SCAN Balance (HMO C-SNP)
If you have diabetes, cardiovascular disorders and/or chronic heart failure, SCAN Balance may be just the plan you're looking for. With benefits including $0 insulin and low costs for other drugs, SCAN Balance can help you to manage your condition. Plus, you’ll enjoy many benefits not included with Original Medicare, such as:
• $0 insulin and continuous glucose monitors
• $0 for 90% of drugs members take
• Dental coverage
• Instacart grocery benefit
• Fitness benefit
• Vision care & eyewear
• Over-the-counter benefit with CVS
• And more!
Monthly Premium
$0
Primary Care Office Visits
$0
Maximum Out-Of-Pocket (MOOP)
$999
| Specialist Office Visits | $0 |
| Inpatient Hospital Care | $0 per day (1-3) $50 per day (4-7) unlimited days |
| Outpatient Surgery | $0 Non-Surg/$85 Surg |
| Urgent Care Services | $0 |
| Emergency Care | $90 ($0 if immed) |
| Prescription Tier 1: Preferred Generic | Preferred:$0 Standard:$5 |
| Prescription Tier 2: Generic | Preferred:$0 Standard:$15 |
| Prescription Tier 3: Preferred Brand | Preferred:$42 Standard:$47 |
| Prescription Tier 4: Non-Preferred Drug | Preferred:50% Standard:50% |
| Prescription Tier 5: Specialty Tier | Preferred:33% Standard:33% |
| Prescription Tier 6: Select Care Drugs | Preferred:NC Standard:NC |
Shop with CVS and Instacart!
Your SCAN benefits include OTC with CVS Pharmacy—shop in-store, online or by phone. And spend your quarterly allowance with Instacart on groceries to support a healthy diet.
Just a few of the extras you can get with SCAN Balance plans
There are Plenty of Ways to Enroll.
When you're ready to sign up you can call us or enroll directly online. During the Annual Enrollment Period, you can enroll October 15 - December 7.
Explore Enrollment Options
Hours are 8 a.m. to 8 p.m., seven days a week from October 1 to March 31.
From April 1 to September 30, hours are 8 a.m. to 8 p.m. Monday through Friday. Messages received on holidays and outside of our business hours will be returned within one business day.
