MAPD
2027 plan HMO
SCAN Costco Medicare Advantage (HMO)
Plan information effective January 1, 2027.
Plan costs & ratings
Monthly premium$0.00
Medical premium$0.00
Drug premium$0.00
Annual premium$0.00
Medical deductible$0
Drug deductible$370
Max OOP in network$399
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in Riverside County, CARiverside County, CA
Available Cities
This plan is available in 35+ cities in California.
Banning
Riverside County
Beaumont
Riverside County
Cabazon
Riverside County
Calimesa
Riverside County
Canyon Lake
Riverside County
Cathedral City
Riverside County
Coachella
Riverside County
Corona
Riverside County
Desert Hot Sprin
Riverside County
Eagle Mountain
Riverside County
Hemet
Riverside County
Homeland
Riverside County
Idyllwild
Riverside County
Indian Wells
Riverside County
Indio
Riverside County
La Quinta
Riverside County
Lake Elsinore
Riverside County
March Air Force
Riverside County
Mead Valley
Riverside County
Menifee
Riverside County
Mira Loma
Riverside County
Moreno Valley
Riverside County
Mountain Center
Riverside County
Murrieta
Riverside County
North Palm Sprin
Riverside County
Palm Desert
Riverside County
Palm Springs
Riverside County
Perris
Riverside County
Rancho Mirage
Riverside County
Riverside
Riverside County
Rubidoux
Riverside County
San Jacinto
Riverside County
Sun City
Riverside County
Temecula
Riverside County
Wildomar
Riverside County
Benefits
Primary care
In Network
In-Network: $0 copay per visit
Inpatient hospital
In Network
In-Network: $0 copay per admission.
Skilled nursing
In Network
In-Network: $0 copay per day for days 1-20, $221 copay per day for days 21-100.
Emergency care
In Network
In-Network: $115 copay per visit
Urgently needed care
In Network
In-Network: $0 copay for Medicare-covered urgently-needed-care visits.
Ambulance
In Network
In-Network: $200 copay per trip
Plan Overview
CarrierSCAN Health Plan
OrganizationSCAN HEALTH PLAN
Plan typeMAPD
PlanHMO
Drug coverageIncluded
Enrollment hours8 am to 8 pm
Provider searchOpen provider directory
Carrier websiteOpen website
Plan identifiers
Plan IDH5425-143-000
Plan number143
ContractH5425
Segment0
DRX IDKTWL27V838
Carrier ID15
Formulary ID27384
Formulary versionV11 Last Updated 09-01-2026
Carrier contact
Carrier phone8336089576
Enrollment phone8336089576
Enrollment TTY711
Carrier hours8 am to 8 pm
Network & documents
Preferred pharmacy networkYes
Preferred retail pharmacyYes
Preferred mail pharmacyYes
Mail drug benefitsYes
Provider searchYes