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

SCAN Embrace Together, 2027

H5425Contract132Plan

HMO-POS I-SNP · special needs plan, institutional · 1 county in California

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

Renews for 2027

2026 star rating, contract H5425: 4 of 5

SCAN Embrace Together (H5425-132) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).

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
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Part B premium reduction, monthly	$1.60	none	dropped
Eyewear, yearly limit	$375 a year	$250 a year	down $125
Hearing aids, yearly limit for both ears	$1,600 a year	$1,100 a year	down $500
Over-the-counter items, yearly	$1,080 a year	$900 a year	down $180
Drug tier 3, preferred brand	25% of the cost	$47	changed
14 lines do not change
Monthly premium	$0	$0	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	20% of the cost	20% of the cost	no change
Emergency room	20% of the cost	20% of the cost	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	not filed	not filed	no change
Skilled nursing facility, in network	not filed	not filed	no change
Ground ambulance, in network	20% of the cost	20% of the cost	no change
Comprehensive dental, yearly limit	$3,000 a year	$3,000 a year	no change
Counties served	1	1	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$0	$0	no change
Drug tier 4, non-preferred drug	30% of the cost	30% of the cost	no change
Drug tier 5, specialty tier	25% of the cost	25% 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	25% of the cost	$47	$42
Tier 4	Non-Preferred Drug	30% of the cost	30% of the cost	30% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost	25% 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, 2 institutional special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit. On the premium, 1 the same.

Out-of-pocket limits of the 2 institutional special needs plans

$0 to under $2,0001 plan

$2,000 to under $4,0000 plans

$4,000 to under $6,0000 plans

$6,000 to under $8,0000 plans

$8,000 to $10,000 (this plan)1 plan

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 1 county: $0 a month and $9,850.

California

San Bernardino

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

Who runs this plan?

Plan ID: H5425-132
Legal name of the contract: SCAN Health Plan
Sold as: SCAN Health Plan
Parent company: SCAN Group
Plan type: HMO-POS I-SNP
2026 star rating of the contract: 4 of 5 overall; health plan 4 of 5, drug plan 4 of 5
Members, September 2026: fewer than 11
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 San Bernardino, CAWhere most of its members live; premiums and limits side by side
Every SCAN Health Plan plan for 2027Its contracts, counties and plans that end
The other 61 plans of contract H5425Same company, same contract
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.