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SCAN Strive (HMO C-SNP)

Health Insurance Company: SCAN Health Plan

Medicare Advantage Plan Details

Chronic Condition (C-SNP)

SCAN Health Plan
$26 /mo
monthly premium
SCAN Strive (HMO C-SNP)
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4.5
out of 5 stars

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$9350
Rx Drug Coverage
Yes
Rx Deductible
$590
Primary Doctor Office Visit
$0 copay
Specialist Office Visit
$0 copay

Additional Benefits

Dental Coverage
Yes
Vision Coverage
Yes
Mental Health Coverage
Yes
Transportation for non-emergency
Yes
Fitness Benefits
Yes
Worldwide emergency
Yes
Telehealth
Yes
Part B Give Back
No

We're Here to Help You Enroll

Or Call for Live Support from Licensed Insurance Agents

(888) 311-4264
TTY 711

Mon-Fri: 8am-9pm, Sat: 8am-8pm ETNo Obligation to Enroll

Doctor & Hospital Coverage

Primary Doctor Office Visit
$0 copay
Specialist Office Visit
$0 copay
Periodic Exam Coverage
$0 copay

Emergency Room

20% coinsurance per visit (always covered)

Ambulance Coverage

20% coinsurance

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: 20% coinsurance
Medicare-covered lab services: $0 copay
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): 20% coinsurance
Medicare-covered x-ray services: 20% coinsurance

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: 20% coinsurance per visit

Hospitalization Coverage

Inpatient hospital-acute:
Coming soon
Inpatient hospital psychiatric:
Coming soon

Rehabilitation Coverage

Occupational therapy services:
20% coinsurance
Physical therapy and speech and language therapy services:
20% coinsurance

Urgent Care Coverage

20% coinsurance per visit (always covered)

Skilled Nursing Facility (SNF)

Coming soon

Mental Health Coverage

Medicare-covered individual sessions: $0 copay
Medicare-covered group sessions: $0 copay

Dental, Vision, Hearing Benefits

Dental Services

Oral exams:
In-network: $0 copay
Out-of-network: $0 copay
Prophylaxis (cleaning):
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays:
In-network: $0 copay
Out-of-network: $0 copay

Vision Benefits

Eye exams:
Routine eye exams: $0 copay
Eyewear:
Contact Lenses: $0 copay
Eyeglasses: $0 copay

Hearing Benefits

Hearing exams:
Routine hearing exams: 20% coinsurance

Rx Drug Coverage - Preferred Retail Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 3: Preferred Brand

24% coinsurance (30-day supply)
24% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

45% coinsurance (30-day supply)
45% coinsurance (90-day supply)

Tier 5: Specialty Tier

25% coinsurance (30-day supply)

Rx Drug Coverage - Standard Retail Cost

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 3: Preferred Brand

25% coinsurance (30-day supply)
25% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

45% coinsurance (30-day supply)
45% coinsurance (90-day supply)

Tier 5: Specialty Tier

25% coinsurance (30-day supply)

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 3: Preferred Brand

25% coinsurance (30-day supply)
25% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

45% coinsurance (30-day supply)
45% coinsurance (90-day supply)

Tier 5: Specialty Tier

25% coinsurance (30-day supply)

Tier 1: Preferred Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 2: Generic

$0.00 copay (30-day supply)
$0.00 copay (90-day supply)

Tier 3: Preferred Brand

24% coinsurance (30-day supply)
24% coinsurance (90-day supply)

Tier 4: Non-Preferred Drug

45% coinsurance (30-day supply)
45% coinsurance (90-day supply)

Tier 5: Specialty Tier

25% coinsurance (30-day supply)

More Additional Benefits

Annual physical exams
Yes
Chiropractic Coverage
Yes
Acupuncture
Yes
Massage Therapy
No
Health Education
Yes
Counseling Services
No
Support for Caregivers of Enrollees
Yes
Personal Emergency Response System (PERS)
Yes
In-home support services
Yes
Home and bathroom safety devices
No
Meals for short duration
Yes

Plan Links

Ready to Enroll Online?

Or call and get free advice from licensed insurance agents

TTY 711
Mon-Fri: 8am-9pm, Sat: 8am-8pm ET
No Obligation to Enroll

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Where This Plan is Available

State:
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Additional Plan Info

Plan Year:
2025
Insurance Company Website:
SCAN Health Plan
General Disclaimer   
  • Estimated annual savings is determined by subtracting a plan's annual cost estimate of the medications entered from the medications' average retail prices. The annual cost estimate for a plan includes covered annual monthly premiums and any annual cost sharing expenses that you must pay out-of-pocket for the medications entered. This number can only be calculated if the consumer enters medication information.
  • The savings number is calculated from all of the saved sessions where another consumer entered medication information and their current plan. For each saved session, we calculate the cost of each plan based on the medication entered and geographical location. The savings number is derived by comparing the cost of the plan to the cheapest plan in that geographical location and taking the average.
  • The retail drug cost is an estimated amount based on the out-of-pocket expenses you may expect to pay in a calendar year for medications that are not covered by an insurance plan's formulary on estimated retail drug price (retail drug cost is based on national averages for a medication and assumes adherence).
  • If you need help, please call 1-888-296-0117 (TTY User: 711) Mon - Fri, 8am - 9pm ET for Customer Service Representatives and licensed insurance agents who can assist with finding information on available Medicare Advantage, Medicare Supplement Insurance and Prescription Drug Plans.
  • For a complete list of available plans please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • You must have both Part A and B to enroll in a Medicare Advantage plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information.
  • You must have Medicare Part A or Part B (or both) to join a Medicare Prescription Drug plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information.
  • For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778 or consult www.socialsecurity.gov; or your Medicaid Office.
  • Every year, Medicare evaluates plans based on a 5-star rating system.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days a week or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696 (or equivalent written notice).
  • Other Pharmacies, Physicians, and Providers are available in the network.
  • Pharmacies, Physicians, and Providers may also contract with other Plan Sponsors.
  • Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call the Plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
  • The purpose of this communication is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. For Medicare Supplement Insurance Only: Open enrollment lasts 6 months and begins the first day of the month in which you are 65 or older and enrolled in Medicare Part B. Some states have an open enrollment period for eligible individuals under the age of 65, and a second enrollment period when they turn 65. If you are under 65, check with your state insurance department for guidelines.
  • Under a contractual relationship between our insurance agency partners and each insurance company issuing a policy offered by our agency partners, our agency partners earn a commission paid by the insurance company for each policy the agency partner sells. The commission rate varies by policy and may increase as the agency partner sells more policies. In some cases, our agency partners may earn bonus commission amounts based on criteria such as the number of policies sold.
  • Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
  • Partner Disclosure: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.
Low-Income Subsidy   

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint