SCAN MyChoice (HMO)

SCAN MyChoice makes healthcare simpler, with self-service options and easy-to-understand benefits that take the guess work out of getting the care you need. With comprehensive medical and drug coverage and many $0 copays, SCAN MyChoice also includes such extras as:

• $0 for 90% of drugs members take
• Simpler pharmacy network—same copays at any in-network pharmacy
• Dental coverage
• One Pass fitness benefit
• Vision care & eyewear
• Unlimited $0 virtual mental health visits
• HEALTHtech 24/7 technology support line
• And more!

Ready to Enroll

Call SCAN Today: (877) 452-5898 TTY: (888) SCAN-TTY

Monthly Premium

$0

Primary Care Office Visits

$0

Maximum Out-Of-Pocket (MOOP)

$2,800

Benefits
Specialist Office Visits $20
Inpatient Hospital Care $150 per day (1-5) $0 per day (6-90+) unlimited days
Outpatient Surgery $20 Non-Surg/$175 Surg
Urgent Care Services $10
Emergency Care $90 ($0 if immed)
Prescription Tier 1: Preferred Generic Preferred:$0
Standard:$0
Prescription Tier 2: Generic Preferred:$0
Standard:$0
Prescription Tier 3: Preferred Brand Preferred:$42
Standard:$43
Prescription Tier 4: Non-Preferred Drug Preferred:50%
Standard:50%
Prescription Tier 5: Specialty Tier Preferred:33%
Standard:33%

Shop at CVS for OTC!

Use your SCAN debit card to shop at more than 7,000 CVS Pharmacy locations—and take advantage of in-store sales and specials! Prefer to shop from home? Order online or by phone from a SCAN CVS catalog.

Just a few of the extras you can get with the SCAN MyChoice plan

Icon of a human molar.
Dental
Icon of the human eye.
Vision
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Flexible Spending
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Over the Counter
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HealthClub (One Pass)
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Hearing
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Acupuncture & Chiropractic
Icon of a laptop computer.
Telehealth
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Nurse Advice Line
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Home-Delivered Meals
Icon of a home with a chimney.
Returning to Home
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Respite Care
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HEALTHtech/+
* Not every benefit is available in every plan or county. Please see the Evidence of Coverage document for this plan in your area.

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.

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We're happy to help today.

Speak to a SCAN Representative: (877) 452-5898 TTY: (888) SCAN-TTY

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.
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