SCAN Health Plan Medicare Plan Hearing Aid Benefits

284,119 Total Members

OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Enrollees
SCAN Health Plan SCAN Classic (HMO)
H5425-006-0 		HMO $125 per Quarter Yes $500 Yes No No Yes No No 66,344
SCAN Health Plan SCAN Venture (HMO)
H5425-084-0 		HMO $65 per Quarter Yes $260 Yes No No Yes No No 37,672
SCAN Health Plan SCAN Classic (HMO)
H5425-007-0 		HMO $90 per Quarter Yes $360 Yes No No Yes No No 35,564
SCAN Health Plan SCAN Classic (HMO)
H5425-008-0 		HMO $120 per Quarter Yes $480 Yes No No Yes No No 26,880
SCAN Health Plan SCAN Venture (HMO)
H5425-085-0 		HMO $65 per Quarter Yes $260 Yes No No Yes No No 20,384
SCAN Health Plan Scripps Classic offered by SCAN Health Plan (HMO)
H5425-005-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 19,752
SCAN Health Plan SCAN Connections (HMO D-SNP)
H5425-010-0 		HMO $175 per Quarter Yes $700 Yes No No Yes No No 19,168
SCAN Health Plan SCAN Classic (HMO)
H5425-009-0 		HMO $110 per Quarter Yes $440 Yes No No Yes No No 17,010
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-034-0 		HMO $90 per Quarter Yes $360 Yes No No Yes No No 12,785
SCAN Health Plan SCAN Alta (HMO)
H5425-082-0 		HMO $190 per Quarter Yes $760 Yes No No Yes No No 4,948
SCAN Health Plan SCAN Classic (HMO)
H5425-001-0 		HMO $110 per Quarter Yes $440 Yes No No Yes No No 3,404
SCAN Health Plan SCAN Classic (HMO)
H5425-052-0 		HMO No $0 Yes No No Yes No No 2,436
SCAN Health Plan SCAN Retiree Group (HMO)
H5425-803-0 		HMO No $0 No 2,365
SCAN Health Plan SCAN Connections at Home (HMO D-SNP)
H5425-030-0 		HMO $175 per Quarter Yes $700 Yes No No Yes No No 1,747
SCAN Health Plan Scripps Signature offered by SCAN Health Plan (HMO)
H5425-004-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 1,434
SCAN Health Plan SCAN Options (HMO)
H5425-083-0 		HMO $95 per Quarter Yes $380 Yes No No Yes No No 995
SCAN Health Plan SCAN Retiree Group (HMO)
H5425-804-0 		HMO No $0 No 965
SCAN Health Plan SCAN Embrace (HMO I-SNP)
H5425-086-0 		HMO $192 per Quarter Yes $768 Yes No No Yes No No 865
SCAN Health Plan SCAN Classic (HMO)
H0978-001-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 842
SCAN Health Plan SCAN Classic (HMO)
H5425-019-0 		HMO No $0 Yes No No Yes No No 775
SCAN Health Plan SCAN Heart First (HMO C-SNP)
H5425-033-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 764
SCAN Health Plan SCAN Heart First (HMO C-SNP)
H5425-028-0 		HMO $115 per Quarter Yes $460 Yes No No Yes No No 704
SCAN Health Plan SCAN Embrace (HMO I-SNP)
H5425-087-0 		HMO $192 per Quarter Yes $768 Yes No No Yes No No 640
SCAN Health Plan SCAN Prime (HMO)
H5425-065-0 		HMO $100 per Quarter Yes $400 Yes $3,000 No No Yes No No 572
SCAN Health Plan SCAN Affirm partnered with Included LGBTQ+ Health (HMO)
H5425-093-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 554
SCAN Health Plan SCAN Prime (HMO)
H5425-067-0 		HMO $130 per Quarter Yes $520 Yes $3,000 No No Yes No No 543
SCAN Health Plan SCAN Classic (HMO)
H5425-075-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 512
SCAN Health Plan SCAN Compass (HMO)
H5425-074-0 		HMO $50 per Quarter Yes $200 No 445
SCAN Health Plan SCAN Prime (HMO)
H5425-066-0 		HMO $100 per Quarter Yes $400 Yes $3,000 No No Yes No No 442
SCAN Health Plan SCAN Classic (HMO)
H5425-069-0 		HMO $120 per Quarter Yes $480 Yes No No Yes No No 406
SCAN Health Plan SCAN Prime (HMO)
H5425-068-0 		HMO $100 per Quarter Yes $400 Yes $3,000 No No Yes No No 395
SCAN Health Plan SCAN Classic (HMO)
H5425-078-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 271
SCAN Health Plan SCAN Balance (HMO C-SNP)
H0978-002-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 239
SCAN Health Plan SCAN Options (HMO)
H5425-073-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 235
SCAN Health Plan SCAN Venture (HMO)
H0978-004-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 143
SCAN Health Plan SCAN Classic (HMO)
H5425-020-0 		HMO $85 per Quarter Yes $340 Yes No No Yes No No 121
SCAN Health Plan Scripps Heart First offered by SCAN Health Plan (HMO C-SNP)
H5425-055-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 103
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-070-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 92
SCAN Health Plan SCAN Embrace (HMO I-SNP)
H5425-091-0 		HMO $192 per Quarter Yes $768 Yes No No Yes No No 86
SCAN Health Plan SCAN Affirm partnered with Included LGBTQ+ Health (HMO)
H5425-092-0 		HMO $130 per Quarter Yes $520 Yes No No Yes No No 85
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-054-0 		HMO No $0 Yes No No Yes No No 81
SCAN Health Plan SCAN Classic (HMO)
H8902-005-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 56
SCAN Health Plan SCAN Heart First (HMO C-SNP)
H5425-053-0 		HMO No $0 Yes No No Yes No No 50
SCAN Health Plan SCAN Classic (HMO)
H8902-001-0 		HMO $85 per Quarter Yes $340 Yes No No Yes No No 34
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-079-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 31
SCAN Health Plan SCAN Heart First (HMO C-SNP)
H0978-003-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 31
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-076-0 		HMO $100 per Quarter Yes $400 Yes No No Yes No No 29
SCAN Health Plan SCAN Balance (HMO C-SNP)
H8902-006-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 28
SCAN Health Plan SCAN Retiree Group (HMO)
H0978-803-0 		HMO No $0 No 20
SCAN Health Plan SCAN Compass (HMO)
H0978-009-0 		HMO $50 per Quarter Yes $200 Yes No No Yes No No 18
SCAN Health Plan SCAN Venture (HMO)
H8902-004-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 15
SCAN Health Plan SCAN Venture (HMO)
H8902-008-0 		HMO $30 per Quarter Yes $120 Yes No No Yes No No 14
SCAN Health Plan SCAN Healthy at Home (HMO I-SNP)
H9104-006-0 		HMO $80 per Quarter Yes $320 Yes No No Yes No No 14
SCAN Health Plan SCAN Classic (HMO)
H0978-005-0 		HMO $75 per Quarter Yes $300 Yes No No Yes No No 11

Plan Claims Contact Information

Organization Name: Scan Health Plan
Contact Name: Nathan Wheeler
Title: Vice President, Claims & Shared Services
Phone: 1-562-308-4341
Email: nwheeler@scanhealthplan.com
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