SCAN Health Plan is with you every step of the way, providing plans and benefits that are designed to meet your current and changing needs.
- $19 Lower monthly plan premium
- $5 primary care office visits
- $4,500 Maximum out-of-Pocket
- $0 access to a "virtual doctor" 24/7 through SCAN's telehealth benefit
- Worldwide and urgent care coverage available
- NEW! Lower $25 insulin savings (30 day supply)1
- $0 Tiers 1 & 2 for a 3-month supply through home delivery from Express Scripts PharmacySM
1Humalog®, Humulin®, Lantus®, Toujeo® through SCAN Preferred retail pharmacies and mail-order only.
Primary Care Office Visits
Maximum Out-Of-Pocket (MOOP)
|Inpatient Hospital Care||$350 (Days 1-5)
$0 (Days 6 and beyond)
|Outpatient Surgery||Ambulatory Surgical Center - $250
Hospital Facility - $275
|Skilled Nursing Facility||$0 (Days 1-20)
$145 (Days 21-100)
|Durable Medical Equipment (e.g. wheelchair, walker, oxygen)||20%|
|Emergency Care||$90 ($0 if admitted immediately) - Worldwide|
|Urgent Care Services||$8 - Worldwide|
|Specialist Office Visits||$10|
|Diagnostic Radiology Services (e.g. MRI, CT,ultrasound)||20%|
|Prescription Tier 1: Preferred Generic||Preferred: $2
|Prescription Tier 2: Generic||Preferred: $5
|Prescription Tier 3: Preferred Brand||Preferred: $37
|Prescription Tier 4: Non-Preferred Drug||Preferred: $95
|Prescription Tier 5: Specialty Tier||Preferred: 33%
Free Seminars in Ventura County
Join us for a free virtual SCAN seminar to learn more about your coverage options, Medicare Advantage, prescription drug coverage and more.
Looking for More? Get to Know SCAN
Take A Closer Look
Click here to download a 2021 brochure with benefits, copay costs, and more for your area.