SCAN Alta (HMO)
With SCAN Alta, you’ll enjoy many $0 copays, including $0 plan premium and $0 primary care and specialist visits as part of your comprehensive medical, hospital and drug coverage. And, your $750 maximum out-of-pocket is among the lowest SCAN offers in San Diego! SCAN Alta also offers a wide array of benefits not covered by Original Medicare including:
• 90% of drugs members take are available for $0
• $0 acupuncture & chiropractic visits
• Preventive dental care
• Gym & fitness benefits
• Vision care & eyewear
• Hearing aids
• Over-the-counter products
• and more!
For people with Medicare Parts A and B. SCAN Alta provides lower costs and extra benefits that go beyond Original Medicare.
Monthly Premium
$0
Primary Care Office Visits
$0
Maximum Out-Of-Pocket (MOOP)
$900
Specialist Office Visits | $0 |
Inpatient Hospital Care | $0 (Days 1-3) $50 (Days 4-7) $0 (Days 8 and beyond) |
Outpatient Surgery | Ambulatory Surgical Center - $0 Hospital Facility - $50 |
Urgent Care Services | $0 - Worldwide |
Emergency Care | $90 ($0 if admitted immediately) - Worldwide |
Prescription Tier 1: Preferred Generic | Preferred: $0 Standard: $7 |
Prescription Tier 2: Generic | Preferred: $0 Standard: $15 |
Prescription Tier 3: Preferred Brand | Preferred: $30 Standard: $47 |
Prescription Tier 4: Non-Preferred Drug | Preferred: $95 Standard: $100 |
Prescription Tier 5: Specialty Tier | Preferred: 33% Standard: 33% |
Prescription Tier 6: Select Care Drugs | Preferred: $25 Standard: $35 |
Big savings on big name drugs!
Just $11 per month for Tier 6 brand name medications, including: Eliquis, Xarelto, Entresto, Jardiance, Farxiga, Januvia, Tradjenta, and more*
*Copay may vary by plan/county and may change during Coverage Gap. For additional medications on Tier 6, please refer to this plan's list of covered drugs (Formulary).
There are Plenty of Ways to Enroll.
When you're ready to sign up you can call us or enroll directly online. During the Annual Enrollment Period, you can enroll October 15 - December 7.
Explore Enrollment OptionsHours 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.