If you live in Los Angeles, your Medicare plan costs could look very different in 2026. Premiums might stay at $0, but the real shifts are in MOOP limits, givebacks, and copays that can make or break your budget. The 2026 SCAN Medicare plans in Los Angeles are rolling out with stable premiums, up to $185/month back on your Part B premium, $0 generics, expanded dental coverage, and stronger perks.
Skyline Benefit is an independent Medicare insurance broker based in California. We help seniors in Los Angeles compare SCAN’s 2026 plans, confirm their doctors and prescriptions, and enroll with confidence — at no extra cost.
How Much Do 2026 SCAN Medicare Plans in Los Angeles Cost?
SCAN keeps most HMO plans at $0 monthly premiums in 2026, but $0 premium does not mean $0 cost.
- Classic Prime HMO (Los Angeles): $0 monthly premium, with MOOP (Maximum Out-of-Pocket) set at $2,400–$2,499 in-network.
- Venture Plans: Some plans charge a small premium ($20–$75) but offer Part B givebacks up to $185/month, putting money directly back into your Social Security check.
- Specialty & Chronic Condition Plans (SNPs): $0 premium with targeted benefits for dual-eligible and chronic condition members.
Bottom line: your monthly bill is only part of the picture — doctor visits, hospital copays, and drug costs define your real expenses.
What Is the MOOP for SCAN Plans in Los Angeles?
The MOOP is the single most important number for cost protection. Once you reach it, all covered services are $0 for the rest of the year.
- Classic Prime (LA): MOOP between $2,400–$2,499.
- Essential Savings Plan: $2,400 MOOP plus worldwide emergency coverage.
- Venture Plans: Higher MOOP ceilings, but offset by the Part B giveback rebates.
For seniors managing chronic conditions or frequent doctor visits, hitting the MOOP can save thousands in 2026.
What Benefits Stand Out in Los Angeles SCAN Plans?
SCAN continues to load rich extras for 2026:
- $0 Tier 1 & Tier 2 generics at preferred pharmacies.
- $2,100 drug out-of-pocket cap (federal IRA rule — after this, covered prescriptions are free).
- Expanded dental: Certain plans cover dentures and implants, with higher annual maximums.
- FlexEssentials card: Use for groceries, OTC items, utilities, and transportation.
- Vision and hearing: Includes eyewear allowances and hearing aids.
These extras make SCAN highly competitive for Los Angeles seniors in 2026.
Which SCAN Plans Are the Best Picks for Los Angeles?
- Classic Prime – Great all-around choice with $0 premium, balanced benefits, and a low MOOP.
- Venture (LA/OC) – Adds Part B giveback (up to $185/month) for those wanting extra savings on their Social Security checks.
- Special Needs Plans (SNPs) – Perfect for dual-eligible or chronic condition members, with $0 cost-sharing, transportation, and meal benefits.
Why Los Angeles Seniors Should Compare SCAN in 2026
Los Angeles is one of the most competitive Medicare Advantage markets, with SCAN, Kaiser, UnitedHealthcare, and Blue Shield fighting for members. SCAN’s $0 premiums, strong extras, and Part B givebacks make it a top contender — but the right plan depends on your doctors, prescriptions, and budget.
When Can You Enroll in a SCAN Plan for 2026?
The Medicare Open Enrollment Period runs from October 15 – December 7, 2025. This is the time to:
- Switch from Original Medicare to SCAN.
- Move between SCAN and another Advantage carrier.
- Adjust drug coverage if your prescriptions changed.
Coverage starts January 1, 2026.
Need Help With 2026 SCAN Medicare Plans in Los Angeles?
Skyline Benefit is an independent Medicare broker specializing in Los Angeles. We compare SCAN with other top carriers, confirm your doctors and prescriptions, and enroll you in the right plan — at no extra cost.
Call us at: (714) 888-5112