SCAN Balance (HMO SNP)
If you have diabetes, SCAN Balance may be just the plan you're looking for. With benefits including $0 insulin and low costs for other drugs, SCAN Balance can help you to manage your condition. Plus, you’ll enjoy many benefits not included with Original Medicare, such as:
• $0 insulin, even through the coverage gap
• 90% of drugs members take are available for $0
• Dental coverage that lasts all year long
• Gym & fitness benefits
• Vision care & eyewear
• Over-the-counter products
• and more!
A Chronic Special Needs Plan available to anyone with Medicare who has been diagnosed with Diabetes.
Monthly Premium
$0
Primary Care Office Visits
$0
Maximum Out-Of-Pocket (MOOP)
$4,000
| Specialist Office Visits | $10 |
| Inpatient Hospital Care | $250 (Days 1-6) $0 (Days 7 and beyond) |
| Outpatient Surgery | Ambulatory Surgical Center - $0 Hospital Facility - $125 |
| Urgent Care Services | $10 - Worldwide |
| Emergency Care | $90 ($0 if admitted immediately) - Worldwide |
| Prescription Tier 1: Preferred Generic | Preferred: $0 Standard: $5 |
| Prescription Tier 2: Generic | Preferred: $0 Standard: $10 |
| Prescription Tier 3: Preferred Brand | Preferred: $40 Standard: $47 |
| Prescription Tier 4: Non-Preferred Drug | Preferred: $90 Standard: $100 |
| Prescription Tier 5: Specialty Tier | Preferred: 33% Standard: 33% |
| Prescription Tier 6: Select Care Drugs | Preferred: $0 Standard: $0 |
Just a few of the extras you can get with SCAN Balance plans
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 Options
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.
$0 Tier 6 drugs!
The brand name medications on Tier 6 include: 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).
