LONG BEACH, Calif.–(BUSINESS WIRE)–SCAN
Health Plan announced today that its largest health plans in
California have received a 4.5-star rating by the Centers for Medicare &
Medicaid Services (CMS). SCAN now has 4.5-star-rated plans in all 12
California counties it serves.
“Providing SCAN members with access to quality care, meaningful health
benefits and exceptional customer service has always been our top
priority,” said Chris Wing, CEO of SCAN Health Plan. “We are incredibly
gratified that our commitment to these goals has been recognized by
Medicare with this very high rating. It is a great testament to the
combined efforts of our employees and our provider partners. This
achievement is truly a team effort and underscores our passion and
ongoing commitment for keeping seniors healthy and independent.”
The Star Rating System was established by CMS as part of an effort to
help educate consumers on quality and make quality data more transparent
and comparable between plans. Under the system CMS ranks health plans on
a one- to five-star basis, weighing such factors as clinical outcomes,
access to preventive services such as screenings and vaccines, managing
chronic conditions, preventive care, and consumer satisfaction. Star
ratings are calculated each year and may change from one year to the
The 4.5-star rating encompasses the majority of SCAN’s membership in
both Northern and Southern California and includes all of SCAN’s
“Classic” (HMO) plans as well as several special needs plans. In 2016
SCAN’s Classic plan will once again be available to Medicare-eligible
beneficiaries in the following California counties: Los Angeles, Marin,
Napa, Orange, Riverside, San Bernardino, San Diego, San Francisco, San
Joaquin, Santa Clara, Sonoma and Ventura. Medicare beneficiaries living
in these counties can join SCAN during the annual enrollment period,
which runs October 15 to December 7, 2015.
SCAN recently announced that its 2016 benefit plans will feature all of
the basic benefits traditionally covered under Medicare as well as a
prescription drug benefit (Medicare Part D), with no deductibles and low
copays for most services and plan selections. Other benefits, depending
on plan selection and county, may include vision, routine transportation
and hearing aids. And for 2016 SCAN’s Classic Medicare Advantage plan
(HMO) will feature a dramatic savings opportunity on prescription drugs.
While copayments vary by county, all SCAN Classic members will be able
to get a three-month supply (90 days) of Tier 1 and Tier 2 drugs at
either a retail pharmacy or SCAN Mail Order Pharmacy and pay for only
The annual enrollment period for selecting a Medicare Advantage plan for
2016 runs from October 15 to December 7, 2015. During this time seniors
and others on Medicare may choose to switch their health plan or move
from traditional Medicare to a Medicare Advantage plan (or move back to
Original Medicare) with their new elections taking effect January 1,
As governed by the CMS, member benefits vary by county. Specific
information on SCAN’s 2016 benefit plans is available at www.scan2016.com
or by calling 855-561-7226, 8 a.m. to 8 p.m., seven days a week. TTY/TDD
users may call 711.
SCAN Health Plan is an HMO plan with a Medicare contract. Enrollment in
SCAN Health Plan depends on contract renewal.
You must continue to pay your Medicare Part B premium. This information
is not a complete description of benefits. Contact the plan for more
information. Limitations, copayments, and restrictions may apply.
Benefits, premium, copayments and/or co-insurance may change on January
1 of each year.
You can get prescription drugs shipped to your home through our network
automated mail order delivery program. Typically, you should expect to
receive your prescription drugs within 14 days from the time that the
mail order pharmacy receives the order. If you do not receive your
prescription drug(s) within this time, please contact SCAN Health Plan’s
Member Services line at 800-559-3500, 8 a.m. to 8 p.m., 7 days a week.
TTY users should call 711.
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