Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
SCAN Health Plan (H5425)
H5425Contract
A company of SCAN Group, sold as SCAN Health Plan
62 plans in 2027 (50 in 2026) · 403,752 members in September 2026
SCAN Health Plan is the SCAN Group company that holds Medicare contract H5425, sold as SCAN Health Plan. In 2027 it offers 62 plans (50 in 2026); 2 of its 2026 plans are not offered in 2027. 403,752 people were in its plans in September 2026.
What plans does H5425 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| SCAN ClassicH5425-001 | HMO | $0 | $2,500 | 1 county | renews |
| SCAN ClassicH5425-005 | HMO | $0 | $4,200 | 1 county | renews |
| SCAN ClassicH5425-006 | HMO | $0 | $299 | 1 county | renews |
| SCAN ClassicH5425-007 | HMO | $0 | $399 | 1 county | renews |
| SCAN ClassicH5425-008 | HMO | $0 | $399 | 1 county | renews |
| SCAN ClassicH5425-009 | HMO | $0 | $399 | 1 county | renews |
| SCAN ClassicH5425-019 | HMO | $0 | $2,500 | 1 county | takes in other plans |
| SCAN BalanceH5425-034 | HMO C-SNP | $0 | $199 | 2 counties | renews |
| SCAN PrimeH5425-065 | HMO | $20 | $2,499 | 3 counties | renews |
| SCAN ClassicH5425-069 | HMO | $0 | $999 | 2 counties | takes in other plans |
| SCAN BalanceH5425-070 | HMO C-SNP | $0 | $1,200 | 2 counties | renews |
| SCAN ClassicH5425-075 | HMO | $0 | $2,000 | 2 counties | takes in other plans |
| SCAN BalanceH5425-076 | HMO C-SNP | $0 | $1,900 | 2 counties | renews |
| SCAN AltaH5425-082 | HMO | $0 | $900 | 1 county | takes in other plans |
| SCAN VentureH5425-084 | HMO | $0 | $1,000 | 2 counties | renews |
| SCAN VentureH5425-085 | HMO | $0 | $1,900 | 2 counties | renews |
| SCAN EmbraceH5425-086 | HMO I-SNP | $0 | $799 | 1 county | renews |
| SCAN EmbraceH5425-087 | HMO I-SNP | $0 | $799 | 1 county | renews |
| SCAN EmbraceH5425-091 | HMO-POS I-SNP | $0 | $1,499 | 1 county | renews |
| SCAN StriveH5425-097 | HMO C-SNP | $0 | $9,850 | 6 counties | renews |
Show the other 42 plans, by plan number
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| SCAN StriveH5425-098 | HMO C-SNP | $0 | $9,850 | 14 counties | renews in more counties |
| SCAN Inspired by women for womenH5425-100 | HMO | $15 | $999 | 2 counties | renews |
| SCAN ClassicH5425-101 | HMO | $0 | $999 | 4 counties | takes in other plans |
| SCAN BalanceH5425-102 | HMO C-SNP | $0 | $999 | 4 counties | renews |
| SCAN BalanceH5425-104 | HMO C-SNP | $0 | $399 | 2 counties | renews |
| SCAN BalanceH5425-105 | HMO C-SNP | $0 | $900 | 1 county | renews |
| SCAN BalanceH5425-106 | HMO C-SNP | $0 | $1,900 | 1 county | renews |
| SCAN AlliedH5425-118 | HMO | $0 | $2,900 | 2 counties | renews |
| SCAN AlliedH5425-123 | HMO | $0 | $2,000 | 1 county | renews |
| Sutter Senior Advantage, a SCAN Medicare PlanH5425-124 | HMO | $66 | $4,900 | 1 county | renews |
| Sutter Senior Advantage, a SCAN Medicare PlanH5425-125 | HMO | $67 | $4,450 | 1 county | renews |
| Sutter Senior Advantage, a SCAN Medicare PlanH5425-126 | HMO | $19 | $4,000 | 3 counties | renews |
| Sutter Senior Advantage, a SCAN Medicare PlanH5425-127 | HMO | $65 | $5,500 | 1 county | renews |
| SCAN ClassicH5425-128 | HMO | $0 | $2,900 | 4 counties | takes in other plans |
| SCAN BalanceH5425-129 | HMO C-SNP | $0 | $2,000 | 4 counties | renews |
| SCAN Embrace TogetherH5425-131 | HMO I-SNP | $0 | $9,850 | 2 counties | renews |
| SCAN Embrace TogetherH5425-132 | HMO-POS I-SNP | $0 | $9,850 | 1 county | renews |
| SCAN Essential SavingsH5425-133 | HMO | $0 | $2,400 | 1 county | renews |
| SCAN SelectH5425-134 | HMO | $80 | $4,450 | 1 county | renews |
| SCAN Desert ChoiceH5425-135 | HMO | $0 | $2,050 | 1 county | renews |
| SCAN Costco Medicare AdvantageH5425-136 | HMO | $0 | $699 | 2 counties | new plan |
| SCAN Costco Medicare AdvantageH5425-137 | HMO | $0 | $999 | 2 counties | new plan |
| SCAN Costco Medicare AdvantageH5425-138 | HMO | $0 | $2,900 | 4 counties | new plan |
| SCAN Costco Medicare AdvantageH5425-139 | HMO | $0 | $2,000 | 2 counties | new plan |
| SCAN Costco Medicare AdvantageH5425-140 | HMO | $2 | $2,500 | 1 county | new plan |
| SCAN Costco Medicare AdvantageH5425-141 | HMO | $0 | $299 | 1 county | new plan |
| SCAN Costco Medicare AdvantageH5425-142 | HMO | $0 | $299 | 1 county | new plan |
| SCAN Costco Medicare AdvantageH5425-143 | HMO | $0 | $399 | 1 county | new plan |
| SCAN Costco Medicare AdvantageH5425-144 | HMO | $0 | $399 | 1 county | new plan |
| SCAN Costco Medicare AdvantageH5425-145 | HMO | $0 | $900 | 1 county | new plan |
| SCAN Costco Medicare AdvantageH5425-146 | HMO | $0 | $2,500 | 1 county | new plan |
| Sutter Senior Advantage, a SCAN Medicare PlanH5425-147 | HMO | $49 | $4,900 | 2 counties | new plan |
| Sutter Senior Advantage, a SCAN Medicare PlanH5425-148 | HMO | $49 | $4,900 | 2 counties | new plan |
| SCAN InclusiveH5425-149 | HMO | $2 | $2,500 | 1 county | new plan |
| SCAN BalanceH5425-150 | HMO C-SNP | $27 | $4,200 | 1 county | new plan |
| SCAN BalanceH5425-151 | HMO C-SNP | $0 | $1,499 | 1 county | new plan |
| CareMore Health Plan by SCANH5425-152 | HMO | $0 | $299 | 2 counties | new plan |
| SCAN ClassicH5425-153 | HMO | $25 | $4,200 | 1 county | new plan |
| SCAN BaekseH5425-155 | HMO | $0 | $499 | 2 counties | new plan |
| SCAN Ansim CareH5425-156 | HMO C-SNP | $7.30 | $9,850 | 2 counties | new plan |
| SCAN InclusiveH5425-158 | HMO | $0 | $999 | 4 counties | new plan |
| SCAN SelectH5425-159 | HMO | $0 | $6,700 | 1 county | new plan |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which of its plans end?
| 2026 plan | Members, Sept. 2026 | Counties in 2026 |
|---|---|---|
| SCAN Affirm partnered with Included LGBTQ+ HealthH5425-092 | 3,887 | 4 |
| SCAN MyChoiceH5425-108 | 641 | 4 |
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).
Which employer and union group plans does it hold?
H5425 also holds 4 group plans offered through former employers and unions, with 2,506 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H5425-803 | SCAN Retiree Group | 1,650 | renews in more counties |
| H5425-804 | SCAN Retiree Group | 856 | renews in more counties |
| H5425-806 | SCAN Retiree Group | fewer than 11 | renews in more counties |
| H5425-807 | SCAN Retiree Group | fewer than 11 | renews in more counties |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4 of 5 (health plan 4 of 5, drug plan 4 of 5). Of its 45 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Improving or Maintaining Mental Health | 1 |
| Reducing the Risk of Falling | 2 |
| Improving Bladder Control | 2 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 2 |
| Highest-rated measures | Stars |
|---|---|
| MPF Price Accuracy | 5 |
| Rating of Drug Plan | 5 |
| Members Choosing to Leave the Plan | 5 |
| Complaints about the Drug Plan | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All SCAN Health Plan plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter