VillageHealth (HMO-POS C-SNP)

VillageHealth (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by Scan Health Plan available for the 2026 plan year to people living in Los Angeles County. CMS star rating not 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 an annual prescription drug deductible of $490.00. After meeting the deductible, Tier 1 preferred generic drugs require a $1.00 copay at preferred pharmacies or a $6.00 copay at standard pharmacies. For Tier 2 standard generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance regardless of the pharmacy type. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs. Additionally, beneficiaries who qualify for the Low-Income Subsidy (LIS) may have their Part D premium reduced to $12.00.

Additional Benefits

The VillageHealth (HMO-POS C-SNP) plan features a cost-sharing structure that relies heavily on a twenty percent coinsurance and no copay for most outpatient, diagnostic, dialysis, and emergency services. Inpatient hospital stays and skilled nursing facility care are partially covered, with your out-of-pocket costs determined by Original Medicare-defined copays and coinsurance. Additionally, primary care visits require no copay, though a twenty percent coinsurance applies to physical, occupational, and speech therapies. This plan also includes key supplemental benefits like dental coverage up to a two thousand dollar limit, a two hundred dollar annual vision allowance, and up to forty one-way transportation trips per year. While essential medical equipment and home infusion services are covered with no copay and up to twenty percent coinsurance, please note that routine hearing aids, diabetic supplies, and cardiac rehabilitation are not covered. Eligible members can also receive home health care and post-hospitalization meal benefits to assist with recovery.

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.