SCAN Health Plan Medicare Advantage 2024 Review

SCAN Health Plan sells Medicare Advantage plans in five states, and the company offers plans that are tailored to specific populations, such as women and LGBTQ+ older adults. Although SCAN plans rank well in California, according to J.D. Power's latest study, overall ratings from the Centers for Medicare & Medicaid Services (CMS) are below the industry average.

Here’s what you should know about SCAN Health Plan Medicare Advantage.

SCAN Health Plan Medicare Advantage pros and cons

SCAN Health Plan’s offerings have advantages and disadvantages.

Pros

• Low-cost plans: Many of SCAN Health Plan’s Medicare Advantage plans have a $0 premium, and the average maximum out-of-pocket cost is much lower than other major providers. 

• Drug coverage: All SCAN Health Plan Medicare Advantage plans include prescription drug coverage.

• Tailored plans: SCAN offers the SCAN Affirm plan in partnership with LGBTQ+ Health, designed to address the unique needs of LGBTQ+ older adults. And in 2024, SCAN is introducing the SCAN Inspired HMO plan, which is geared toward women.

• Top marks in California: In California, SCAN Health Plan lands at the top of the list for Medicare Advantage providers in terms of customer service, according to J.D. Power’s latest Medicare Advantage study. 

Cons

• Limited availability: SCAN Health Plan offers Medicare Advantage plans in just five states: Arizona, California, Nevada, New Mexico and Texas. 

• Only HMOs: SCAN Health Plan offers only HMO and HMO-POS plans, which generally provide the least flexibility when seeking medical care.

• Specialized plans are limited: SCAN’s plans for women and LGBTQ+ older adults are available in only a few counties in California so far. 

• Mediocre customer ratings overall: On average, member experience ratings for all SCAN Medicare Advantage plans, including customer service and getting needed care, fall below the average for major providers. 

» MORE: Best Medicare Advantage plans

SCAN Health Plan Medicare star ratings

Average star rating, weighted by enrollment: 3.49

The Centers for Medicare & Medicaid Services maintains star ratings for Medicare Advantage plans on a 5-point scale, ranking plans from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.

Based on the most recent year of data and weighted by enrollment, SCAN Health Plan’s 2024 Medicare Advantage plans get an average rating of 3.49 stars^[0]

For comparison, the average star rating for plans from all providers is 4.04^[0]

You can find a plan’s rating with the Medicare plan finding tool.

What does SCAN Health Plan Medicare Advantage cost?

Costs for Medicare Advantage plans depend on your plan, your geographic location and your health needs.

Premiums

One of the costs to consider is the plan’s premium. In 2024, eight out of 10 SCAN Health Plan Medicare Advantage plans that aren’t special needs plans (SNPs) have a $0 premium^[0]

Even as a Medicare Advantage user, you’ll still be responsible for paying your Medicare Part B premium, which is $164.90 per month in 2023 ($174.70 in 2024)^[0]

Copays, coinsurance and deductibles

Requirements for copays, coinsurance and deductibles vary depending on your plan, location and the services you use. Other out-of-pocket costs to consider include:

• Whether the plan covers any part of your monthly Medicare Part B premium.

• The plan’s yearly deductibles and any other deductibles, such as a drug deductible.

• Copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.

• The plan’s in-network and out-of-network out-of-pocket maximums.

• Whether your medical providers are in-network or out-of-network, or how often you may go out of network for care.

• Whether you require extra benefits, and if the plan charges for them.

Here are examples of SCAN Health Plan Medicare Advantage costs for three plans in a mid-range city:

To get a sense of costs, use Medicare’s plan-finding tool to compare information among available plans in your area. You can select by insurance carrier to see only SCAN Health Plan plans or compare across carriers. You can also shop directly from SCAN Health Plan’s website by entering your ZIP code.

Available Medicare Advantage plans

There are a few kinds of SCAN Health Plan Medicare Advantage plans, and they vary in terms of structure, costs and benefits. SCAN Health Plan offers Medicare Advantage prescription drug plans (MAPDs).

Plan offerings include the following types:

Third-party ratings

There are a few companies that weigh in on health plans or on the strength of the company in question, and we’ve included one here:

J.D. Power Ranking

In its 2023 U.S. Medicare Advantage Study — the ninth it's done so far — J.D. Power measured member satisfaction with Medicare Advantage plans based on eight factors ranging from level of trust to how well a provider resolves problems or complaints^[0]

SCAN Health Plan Medicare Advantage service area

SCAN Health Plan offers Medicare Advantage plans in five states: Arizona, California, Nevada, New Mexico and Texas. SCAN Health Plan covers more than 280,000 Medicare Advantage beneficiaries.

About SCAN Health Plan

Scan Health Plan is part of the SCAN Group, which began as the Senior Care Action Network — a not-for-profit that was founded in 1977 with the mission of keeping seniors healthy and independent. SCAN Health Plan offers Medicare Advantage plans. The SCAN Group has entered into an agreement to merge with CareOregon and become HealthRight Group.

SCAN Health Plan customer service

Here’s how SCAN Health Plan members can contact customer service:

• Call a SCAN member services advocate at 800-559-3500 (TTY: 711). From Oct. 1 to March 31, services are open seven days a week from 8 a.m. to 8 p.m. From April 1 to Sept. 30, services are open Monday to Friday, 8 a.m. to 8 p.m.