
SCAN Balance (HMO C-SNP)
Plan information effective January 1, 2027.
Plan costs & ratings
Availability
Available in 2 California countiesLos Angeles County, CA, Orange County, CA
Available Cities
This plan is available in 147+ cities in California.
Benefits
In-Network: $0 copay per visit
In-Network: $0 copay per admission.
In-Network: $0 copay per day for days 1-20, $50 copay per day for days 21-100.
In-Network: $115 copay per visit
In-Network: $0 copay for Medicare-covered urgently-needed-care visits.
In-Network: $100 copay per trip
In-Network: $0 copay for Medicare-covered Dental Services
This plan includes: Eye Exams, Eyewear.
In-Network: $0 copay for Medicare-covered Hearing Services
In-Network: $0 copay; Maximum plan benefit coverage of $55.00 every month.
In-Network: $0 copay; Limit of 32 visits every year.
In-Network: $0 copay for Fitness Benefit.
Notes
Drug deductible details: $0 Deductible on Tier(s) 1, 2; $370 Deductible on Tier(s) 3, 4, 5
Plan Overview
Plan identifiers
Carrier contact
Network & documents
Chronic Care