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

SCAN Classic WA, 2027

H4026Contract001Plan

HMO · 3 counties in Washington

Run by SCAN Health Plan (WA) (contract H4026), sold as SCAN Health Plan, owned by SCAN Group

Takes in 1 plan

2026 star rating, contract H4026: not rated (too new)

SCAN Classic WA (H4026-001) costs $1 a month in 2027, up $1 from 2026, with an in-network out-of-pocket limit of $7,150 ($6,700 in 2026). It takes in the members of H4026-002.

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 get	2026	2027	Change
Monthly premium	$0	$1	up $1
In-network out-of-pocket limit	$6,700	$7,150	up $450
Drug deductible	$250	$550	up $300
Specialist visit	$35 copay	$55 copay	up $20
Emergency room	$125 copay	$130 copay	up $5
Hospital stay, in network	$425 a day for days 1–5, then $0 a day for days 6–90	$550 a day for days 1–5, then $0 a day for days 6–90	up $625for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $175 a day for days 21–100	$10 a day for days 1–20, then $100 a day for days 21–100	changed
Over-the-counter items, yearly	$300 a year	not offered	dropped
Drug tier 5, specialty tier	30% of the cost	27% of the cost	down 3 points
12 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$250 copay	$250 copay	no change
Comprehensive dental, yearly limit	$1,500 a year	$1,500 a year	no change
Eyewear, yearly limit	$175 a year	$175 a year	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Counties served	3	3	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$0	$0	no change
Drug tier 3, preferred brand	$43	$43	no change
Drug tier 4, non-preferred drug	35% of the cost	35% of the cost	no 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
Tier	What the tier holds	2026, standard pharmacy	2027, standard pharmacy	2027, preferred pharmacy
Tier 1	Preferred Generic	$0	$0	$0
Tier 2	Generic	$0	$0	$0
Tier 3	Preferred Brand	$43	$43	$42
Tier 4	Non-Preferred Drug	35% of the cost	35% of the cost	35% of the cost
Tier 5	Specialty Tier	30% of the cost	27% of the cost	27% 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, 46 plans open to everyone are sold for 2027, this one included. Against the others, 21 plans have a lower out-of-pocket limit, 14 the same, 10 a higher one. On the premium, 30 plans have a lower premium, 15 a higher one.

Out-of-pocket limits of the 46 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0002 plans

$4,000 to under $6,0007 plans

$6,000 to under $8,000 (this plan)30 plans

$8,000 to $10,0007 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: $1 a month and $7,150.

Washington

Pierce Spokane Thurston

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 3,304 members. In 2027 it costs $1 a month with a $7,150 limit; each row compares that with the plan its members had in 2026.

2026 plan	Members, Sept. 2026	Members who move	Premium 2026	Premium change	Limit 2026	Limit change
SCAN MyChoice WAH4026-002	178	175	$0	up $1	$6,700	up $450

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: H4026-001
Legal name of the contract: SCAN Health Plan (WA)
Sold as: SCAN Health Plan
Parent company: SCAN Group
Plan type: HMO
2026 star rating of the contract: not rated (too new) overall; health plan not rated, drug plan not rated
Members, September 2026: 3,304
Plan website, as filed with CMS: www.scanhealthplan.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?

Other 2027 plans in Spokane, WAWhere most of its members live; premiums and limits side by side
Every SCAN Health Plan plan for 2027Its contracts, counties and plans that end
Is your prescription covered?Coverage share and tier for 2,259 drugs

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.