SCAN Classic (HMO)

SCAN Classic (HMO) is a HMO plan offered by SCAN Group available for enrollment in 2025 to people living in San Bernardino County. This plan received an overall rating of 4 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) medicare plan features an Enhanced Alternative drug benefit with a $250.00 prescription drug deductible. After meeting this deductible, you will pay no copay for Tier 1 preferred generic drugs at preferred retail pharmacies or through preferred mail order, compared to a $15.00 copay at standard locations. Tier 2 standard generic drugs require a $42.00 copay at preferred pharmacies and a $47.00 copay at standard pharmacies. For higher-tier medications, you will pay a 35% coinsurance for Tier 3 preferred brand drugs and a 30% coinsurance for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100.00, you will enter the catastrophic coverage phase and pay nothing for covered Part D prescriptions. Additionally, individuals who qualify for the Extra Help low-income subsidy will pay a $0.00 premium.

Additional Benefits

The SCAN Classic (HMO) plan offers comprehensive coverage with predictable out-of-pocket costs, featuring no copay or coinsurance for preventive services and urgently needed care. Emergency room visits require a $90 copay, which is waived if you are admitted, while outpatient services range from no copay up to a $50 copay with no coinsurance. For specialized care, dialysis services carry a $30 copay, and partial hospitalization is available with a $10 copay. This plan also includes key supplemental benefits to support daily wellness, such as dental care with copays ranging from no copay up to $395 and routine vision exams with a $300 annual eyewear allowance. Hearing services feature routine exams and prescription hearing aids with copays between $550 and $850. Additionally, members benefit from a $180 over-the-counter allowance every three months, up to 48 one-way transportation trips per year, and unlimited acupuncture treatments.