SCAN Balance (HMO C-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 and continuous glucose monitors
• $0 for 90% of drugs members take
• Dental coverage
• Instacart grocery benefit
• Fitness benefit
• Vision care & eyewear
• Over-the-counter products
• And more!

Ready to Enroll

Call SCAN Today: (877) 452-5898 TTY: (888) SCAN-TTY

Monthly Premium

$0

Primary Care Office Visits

$0

Maximum Out-Of-Pocket (MOOP)

$399

Benefits
Specialist Office Visits $0
Inpatient Hospital Care $0 (unlimited days)
Outpatient Surgery $0 Non-Surg/$50 Surg
Urgent Care Services $0
Emergency Care $90 ($0 if immed)
Prescription Tier 1: Preferred Generic Preferred:$0
Standard:$5
Prescription Tier 2: Generic Preferred:$0
Standard:$9
Prescription Tier 3: Preferred Brand Preferred:$42
Standard:$47
Prescription Tier 4: Non-Preferred Drug Preferred:50%
Standard:50%
Prescription Tier 5: Specialty Tier Preferred:33%
Standard:33%
Prescription Tier 6: Select Care Drugs Preferred:NC
Standard:NC

Shop with CVS and Instacart!

Your SCAN benefits include OTC with CVS Pharmacy—shop in-store, online or by phone. And spend your quarterly allowance with Instacart on groceries to support a healthy diet.

* Not every benefit is available in every plan or county. Please see the Evidence of Coverage document for this plan in your area.

Just a few of the extras you can get with SCAN Balance plans

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Dental Routine
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Vision
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Over the Counter
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HealthClub (One Pass)
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Transportation
Icon of human ear.
Hearing
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Acupuncture & Chiropractic
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Telehealth
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Nurse Advice Line
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Respite Care
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Connect America
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HEALTHtech/+

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.

Let's See if SCAN Has Your...

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Find the Right SCAN Plan

We're happy to help today.

Speak to a SCAN Representative: (877) 452-5898 TTY: (888) SCAN-TTY

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.
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