SCAN Classic (HMO)

SCAN Classic (HMO) is a HMO plan offered by SCAN Group available for enrollment in 2025 to people living in Maricopa, Pima and Pinal Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that SCAN Classic (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about SCAN Classic (HMO).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The SCAN Classic (HMO) plan offers an Enhanced Alternative drug benefit with no prescription drug deductible, allowing your coverage to start right away. During the initial coverage phase, Tier 1 preferred generic drugs have no copay at preferred pharmacies or through preferred mail order, though standard pharmacies and mail options carry a $15.00 copay. Tier 2 standard generic drugs require a $42.00 copay at preferred locations and a $47.00 copay at standard locations. For higher-tier medications, you will pay a 35% coinsurance for Tier 3 preferred brand drugs and a 33% coinsurance for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase where you pay nothing for Medicare Part D covered drugs. Individuals who qualify for the low-income subsidy may also benefit from a reduced Part D premium of $0.00.

Additional Benefits

The SCAN Classic (HMO) plan provides comprehensive medical coverage with predictable costs, including inpatient hospital stays at a $75 daily copay for the first five days and no copay for subsequent days. Outpatient care, primary care visits, and emergency services are highly accessible, featuring low copays and no coinsurance, with emergency room visits requiring a $90 copay that is waived upon admission. Additionally, members benefit from essential transportation services offering up to 54 one-way trips per year to approved locations and ambulance rides for a $250 copay. Ancillary benefits include routine dental care up to a $3,000 yearly limit and annual vision exams and eyewear with no copay. Hearing services feature prescription hearing aids for a copay of $350 to $650, while preventive care, meals, and quarterly over-the-counter allowances are available with no copay. Medical equipment and dialysis services generally require no copay with coinsurance ranging up to 20 percent.