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SCAN Health Plan Medicare Advantage Reviews

SCAN Health Plan offers Medicare Advantage plans in five states: California, Arizona, Nevada, Texas, and Florida. While the plans provide a range of popular benefits, outside of California they tend to receive lower-than-average star ratings.
By . Last update: June 11, 2024

Many of the plans featured here are available through our partners who may compensate us for enrollments. This influences which Medicare plans we write about, but it does not influence our evaluations. Our opinions are our own. Member opinions and comments are their own and do not express the views of MedicareWire. How we make money.

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SCAN Health Plan Medicare Advantage Reviews
The SCAN Health Plan logo is a registered trademark of SCAN Group.

SCAN Health Plan offers Medicare Advantage (Part C) plans in five states, focusing on providing comprehensive healthcare coverage for individuals on Medicare at highly competitive prices. Their plans include a range of benefits such as medical, hospital, and prescription drug coverage, as well as additional services like vision, dental, and fitness programs. Despite these offerings, their plans receive lower-than-average ratings, indicating room for improvement in some of their markets.[1]

In this editorial review, we’ll explore SCAN Health Plan’s Medicare Advantage offering in detail, examining their coverage, costs, and member experiences. We’ll also look at customer feedback and ratings to provide a comprehensive overview of what SCAN Health Plan offers and how it compares to other Medicare Advantage options.

Table of Contents

Member Reviews for SCAN Health Plan

The following SCAN Health Plan reviews have been left by our members.

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PROS

  • Zero-Dollar Premiums: Many of SCAN's Medicare Advantage plans have a $0 premium, making them affordable for a wide range of beneficiaries.
  • Lower Out-of-Pocket Costs: Average maximum out-of-pocket costs for SCAN plans are lower than those of many other providers, offering potential savings.
  • Customer Satisfaction: SCAN Health Plan receives top marks for customer satisfaction in California, reflecting positive member experiences.
  • Targeted Plans: SCAN offers plans specifically designed for women and LGBTQ+ older adults, addressing the unique healthcare needs of these groups.
  • Comprehensive Coverage: Includes medical, hospital, and prescription drug coverage, along with additional benefits such as dental, vision, and hearing services.
  • Additional Benefits: Many plans offer perks like fitness programs, transportation assistance, and over-the-counter allowances.
  • Care Coordination: Strong focus on care coordination and chronic condition management, helping members maintain their health and avoid hospitalizations.

CONS

  • Lower CMS Star Ratings: SCAN Health Plan's Medicare Advantage plans have lower-than-average star ratings from the Centers for Medicare & Medicaid Services (CMS), suggesting room for improvement in certain areas.
  • Limited Availability: Plans are only available in five states: California, Arizona, Nevada, Texas, and Florida, limiting access for beneficiaries in other regions.
  • Mixed Customer Reviews: Customer reviews are mixed, with some members reporting dissatisfaction with certain aspects of the service, as seen on the Better Business Bureau and ConsumerAffairs websites.
  • Network Restrictions: Some plans may require members to use in-network providers, which can limit choice and flexibility.
  • Annual Changes: As with all Medicare Advantage plans, SCAN’s offerings, including premiums, benefits, and provider networks, can change annually, potentially affecting members' coverage and costs.
  • Plan Limitations: Some benefits, such as dental and vision coverage, may have annual limits or restrictions, which may result in additional out-of-pocket expenses.
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How Do SCAN Health Plan Medicare Advantage Plans Work?

SCAN Health Plan Medicare Advantage plan members receive all of their Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) benefits through their plan. This includes preventive care, screenings, vaccinations, doctor and specialist visits, and inpatient care.

All SCAN Health Plan Medicare Advantage plans include coverage for:

  • Inpatient hospital admissions.
  • Doctor and specialist care.
  • Preventive care, screenings, and vaccinations.
  • Diagnostic services, lab work, X-rays and other imaging.
  • Outpatient services.
  • Ambulance transportation for emergencies.
  • Durable medical supplies and equipment.

Medicare rules mandate that all Medicare Part C plans offer coverage and benefits that match or exceed those of Original Medicare. However, SCAN Health Plan sets its own out-of-pocket costs.

Some SCAN Health Plan plans offer additional benefits like routine dental, vision, hearing, and wellness programs, which are not usually covered by Original Medicare.

When you join a SCAN Health Plan Medicare Advantage plan, you can manage all your healthcare needs under one plan. This often comes with lower out-of-pocket costs and extra benefits suited to your health and lifestyle.

However, it's important to note that lower costs aren't guaranteed. Costs depend on the specific plan and how much you use healthcare services. Also, the SCAN Health Plan plan you choose may have access restrictions, such as needing referrals and prior authorization. Original Medicare does not have these restrictions.

Extra Benefits from SCAN Health Plan

Most SCAN Medicare Advantage plans come with a variety of additional benefits designed to enhance the health and well-being of their members. Common extra benefits provided by SCAN include:

  • Dental, Vision, and Hearing Benefits: Many plans offer allowances or coverage for routine dental, vision, and hearing services, which are not typically covered by Original Medicare.
  • Transportation Services: SCAN plans often include transportation benefits for medical appointments, ensuring members can access necessary care without worrying about transportation costs.
  • Over-the-Counter (OTC) Allowances: Members receive a quarterly allowance to purchase over-the-counter health products such as vitamins, pain relievers, and other non-prescription items.
  • Meal Delivery Services: After a hospital discharge, SCAN plans may offer meal delivery services to help ensure members receive nutritious meals while they recover at home.
  • Fitness Programs: Access to fitness programs like SilverSneakers, which provides free gym memberships and fitness classes tailored to older adults, is commonly included.
  • Telehealth Services: SCAN plans frequently include telehealth options, allowing members to consult with healthcare providers remotely, which can be especially convenient for those with mobility issues or who live in remote areas.
  • Caregiver Support: Benefits often extend to support services for caregivers, providing resources and assistance to those caring for SCAN members.

These additional benefits aim to support the overall health and quality of life for SCAN Health Plan members, making their Medicare Advantage plans a robust choice for many seniors.

What Types of Plans Does SCAN Health Plan Offer?

Not all SCAN Health Plan plans are the same. And, SCAN Health Plan may not offer all plan types where you live, so it pays to explore using our Medicare Advantage Plan Finder tool. Here are the plan types SCAN Health Plan offers:[6]

Health maintenance organization (HMO) plans require that you use a specific network of doctors and hospitals. Also, with a SCAN Health Plan HMO plan you may need a referral from your primary care doctor in order to see a specialist. Out-of-network benefits are usually very limited. However, in an emergency you are not limited to care from your local hospital of emergency room.

NOTE: SCAN Health Plan may also offer Medicare Advantage Special Needs Plans (SNPs). Due to the highly specialized nature of D-SNP (dual eligible), C-SNP (chronic condition), and I-SNP (institutional) insurance plans, we review them separately.

How Much Do SCAN Health Plan Plans Cost?

Your costs in a SCAN Health Plan plan will depend on the specific plan selected, your location, your usage of plan services, and the plan’s out-of-pocket costs. Detailed information about out-of-pocket costs for all SCAN Health Plan Medicare Advantage Plans is available in our plan finder.

Generally, SCAN Health Plan will charge you a monthly premium, which can vary based on the level of coverage and additional benefits included. You must also continue to pay your Part B premium. If you're a high-income earner, Medicare may add a Income Related Monthly Adjustment Amount (IRMAA) to your premium.[5]

SCAN Health Plan’s monthly premiums are highly dependent on where you live. For instance, the average cost of a Medicare Advantage plan from SCAN Health Plan in is $ per month, but in the average cost is $ per month. These averages do not include Special Needs Plans.

SCAN Health Plan's Premiums vs. Competitors

The following list shows SCAN Health Plan's nationwide average monthly premium (excluding Special Needs Plans) vs. several competitors.

SCAN Health Plan
$10.11
AARP/UHC
$13.97
Aetna
$42.17
Kaiser
$26.20
UnitedHealthcare
$22.97

There also may be copayments or coinsurance for healthcare services, such as doctor visits or hospital stays. The costs in each SCAN Health Plan plan we evaluated varied based on the level of coverage and the type of services received.

Some plans may offer $0 premiums or low copayments for certain services, while others may have higher premiums but lower out-of-pocket costs. It's important to carefully review the costs and coverage details of each plan option to find the one that best fits your budget and healthcare needs.[7]

We analyzed the following popular SCAN Health Plan plans to give you an idea of what members pay to use healthcare services. This is just a sample, use our Medicare Advantage Plan Finder to see plans and costs where you live.

Important costs for plan ID H5425-082-0 reviewed in San Diego County, CA.
  • Monthly premium: $0
  • Out-of-pocket max: $750
  • Primary Care: $$0
  • Specialist: $$0
  • Tier 1 Prescriptions: $7.00 copay, $0 deductible
  • Urgent Care: $$0
  • Emergency Room: $$0
  • Ground Ambulance: $$0
  • Inpatient Care:
  • Extra Benefits: None
Important costs for plan ID H5425-096-0 reviewed in San Diego County, CA.
  • Monthly premium: $0
  • Out-of-pocket max: $750
  • Primary Care: $$0
  • Specialist: $$0
  • Tier 1 Prescriptions: $7.00 copay, $0 deductible
  • Urgent Care: $$0
  • Emergency Room: $$0
  • Ground Ambulance: $$0
  • Inpatient Care:
  • Extra Benefits: None
Important costs for plan ID H5425-109-0 reviewed in San Diego County, CA.
  • Monthly premium: $0
  • Out-of-pocket max: $750
  • Primary Care: $$0
  • Specialist: $$0
  • Tier 1 Prescriptions: $0.00 copay, $0 deductible
  • Urgent Care: $$0
  • Emergency Room: $$0
  • Ground Ambulance: $$0
  • Inpatient Care:
  • Extra Benefits: None

Is SCAN Health Plan a Good Medicare Advantage Plan?

SCAN Health Plan is a notable provider of Medicare Advantage plans in five states: California, Arizona, Nevada, Texas, and Florida. The quality of SCAN's plans can vary depending on individual health needs, budget, preferences, and location.

To gauge the quality of SCAN Health Plan’s Medicare Advantage offerings, we looked at data from several consumer intelligence companies and review websites.

NCQA Health Plan Score

The National Committee for Quality Assurance (NCQA) rates health plans annually based on quality of care, patient satisfaction, and health plans’ efforts to keep improving. In its most recent ratings, SCAN Health Plan received scores ranging from 2.5 to 3.5 stars, indicating there's room for improvement compared to top-rated plans.[4]

ConsumerAffairs Reviews

ConsumerAffairs is a platform where customers can share their experiences with various companies. Unlike the majority of their larger competitors, SCAN Health Plan is not listed on ConsumerAffairs. 

Better Business Bureau (BBB)

The Better Business Bureau provides ratings based on business practices and customer complaints. We could not find a BBB page actively managed by SCAN Health Plan. In contrast, most of the top health insurance companies use BBB to manage complaints and maintain an active relationship with their members.

TrustPilot

SCAN Health Plan is listed on TrustPilot with 3.2 out of 5 stars, but has not been claimed by the company.

YELP!

SCAN Health Plan is listed on YELP! Reviews are mixed, with many 1-star reviews and some 5- and 4-star reviews. Most of the complaints are directed at poor customer service. 

J.D. Power Ranking

In its 2023 U.S. Medicare Advantage Study, J.D. Power evaluated member satisfaction with Medicare Advantage plans based on several factors, including level of trust, customer service, and how well the provider resolves complaints. SCAN Health Plan performed well in the study, particularly in California, where it received high marks for customer satisfaction. However, specific rankings for SCAN in other states were not detailed in the study.[2]

Our Conclusion

We feel SCAN Health Plan needs to do more to engage with their members, particularly when it comes to addressing complaints. While their plans in California are rated 3.5 stars by CMS, in neighboring Arizona they only get 2.5 stars.  

SCAN Health Plan's Medicare Star Ratings

SCAN Health Plan's average 5-star rating: 3.50*
*Our calculation is weighted by enrollments in public plans, excluding Special Needs Plans, with CMS star ratings across 2 contracts covering 254,467 members.

If you want the government’s take on the quality of SCAN Health Plan’s Medicare Advantage plans, check out the Centers for Medicare and Medicaid Services' star ratings, which rank each plan from 1 (worst) to 5 (best) stars. The health agency assigns ratings based on quality of care and customer satisfaction measurements, and updates ratings every year.[9]

Every Medicare Advantage plan is reviewed based on CMS health plan standards. Those that provide prescription drug coverage are also rated on drug plan criteria. Using the most recent data and accounting for enrollment figures, SCAN Health Plan’s 2024 Medicare Advantage plans achieve an average of 3.50 stars.[9] [11]

As of January 1, 2024, 0% of members with SCAN Health Plan are in contracts that have earned a Medicare star rating of 4 stars or more.

Discover the ratings for plans available in your area using our Medicare Advantage Plan Finder tool.

Plan Availability

SCAN Health Plan's Medicare Advantage plans are accessible in 5 states, covering:

AZ, CA, NM, NV, and TX.

SCAN Health Plan extends its coverage to 0 of the 3,140 counties across the U.S.[8]

SCAN Health Plan's Top Plans

Here's a list of SCAN Health Plan's most popular plans (by enrollments):[9][10]

Medicare Advantage Search and compare Medicare Advantage plans available in your area.

Find Plans in your area with your ZIP Code

Frequently Asked Questions

The following are the most frequently asked questions we found about SCAN Health Plan's Medicare Advantage plans:

MA Plan Pros

  1. The maximum out-of-pocket cost is $7,550 a year
  2. Many plans cost $0 extra a month
  3. Most plans include drug coverage
  4. Many include basic hearing, dental, and vision benefits
  5. May include gym discounts (Silver Sneakers)

MA Plan Cons
  1. Can only switch during Open Enrollment
  2. Not easy to compare because plans are not standardized
  3. No nationwide coverage (plans don't travel with you)
  4. Most are HMO plans that require referrals to see a specialist
  5. Plans can change health and drug coverage each year

Learn more in this article.

Some Medicare Advantage plans offer a zero-dollar monthly premium because what Medicare pays the plan, plus your Medicare Part B premium, cover the full cost. For healthy people who want to keep their monthly costs low, these plans are an attractive option. But, just be aware that the premium is not the only cost. Plans also have copays or coinsurance you must pay when you use services. To learn more about free Medicare Advantage plans, read Why are Some Medicare Advantage Plans Free?

There is no debate when it comes to which plan offers better coverage. Original Medicare and a supplement plan offer the best coverage, but it costs more up-front. For a complete breakdown of the differences between Medicare Advantage plans and Medigap plans, read: Medicare Advantage vs Medigap: Which is Best for You?

Researching your health plan options is important. Here are some key questions to consider before choosing a Medicare Advantage plan as well as additional companies to read about:

Key Questions

All plans potentially have monthly premiums, deductibles, copayments, and/or coinsurance, including plans from SCAN Health Plan. Are these costs within your budget?

  • Does the plan cover your prescriptions? Knowing how a plan covers them is important if you have regular prescriptions because costs and coverage vary widely from plan to plan.
  • Are your doctors in the plan’s network? If you have preferred providers, ensure they participate in the plan’s network.
  • Is routine dental, vision, and hearing covered? Traditional Medicare doesn’t cover these services. If you need it, be sure to explore plans that cover it.
  • What extras does the plan include? Plans may include many beneficial extras, like gym memberships (SilverSneakers), medical transportation, meal delivery, telehealth, and more.

Top Companies

If you have additional questions, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).

About SCAN Health Plan

Headquartered in Long Beach, California, SCAN Health Plan is a not-for-profit Medicare Advantage organization that has been serving Medicare beneficiaries for over 40 years. SCAN offers a variety of Medicare Advantage Plans (Medicare Part C) that include comprehensive health coverage options such as prescription drug plans (Part D), dental and vision plans, and specialized plans targeting specific needs of women and LGBTQ+ older adults.

SCAN Health Plan recently announced enhancements for their 2024 Medicare Advantage plans. These improvements include expanded coverage options and benefits designed to meet the diverse needs of their members. Additionally, SCAN continues to emphasize their commitment to providing high-quality care tailored to senior health needs, including targeted plans for women and LGBTQ+ older adults​​​​.

You can enroll in a SCAN Medicare Advantage plan during your Initial Enrollment Period (IEP) at age 65, during the annual Open Enrollment Period (Oct 15 - Dec 7), or during a Special Enrollment Period (SEP), which is granted by Medicare based on special circumstances like moving or losing employer coverage.

Citations

MedicareWire uses trustworthy sources to inform its work, including government websites, government data, actuarial service data, consumer intelligence websites, and peer-reviewed studies. All content is fact-checked for accuracy, timeliness, and relevance. We used the following information sources in this review: