SCAN Health Plan is a top-rated Medicare Advantage provider known for its low-cost plans, strong coverage, and specialized benefits. As Medicare beneficiaries explore their options for 2025, SCAN remains a competitive choice, particularly for those looking for HMO-based plans with comprehensive benefits.
For 2025, SCAN has maintained above-average star ratings from the Centers for Medicare & Medicaid Services (CMS). It has introduced new plan options designed to meet the needs of diverse Medicare enrollees. But before you choose a plan, it’s essential to understand the costs and benefits of SCAN Health Plan. At Skyline Benefit, our expert brokers can guide you through selecting the best SCAN Health Plan in California and ensure you get the most out of your health coverage.
How Much Do SCAN Health Plan Medicare Advantage Plans Cost in 2025?
One of the most attractive features of SCAN Health Plan is its affordability. Many SCAN Medicare Advantage plans come with a $0 monthly premium, making them accessible to a broad range of seniors.
Here’s what you need to know about SCAN’s pricing structure in 2025:
- Monthly Premiums: Nine out of ten SCAN Medicare Advantage plans have $0 premiums. However, you are still required to pay the Medicare Part B premium, which is set at $185 per month in 2025.
- Deductibles: SCAN does not charge a medical deductible, meaning you don’t have to meet a minimum spending amount before your plan starts covering services.
- Out-of-Pocket Maximum: Most SCAN plans cap your out-of-pocket costs at around $1,500 per year, significantly lower than the industry average. Once you reach this limit, SCAN will cover 100% of the medical expenses for the rest of the year.
- Copays and Coinsurance: While SCAN offers low or no copays for many preventive services, some medical procedures, specialist visits, and hospital stays may require cost-sharing.
What Benefits Are Included in SCAN Health Plan Medicare Advantage?
Some of the key benefits included in SCAN Health Plan Medicare Advantage 2025 are:
Prescription Drug Coverage: All SCAN Health Plan Medicare Advantage plans include Medicare Part D prescription drug coverage. This ensures that beneficiaries can access affordable medications without purchasing a separate Part D plan.
Preventive and Primary Care Services: SCAN emphasizes preventive healthcare, offering $0 copays for services such as:
- Annual wellness visits
- Vaccinations (flu shots, pneumonia shots, etc.)
- Cancer screenings
- Routine lab tests
Specialized Plans for Diverse Communities: SCAN is one of the few Medicare Advantage providers that offer plans designed specifically for diverse communities. In 2025, SCAN is introducing the SCAN Allied HMO, a plan tailored for Asian American older adults. Other specialized plans include:
- SCAN Affirm HMO – Designed for LGBTQ+ older adults
- SCAN Inspire HMO – Focused on women’s healthcare needs
Dental, Vision, and Hearing Coverage: Unlike Original Medicare, which does not cover routine dental, vision, or hearing services, SCAN Health Plan provides comprehensive coverage for:
- Dental: Cleanings, exams, fillings, and some major procedures
- Vision: Routine eye exams, glasses, and contacts
- Hearing: Screenings and discounts on hearing aids
Fitness and Wellness Programs: SCAN Health Plan also offers SilverSneakers®, a popular fitness program that provides:
- Free gym memberships
- Online fitness classes
- Community wellness activities
Where Is SCAN Health Plan Available in 2025?
SCAN Health Plan has expanded its reach over the years, and in 2025, it offers Medicare Advantage plans in five states:
- California
- Arizona
- Nevada
- New Mexico
- Texas
If you live in one of these states, you may be eligible to enroll in a SCAN Health Plan Medicare Advantage plan. However, plan availability may vary by county, so it’s important to check which SCAN plans are offered in your area.
Are There Any Drawbacks to the SCAN Health Plan?
While SCAN Health Plan offers strong coverage and low costs, there are some limitations to consider:
- Limited Provider Flexibility: SCAN only offers HMO and HMO-POS plans, meaning you must use in-network doctors and hospitals. If you prefer a PPO plan that allows you to see any provider, SCAN may not be the best option for you.
- Regional Availability: SCAN is not available nationwide. If you move out of a SCAN service area, you will need to switch plans.
- Specialist Referrals: As an HMO-based plan, SCAN requires referrals for most specialist visits, which may add an extra step in your care process.
Looking for the Best SCAN Health Plan Medicare Advantage Plans in 2025?
Skyline Benefit is a SCAN Health Plan Medicare Broker in California with experience and expertise in Medicare options.
Your relationship with Skyline Benefit does not end at enrollment or sale. Instead, we will be an advocate for you in many years to come, helping you address concerns about your Medicare plan.
We can help you review your healthcare coverage in California so that, as time goes by, you will continue to have the best Medicare option.
Schedule a consultation today. Call us at: (714) 888-5112