription Drug Plan (MAPD) in 2021 offering all the benefits of Medicare — and more. It includes comprehensive medical, hospital and pharmacy coverage. In addition, SCAN Options offers the widest array of benefits not covered by Original Medicare, such as a gym membership, transportation, vision, over-the-counter and many more, all designed to meet your current and changing needs.

  • $0 premium
  • $3,400 Maximum Out-of-Pocket (MOOP)
  • $0 access to a "virtual doctor" 24/7 through SCAN's telehealth benefit
  • 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

Core benefits you can expect for 2021

SCAN Options (HMO)

Health Club
Over the Counter
Accupunture and Chiropractics

Copay Costs

Monthly Premium


Primary Care Office Visits


Maximum Out-Of-Pocket (MOOP)


Inpatient Hospital Care $175 (Days 1-5)
$0 (Days 6 and beyond)
Outpatient Surgery Ambulatory Surgical Center - $50
Hospital Facility - $135
Skilled Nursing Facility $0 (Days 1-20)
$125 (Days 21-100)
Durable Medical Equipment (e.g. wheelchair, walker, oxygen) $0 = Items $0-$499
20% = Items $500 or greater
Emergency Care $100 ($0 if admitted immediately) - Worldwide
Urgent Care Services $20 - Worldwide
Ambulance Services $195
Specialist Office Visits $0-$35
Diagnostic Radiology Services (e.g. MRI, CT,ultrasound) $0-$150
Prescription Tier 1: Preferred Generic Preferred: $5
Standard: $10
Prescription Tier 2: Generic Preferred: $12.50
Standard: $17.50
Prescription Tier 3: Preferred Brand Preferred: $40
Standard: $45
Prescription Tier 4: Non-Preferred Drug Preferred: $90
Standard: $95
Prescription Tier 5: Specialty Tier Preferred: 33%
Standard: 33%

Free Seminars in Santa Clara County

Join us for a free virtual SCAN seminar to learn more about your coverage options, Medicare Advantage, prescription drug coverage and more.

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A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings call (877) 452-5898 (TTY Users: 711).

Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31. From April 1 to September 30 hours are 8 a.m. to 8 p.m. Monday through Friday. Messages received on holidays and outside of our business hours will be returned within one business day.

2020 US News

Ranked one of the Best Medicare Advantage Plans in California by U.S. News and World Report for the second year in a row!

Star Ratings

Rated 4.5 out of 5 stars* by Medicare four years in a row!