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Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

SCAN Balance, 2027

H1822Contract002Plan

HMO C-SNP · special needs plan, chronic or disabling condition · 3 counties in Arizona

Run by SCAN Desert Health Plan, Inc. (contract H1822), sold as SCAN Health Plan, owned by SCAN Group

Takes in 1 plan

2026 star rating, contract H1822: 4.5 of 5

SCAN Balance (H1822-002) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $2,000. It takes in the members of H1822-006.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get20262027Change
Eyewear, yearly limit$300 a year$250 a yeardown $50
Over-the-counter items, yearly$720 a year$660 a yeardown $60
19 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$2,000$2,000no change
Drug deductible$0$0no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Emergency room$90 copay$90 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in network$75 a day for days 1–5, then $0 a day for days 6–90$75 a day for days 1–5, then $0 a day for days 6–90no change
Skilled nursing facility, in network$0 a day for days 1–20, then $150 a day for days 21–100$0 a day for days 1–20, then $150 a day for days 21–100no change
Ground ambulance, in network$250 copay$250 copayno change
Comprehensive dental, yearly limit$3,000 a year$3,000 a yearno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Counties served33no change
Drug tier 1, preferred generic$5$5no change
Drug tier 2, generic$9$9no change
Drug tier 3, preferred brand$47$47no change
Drug tier 4, non-preferred drug35% of the cost35% of the costno change
Drug tier 5, specialty tier33% of the cost33% of the costno change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked. The plan charges less at its preferred pharmacies
TierWhat the tier holds2026, standard pharmacy2027, standard pharmacy2027, preferred pharmacy
Tier 1Preferred Generic$5$5$0
Tier 2Generic$9$9$0
Tier 3Preferred Brand$47$47$42
Tier 4Non-Preferred Drug35% of the cost35% of the cost35% of the cost
Tier 5Specialty Tier33% of the cost33% of the cost33% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 35 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 33 a higher one. On the premium, 30 the same, 4 a higher one.

Out-of-pocket limits of the 35 chronic or disabling condition special needs plans

$0 to under $2,0001 plan
$2,000 to under $4,000 (this plan)19 plans
$4,000 to under $6,0004 plans
$6,000 to under $8,0001 plan
$8,000 to $10,00010 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 3 counties: $0 a month and $2,000.

Arizona

MaricopaPimaPinal

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 1 other plan, beside its own 2,129 members. In 2027 it costs $0 a month with a $2,000 limit; each row compares that with the plan its members had in 2026.

2026 planMembers, Sept. 2026Members who movePremium 2026Premium changeLimit 2026Limit change
SCAN StriveH1822-0061,3801,363$0no change$2,000no change

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID
H1822-002
Legal name of the contract
SCAN Desert Health Plan, Inc.
Sold as
SCAN Health Plan
Parent company
SCAN Group
Plan type
HMO C-SNP
2026 star rating of the contract
4.5 of 5 overall; health plan 3.5 of 5, drug plan 5 of 5
Members, September 2026
2,129
Plan website, as filed with CMS
www.scandeserthealthplan.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.