MAPD
2027 plan HMO 3
SCAN Balance (HMO C-SNP)
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$1,499
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in Ventura County, CAVentura County, CA
Available Cities
This plan is available in 13+ cities in California.
Bardsdale
Ventura County
Camarillo
Ventura County
Moorpark
Ventura County
Newbury Park
Ventura County
Oak View
Ventura County
Ojai
Ventura County
Oxnard
Ventura County
Port Hueneme
Ventura County
San Buenaventura
Ventura County
Santa Paula
Ventura County
Simi Valley
Ventura County
Thousand Oaks
Ventura County
Westlake Village
Ventura County
Benefits
Primary care
In Network
In-Network: $0 copay per visit
Inpatient hospital
In Network
In-Network: $100 copay per day for days 1-5, $0 copay per day for days 6-90.
Skilled nursing
In Network
In-Network: $0 copay per day for days 1-20, $50 copay per day for days 21-100.
Emergency care
In Network
In-Network: $120 copay per visit
Urgently needed care
In Network
In-Network: $0 copay for Medicare-covered urgently-needed-care visits.
Ambulance
In Network
In-Network: $225 copay per trip
Plan Overview
CarrierSCAN Health Plan
OrganizationSCAN HEALTH PLAN
Plan typeMAPD
PlanHMO
SNP type3
Drug coverageIncluded
Enrollment hours8 am to 8 pm
Provider searchOpen provider directory
Carrier websiteOpen website
Plan identifiers
Plan IDH5425-151-000
Plan number151
ContractH5425
Segment0
DRX ID0JL9P1QVYC
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
Chronic Care