SCAN MyChoice (HMO)

SCAN MyChoice (HMO) is a HMO plan offered by Scan Health Plan available for the 2026 plan year to people living in Select Southern CA Counties. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that SCAN MyChoice (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 MyChoice (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 MyChoice (HMO) plan features an enhanced alternative drug benefit with an annual prescription drug deductible of $250. After meeting this deductible, you will enjoy no copay for Tier 1 preferred generic drugs at any pharmacy or mail-order service. For Tier 2 standard generic drugs, you will pay a $42 copay at preferred pharmacies and mail-order, or a $43 copay at standard pharmacies and mail-order. Tier 3 preferred brand drugs require a 35% coinsurance, and Tier 4 non-preferred drugs carry a 30% coinsurance. After your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase where you pay nothing for covered Part D drugs. Additionally, those who qualify for the low-income subsidy can reduce their Part D cost to $0.

Additional Benefits

The SCAN MyChoice (HMO) plan offers affordable core medical coverage, featuring a $50 copay for the first three days of inpatient hospital stays and no copay for days four through ninety. Outpatient hospital services require a $50 copay, while primary care doctor visits, physical therapy, and telehealth are covered with no coinsurance. Emergency room visits carry a $90 copay, which is waived upon admission, and home health services are available with no copay or coinsurance. For supplemental care, the plan provides preventive services and annual physicals with no copay or coinsurance, alongside a $240 eyewear allowance every three months. Routine hearing exams require no coinsurance, and up to two prescription hearing aids are covered annually with a copay of $550 to $850. Members also receive partial dental coverage, acupuncture for a $10 copay, and over-the-counter items with no copay.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.