Hello, Sonoma County!

Enroll with SCAN for comprehensive coverage, more extras, and award-winning service.

We can help you find the benefits and coverage you need, plus more.
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Our Most Popular Plan

SCAN Classic (HMO) for Sonoma County

2021 Features

SCAN Health Plan is with you every step of the way, providing comprehensive coverage that's designed to meet your current and changing needs.

  • $0 primary care office visits
  • $3,400 Maximum Out-of-Pocket (MOOP)
  • $0 access to a "virtual doctor" 24/7 through SCAN's telehealth benefit
  • NEW! 100-day supply, Mail and Retail
  • $0 Tiers 1 & 2 for a 3-month supply through home delivery from Express Scripts PharmacySM
  • Worldwide and urgent care coverage available

Core benefits you can expect for 2021

SCAN Classic (HM0)

Health Club
Accupunture and Chiropractics
Acupuncture & Chiropractics

Copay Costs

Monthly Premium


Primary Care Office Visits


Maximum Out-Of-Pocket (MOOP)


Inpatient Hospital Care $220 (Days 1-8)
$0 (Days 9 and beyond)
Outpatient Surgery Ambulatory Surgical Center - $225
Hospital Facility - $225
Skilled Nursing Facility $0 (Days 1-20)
$160 (Days 21-100)
Durable Medical Equipment (e.g. wheelchair, walker, oxygen) 20%
Emergency Care $90 ($0 if admitted immediately) - Worldwide
Urgent Care Services $25 - Worldwide
Ambulance Services $200
Specialist Office Visits $15
Diagnostic Radiology Services (e.g. MRI, CT,ultrasound) $60
Prescription Tier 1: Preferred Generic Preferred: $0
Standard: $7
Prescription Tier 2: Generic Preferred: $10
Standard: $17
Prescription Tier 3: Preferred Brand Preferred: $42
Standard: $47
Prescription Tier 4: Non-Preferred Drug Preferred: $95
Standard: $100
Prescription Tier 5: Specialty Tier Preferred: 33%
Standard: 33%

Free Seminars in Sonoma 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!