SCAN 余额 (HMO C-SNP)

如果您患有糖尿病，SCAN Balance 可能正是您想要的计划。SCAN Balance 的优势包括 0 美元的胰岛素和低成本的其他药物，可以帮助您控制病情。另外，你’您将享受原始医疗保险未包含的许多福利，例如：

• 即使存在保险缺口，胰岛素费用也为 0 美元 • 会员所服用的 90% 药物均可以 0 美元的价格购买 • 全年牙科保险 • 健身房 & 健身益处 • 视力保健 & 眼镜 • 非处方产品 • 等等！

准备报名

今天致电扫描：(877) 452-5898 TTY: (888) SCAN-TTY

网上报名

寻找你的医生

每月保费

Primary Care Office Visits

Maximum Out-Of-Pocket (MOOP)

$1,500

Benefits
Specialist Office Visits	$0
住院治疗	$100 per day (1-5) $0 per day (6-90+) unlimited days
门诊手术	$0 Non-Surg/$125 Surg
紧急护理服务	$0
紧急护理	$90 ($0 if immed)
Prescription Tier 1: Preferred Generic	Preferred:$0 Standard:$5
Prescription Tier 2: Generic	Preferred:$0 Standard:$10
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

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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.

_{* Not every benefit is available in every plan or county. Please see the Evidence of Coverage document for this plan in your area.}