MAPD
2027 plan HMO
Sutter Senior Advantage, a SCAN Medicare Plan (HMO)
Plan information effective January 1, 2027.
Plan costs & ratings
Monthly premium$49.00
Medical premium$49.00
Drug premium$0.00
Annual premium$588.00
Medical deductible$0
Drug deductible$0
Max OOP in network$4,900
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in 2 California countiesSan Mateo County, CA, Santa Clara County, CA
Available Cities
This plan is available in 31+ cities in California.
Atherton
San Mateo County
Belmont
San Mateo County
Daly City
San Mateo County
East Palo Alto
San Mateo County
Foster City
San Mateo County
Half Moon Bay
San Mateo County
Hillsborough
San Mateo County
Montara
San Mateo County
Pacifica
San Mateo County
Redwood City
San Mateo County
San Bruno
San Mateo County
San Carlos
San Mateo County
San Gregorio
San Mateo County
San Mateo
San Mateo County
South San Franci
San Mateo County
West Menlo Park
San Mateo County
Woodside
San Mateo County
Campbell
Santa Clara County
Gilroy
Santa Clara County
Los Altos
Santa Clara County
Los Gatos
Santa Clara County
Milpitas
Santa Clara County
Monte Vista
Santa Clara County
Morgan Hill
Santa Clara County
Mountain View
Santa Clara County
Palo Alto
Santa Clara County
San Jose
Santa Clara County
Santa Clara
Santa Clara County
Saratoga
Santa Clara County
Stanford
Santa Clara County
Sunnyvale
Santa Clara County
Benefits
Primary care
In Network
In-Network: $0 copay per visit
Inpatient hospital
In Network
In-Network: $295 copay per day for days 1-5, $0 copay per day for days 6-90.
Skilled nursing
In Network
In-Network: $10 copay per day for days 1-20, $210 copay per day for days 21-100.
Emergency care
In Network
In-Network: $130 copay per visit
Urgently needed care
In Network
In-Network: $0 copay for Medicare-covered urgently-needed-care visits.
Ambulance
In Network
In-Network: $250 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 IDH5425-148-000
Plan number148
ContractH5425
Segment0
DRX ID1M5Y4WSBVQ
Carrier ID15
Formulary ID27384
Formulary versionV11 Last Updated 09-01-2026
Carrier contact
Carrier phone8778704867
Enrollment phone8778704867
Enrollment TTY711
Carrier hours8 am to 8 pm
Network & documents
Preferred pharmacy networkYes
Preferred retail pharmacyYes
Preferred mail pharmacyYes
Mail drug benefitsYes
Provider searchYes