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PlainMedicare

Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

SCAN MyChoice is not offered under this ID in 2027

H5425Contract120Plan

HMO · served 2 counties in California in 2026

Run by SCAN Health Plan (contract H5425), sold as SCAN Health Plan, owned by SCAN Group

CMS crosswalk: members move into H5425-069

Folds into H5425-069

SCAN MyChoice (H5425-120) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into SCAN Classic (H5425-069), which is sold in every county it served. 150 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.

What changes for its members in SCAN Classic?

For its members: this plan's 2026 amounts beside SCAN Classic (H5425-069) in 2027. The changed lines are marked and come first.
What you pay or get20262027Change
Plan nameSCAN MyChoiceSCAN Classicrenamed
In-network out-of-pocket limit$1,299$999down $300
Drug deductible$250$450up $200
Emergency room$90 copay$125 copayup $35
Hospital stay, in network$50 a day for days 1–3, then $0 a day for days 4–90$150 a day for days 1–5, then $0 a day for days 6–90up $600for a 5-day stay
Skilled nursing facility, in network$0 a day for days 1–20, then $50 a day for days 21–100$0 a day for days 1–20, then $100 a day for days 21–100up $500for a 30-day stay
Comprehensive dental, yearly limit$980 a year$2,500 a yearup $1,520
Eyewear, yearly limit$980 a year$100 a yeardown $880
Over-the-counter items, yearlynot offered$240 a yearadded
Drug tier 1, preferred generic$0$5up $5
Drug tier 2, generic$0$10up $10
Drug tier 3, preferred brand$43$47up $4
Drug tier 5, specialty tier30% of the cost28% of the costdown 2 points
9 lines do not change
Monthly premium$0$0no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Medical deductible, in networknonenoneno change
Ground ambulance, in network$95 copay$95 copayno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Counties served22no change
Drug tier 4, non-preferred drug35% of the cost35% of the costno change

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); 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. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.

What can members do, and by when?

If you do nothing
You are moved into SCAN Classic on January 1, 2027.
October 15 to December 7, 2026
Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
January 1 to March 31, 2027
Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.

Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).

Where did its members live?

Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.

All 2 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
CountyMembers, Sept. 2026For 2027
Santa Clara, CA109moves into H5425-069
Stanislaus, CA40moves into H5425-069

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?