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Home
SCAN Health Plan Resources
Plan Materials and Additional Forms
Annual Notice of Change

Annual Notice of Change

Language

Year

SCAN Plan

Location

2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Los Angeles - Chinese
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Los Angeles - English
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Los Angeles - Korean
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Los Angeles - Spanish
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Napa - English
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Napa - Spanish
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Orange - Chinese
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Orange - English
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Orange - Korean
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Orange - Spanish
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Sonoma - English
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Sonoma - Spanish
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Stanislaus - English
2022 - Annual Notice of Change - SCAN Balance (HMO SNP) - Stanislaus - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Los Angeles - Chinese
2022 - Annual Notice of Change - SCAN Classic (HMO) - Los Angeles - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Los Angeles - Korean
2022 - Annual Notice of Change - SCAN Classic (HMO) - Los Angeles - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Napa - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Napa - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Orange - Chinese
2022 - Annual Notice of Change - SCAN Classic (HMO) - Orange - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Orange - Korean
2022 - Annual Notice of Change - SCAN Classic (HMO) - Orange - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Riverside - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Riverside - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - San Bernardino - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - San Bernardino - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - San Francisco - Chinese
2022 - Annual Notice of Change - SCAN Classic (HMO) - San Francisco - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - San Francisco - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Santa Clara - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Santa Clara - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Sonoma - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Sonoma - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Stanislaus - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Stanislaus - Spanish
2022 - Annual Notice of Change - SCAN Classic (HMO) - Ventura - English
2022 - Annual Notice of Change - SCAN Classic (HMO) - Ventura - Spanish
2022 - Annual Notice of Change - SCAN Compass (HMO) - Napa - English
2022 - Annual Notice of Change - SCAN Compass (HMO) - Napa - Spanish
2022 - Annual Notice of Change - SCAN Compass (HMO) - Sonoma - English
2022 - Annual Notice of Change - SCAN Compass (HMO) - Sonoma - Spanish
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - Los Angeles - Chinese
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - Los Angeles - English
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - Los Angeles - Korean
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - Los Angeles - Spanish
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - Riverside - English
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - Riverside - Spanish
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - San Bernardino - English
2022 - Annual Notice of Change - SCAN Connections (HMO SNP) - San Bernardino - Spanish
2022 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Los Angeles - English
2022 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Los Angeles - Spanish
2022 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Riverside - English
2022 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Riverside - Spanish
2022 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - San Bernardino - English
2022 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - San Bernardino - Spanish
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Los Angeles - English
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Los Angeles - Spanish
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Orange - English
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Orange - Spanish
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Riverside - English
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Riverside - Spanish
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - San Bernardino - English
2022 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - San Bernardino - Spanish
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Napa - English
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Napa - Spanish
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Orange - Chinese
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Orange - English
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Orange - Korean
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Orange - Spanish
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Riverside - English
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Riverside - Spanish
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - San Bernardino - English
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - San Bernardino - Spanish
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Sonoma - English
2022 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Sonoma - Spanish
2022 - Annual Notice of Change - SCAN Options (HMO) - Santa Clara - English
2022 - Annual Notice of Change - SCAN Options (HMO) - Santa Clara - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - Los Angeles - Chinese
2022 - Annual Notice of Change - SCAN Plus (HMO) - Los Angeles - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - Los Angeles - Korean
2022 - Annual Notice of Change - SCAN Plus (HMO) - Los Angeles - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - Orange - Chinese
2022 - Annual Notice of Change - SCAN Plus (HMO) - Orange - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - Orange - Korean
2022 - Annual Notice of Change - SCAN Plus (HMO) - Orange - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - Riverside - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - Riverside - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - San Bernardino - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - San Bernardino - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - San Francisco - Chinese
2022 - Annual Notice of Change - SCAN Plus (HMO) - San Francisco - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - San Francisco - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - Santa Clara - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - Santa Clara - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - Stanislaus - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - Stanislaus - Spanish
2022 - Annual Notice of Change - SCAN Plus (HMO) - Ventura - English
2022 - Annual Notice of Change - SCAN Plus (HMO) - Ventura - Spanish
2022 - Annual Notice of Change - SCAN Prime (HMO) - Los Angeles - Chinese
2022 - Annual Notice of Change - SCAN Prime (HMO) - Los Angeles - English
2022 - Annual Notice of Change - SCAN Prime (HMO) - Los Angeles - Korean
2022 - Annual Notice of Change - SCAN Prime (HMO) - Los Angeles - Spanish
2022 - Annual Notice of Change - SCAN Prime (HMO) - Orange - Chinese
2022 - Annual Notice of Change - SCAN Prime (HMO) - Orange - English
2022 - Annual Notice of Change - SCAN Prime (HMO) - Orange - Korean
2022 - Annual Notice of Change - SCAN Prime (HMO) - Orange - Spanish
2022 - Annual Notice of Change - SCAN Prime (HMO) - Riverside - English
2022 - Annual Notice of Change - SCAN Prime (HMO) - Riverside - Spanish
2022 - Annual Notice of Change - SCAN Prime (HMO) - San Bernardino - English
2022 - Annual Notice of Change - SCAN Prime (HMO) - San Bernardino - Spanish
2022 - Annual Notice of Change - Scripps Classic offered by SCAN Health Plan (HMO) - San Diego - English
2022 - Annual Notice of Change - Scripps Classic offered by SCAN Health Plan (HMO) - San Diego - Spanish
2022 - Annual Notice of Change - Scripps Heart First offered by SCAN Health Plan (HMO SNP) - San Diego - English
2022 - Annual Notice of Change - Scripps Heart First offered by SCAN Health Plan (HMO SNP) - San Diego - Spanish
2022 - Annual Notice of Change - Scripps Plus offered by SCAN Health Plan (HMO) - San Diego - English
2022 - Annual Notice of Change - Scripps Plus offered by SCAN Health Plan (HMO) - San Diego - Spanish
2022 - Annual Notice of Change - Scripps Signature offered by SCAN Health Plan (HMO) - San Diego - English
2022 - Annual Notice of Change - Scripps Signature offered by SCAN Health Plan (HMO) - San Diego - Spanish
2022 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Los Angeles - English
2022 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Los Angeles - Spanish
2022 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Riverside - English
2022 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Riverside - Spanish
2022 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - San Bernardino - English
2022 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - San Bernardino - Spanish
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Los Angeles- English
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Los Angeles- Spanish
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Napa- English
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Napa- Spanish
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Orange- English
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Orange- Spanish
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Sonoma- English
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Sonoma- Spanish
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Stanislaus- English
2021 - Annual Notice of Change - SCAN Balance (HMO SNP) - Stanislaus- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Los Angeles- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Los Angeles- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Napa- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Napa- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Orange- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Orange- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Riverside- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Riverside- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - San Bernardino- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - San Bernardino- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - San Francisco- Chinese
2021 - Annual Notice of Change - SCAN Classic (HMO) - San Francisco- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - San Francisco- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Santa Clara- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Santa Clara- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Sonoma- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Sonoma- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Stanislaus- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Stanislaus- Spanish
2021 - Annual Notice of Change - SCAN Classic (HMO) - Ventura- English
2021 - Annual Notice of Change - SCAN Classic (HMO) - Ventura- Spanish
2021 - Annual Notice of Change - SCAN Classic II (HMO) - Los Angeles- English
2021 - Annual Notice of Change - SCAN Classic II (HMO) - Los Angeles- Spanish
2021 - Annual Notice of Change - SCAN Compass (HMO) - Napa- English
2021 - Annual Notice of Change - SCAN Compass (HMO) - Napa- Spanish
2021 - Annual Notice of Change - SCAN Compass (HMO) - Sonoma- English
2021 - Annual Notice of Change - SCAN Compass (HMO) - Sonoma- Spanish
2021 - Annual Notice of Change - SCAN Connections (HMO SNP) - Los Angeles- English
2021 - Annual Notice of Change - SCAN Connections (HMO SNP) - Los Angeles- Spanish
2021 - Annual Notice of Change - SCAN Connections (HMO SNP) - Riverside- English
2021 - Annual Notice of Change - SCAN Connections (HMO SNP) - Riverside- Spanish
2021 - Annual Notice of Change - SCAN Connections (HMO SNP) - San Bernardino- English
2021 - Annual Notice of Change - SCAN Connections (HMO SNP) - San Bernardino- Spanish
2021 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Los Angeles- English
2021 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Los Angeles- Spanish
2021 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Riverside- English
2021 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - Riverside- Spanish
2021 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - San Bernardino- English
2021 - Annual Notice of Change - SCAN Connections at Home (HMO SNP) - San Bernardino- Spanish
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Los Angeles - English
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Los Angeles - Spanish
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Orange- English
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Orange- Spanish
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Riverside - English
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - Riverside - Spanish
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - San Bernardino- English
2021 - Annual Notice of Change - SCAN Healthy at Home (HMO SNP) - San Bernardino- Spanish
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Napa- English
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Napa- Spanish
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Orange- English
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Orange- Spanish
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Riverside- English
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Riverside- Spanish
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - San Bernardino- English
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - San Bernardino- Spanish
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Sonoma- English
2021 - Annual Notice of Change - SCAN Heart First (HMO SNP) - Sonoma- Spanish
2021 - Annual Notice of Change - SCAN Options (HMO) - Santa Clara- English
2021 - Annual Notice of Change - SCAN Options (HMO) - Santa Clara- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - Los Angeles- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - Los Angeles- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - Orange- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - Orange- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - Riverside- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - Riverside- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - San Bernardino- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - San Bernardino- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - San Francisco- Chinese
2021 - Annual Notice of Change - SCAN Plus (HMO) - San Francisco- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - San Francisco- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - Santa Clara- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - Santa Clara- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - Stanislaus- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - Stanislaus- Spanish
2021 - Annual Notice of Change - SCAN Plus (HMO) - Ventura- English
2021 - Annual Notice of Change - SCAN Plus (HMO) - Ventura- Spanish
2021 - Annual Notice of Change - SCAN Prime (HMO) - Los Angeles- English
2021 - Annual Notice of Change - SCAN Prime (HMO) - Los Angeles- Spanish
2021 - Annual Notice of Change - SCAN Prime (HMO) - Orange- English
2021 - Annual Notice of Change - SCAN Prime (HMO) - Orange- Spanish
2021 - Annual Notice of Change - SCAN Prime (HMO) - Riverside- English
2021 - Annual Notice of Change - SCAN Prime (HMO) - Riverside- Spanish
2021 - Annual Notice of Change - SCAN Prime (HMO) - San Bernardino- English
2021 - Annual Notice of Change - SCAN Prime (HMO) - San Bernardino- Spanish
2021 - Annual Notice of Change - Scripps Classic offered by SCAN Health Plan (HMO) - San Diego- English
2021 - Annual Notice of Change - Scripps Classic offered by SCAN Health Plan (HMO) - San Diego- Spanish
2021 - Annual Notice of Change - Scripps Heart First offered by SCAN Health Plan (HMO SNP) - San Diego- English
2021 - Annual Notice of Change - Scripps Heart First offered by SCAN Health Plan (HMO SNP) - San Diego- Spanish
2021 - Annual Notice of Change - Scripps Plus offered by SCAN Health Plan (HMO) - San Diego- English
2021 - Annual Notice of Change - Scripps Plus offered by SCAN Health Plan (HMO) - San Diego- Spanish
2021 - Annual Notice of Change - Scripps Signature offered by SCAN Health Plan (HMO) - San Diego- English
2021 - Annual Notice of Change - Scripps Signature offered by SCAN Health Plan (HMO) - San Diego- Spanish
2021 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Los Angeles- English
2021 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Los Angeles- Spanish
2021 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Riverside- English
2021 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - Riverside- Spanish
2021 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - San Bernardino- English
2021 - Annual Notice of Change - VillageHealth (HMO-POS SNP) - San Bernardino- Spanish

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Last Updated on 9/29/2021
Y0057_SCAN_12791_2022
10012021

*Star rating applies to all plans in California offered by SCAN Health Plan 2018-2022 except SCAN Healthy at Home (HMO SNP) and VillageHealth (HMO-POS SNP) plans. Every year, Medicare evaluates plans based on a 5-star rating system. Awards and recognition are subject to change each year.

SCAN Health Plan is an HMO plan with a Medicare contract. Enrollment in SCAN Health Plan depends on contract renewal. SCAN also contracts with the California Department of Health Care Services for Medicare/Medi-Cal eligible beneficiaries. Click here to read the full disclaimer.

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