VillageHealth (HMO-POS C-SNP)

VillageHealth (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by SCAN Group available for enrollment in 2026 to people living in Riverside and San Bernardino Counties. The overall rating for this plan is not yet available for 2026.

It's important to know that VillageHealth (HMO-POS C-SNP) 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 VillageHealth (HMO-POS C-SNP).

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 VillageHealth (HMO-POS C-SNP) Medicare plan features an Enhanced Alternative drug benefit with a $370.00 prescription drug deductible. During the initial coverage phase, Tier 1 preferred generic drugs require a $2.00 copay at preferred pharmacies and mail-order, or a $7.00 copay at standard locations. For Tier 2 standard generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance. Once your annual out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Eligible individuals who qualify for the low-income subsidy, also known as Extra Help, will have their Part D cost reduced to $6.30.

Additional Benefits

The VillageHealth (HMO-POS C-SNP) plan provides coverage for essential medical needs, with many outpatient, emergency, dialysis, and diagnostic services requiring a 20% coinsurance and no copay. Inpatient hospital stays and skilled nursing facility care are covered with Medicare-defined copays and coinsurance, while most preventive services are fully covered with no copay and no coinsurance. Emergency care is available with no copay and a 20% coinsurance, which is waived if you are admitted, and urgent care is offered with no copay and no coinsurance. For supplemental care, the plan features dental coverage with no copay and 20% coinsurance up to a $2,000 annual limit, alongside vision coverage that includes one routine exam and eyewear up to a $200 annual limit. Medical equipment and Part B drugs, such as chemotherapy, generally carry no copay and up to 20% coinsurance, though Part B insulin has a $35 copay. However, members should note that hearing services, routine chiropractic care, lab services, and over-the-counter items are not covered by this plan.