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Medicare Open Enrollment

Open Enrollment starts October 15

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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMOPOS 3

SCAN DaVita Dialysis Care Complete (HMO-POS C-SNP)

Plan information effective January 1, 2027.

SCAN Health Plan Plan ID H5943-003-000 Plan #3 MAPD

Plan costs & ratings

Monthly premium$0.00
Medical premium$0.00
Drug premium$0.00
Annual premium$0.00
Medical deductible$283
Drug deductible$175
Max OOP in network$9,850
Max OOP out of network$9,850
Initial coverage limit$2,400
Catastrophic limit$2,400

Availability

Available in Los Angeles County, CA

Los Angeles County, CA

Available Cities

This plan is available in 119+ cities in California.

Benefits

Primary care In Network

In-Network: $0 copay per visit

Emergency care In Network

In-Network: 20% coinsurance per visit

Urgently needed care In Network

In-Network: 20% coinsurance for Medicare-covered urgently-needed-care visits.

Ambulance In Network

In-Network: 20% coinsurance per trip

Dental In Network

In-Network: $0 copay

Vision In Network

This plan includes: Eye Exams, Eyewear.

Plan Overview

CarrierSCAN Health Plan
OrganizationSCAN HEALTH PLAN
Plan typeMAPD
PlanHMOPOS
SNP type3
Drug coverageIncluded
Enrollment hours8 am to 8 pm
Carrier websiteOpen website

Plan identifiers

Plan IDH5943-003-000
Plan number3
ContractH5943
Segment0
DRX ID1M4W21806T
Carrier ID15
Formulary ID27384
Formulary versionV11 Last Updated 09-01-2026

Carrier contact

Carrier phone8779161234
Enrollment phone8779161234
Enrollment TTY711
Carrier hours8 am to 8 pm

Network & documents

Preferred pharmacy networkYes
Preferred retail pharmacyYes
Preferred mail pharmacyYes
Mail drug benefitsYes
Provider searchNo

Chronic Care