What the CMS Data Shows About SCAN HEALTH PLAN
SCAN HEALTH PLAN operates under CMS contract H5943, issued by VillageHealth (parent organization SCAN Group). The contract is classified as a HMO POS product, which governs how enrollees access care: the product rules govern provider access and cost-sharing for this contract. This contract is also flagged in CMS data as a Special Needs Plan (SNP), meaning enrollment is restricted to beneficiaries meeting specific eligibility criteria — chronic condition, dual Medicare-Medicaid status, or institutional residence. Service area spans 1 state (CA) and 3 counties, a geography set at the CMS service-area definition level.
The overall CMS Star Rating for this contract is not yet published by CMS. This rating synthesizes 19 individual quality measures spanning 8 CMS domains, including clinical outcomes, patient experience (CAHPS), member complaints and appeals, and plan operations. Ratings at 4+ stars trigger federal Quality Bonus Payments that insurers typically reinvest in supplemental benefits.
On costs, this contract lists a monthly plan premium of not reported. Beyond standard Medicare Parts A and B, the contract documents 4 supplemental benefits in the CMS benefits file — coverage extras such as dental, vision, hearing aids, fitness programs, and OTC allowances that Original Medicare does not provide. Before enrolling, verify that your preferred providers participate in the plan's network for your specific county, review the current Summary of Benefits, and confirm that your prescriptions appear on the plan formulary. All figures shown come from CMS public-use files for the 2026 contract year; this page is informational only and is not personalized Medicare counseling advice.
Quality Measures by Domain
Preventive Screenings
1 measuresBreast Cancer Screening
Managing Chronic Conditions
8 measuresCare for Older Adults – Medication Review
Care for Older Adults – Pain Assessment
Diabetes Care – Blood Sugar Controlled
Diabetes Care – Eye Exam
Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
Getting Needed Care
Medication Reconciliation Post-Discharge
Transitions of Care
Member Experience
2 measuresCustomer Service
Rating of Health Plan
Customer Service
2 measuresCall Center – Foreign Language Interpreter and TTY Availability
Call Center – Foreign Language Interpreter and TTY Availability
Drug Plan Experience
1 measuresMPF Price Accuracy
Drug Safety & Pricing
1 measuresMTM Program Completion Rate for CMR
Tests & Vaccines
3 measuresAnnual Flu Vaccine
Colorectal Cancer Screening
Special Needs Plan (SNP) Care Management
Member Complaints and Changes in the Drug Plan’s Performance
1 measuresRating of Drug Plan
Supplemental Benefits
| Benefit | Covered | Max Benefit | Copay |
|---|---|---|---|
| Vision — Eye Exam | ✓ Yes | — | — |
| Vision — Eyewear | ✓ Yes | — | — |
Medicare Advantage Star Rating Distribution
Percentage of Medicare Advantage plans at each CMS star rating level (2026 plan year)
Source: CMS Medicare Advantage Star Ratings 2026. Distribution reflects national plan-county records.
Medicare Advantage Guides
Related Healthcare Data
Frequently Asked Questions
What is the star rating for SCAN HEALTH PLAN?
SCAN HEALTH PLAN (Contract H5943) by VillageHealth has an overall CMS star rating of Not yet rated out of 5. Star ratings are based on quality measures including preventive care, chronic disease management, and member satisfaction.
How much does SCAN HEALTH PLAN cost per month?
SCAN HEALTH PLAN has a monthly premium of data not available. Plan costs may vary by county.
What type of plan is SCAN HEALTH PLAN?
SCAN HEALTH PLAN is a HMO POS Medicare Advantage plan offered by VillageHealth. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs.
Where is SCAN HEALTH PLAN available?
SCAN HEALTH PLAN is available in 1 state (CA) across 3 counties. Coverage area can vary — check with the insurer or Medicare.gov for exact availability in your ZIP code.
What supplemental benefits does SCAN HEALTH PLAN offer?
SCAN HEALTH PLAN covers 4 supplemental benefits beyond standard Medicare, including vision eye exam, vision eyewear. Many Medicare Advantage plans include dental, vision, and hearing coverage not available under Original Medicare.
How is SCAN HEALTH PLAN rated on quality measures?
CMS evaluates SCAN HEALTH PLAN across 19 individual quality measures spanning 8 domains, including DD2: Member Complaints and Changes in the Drug Plan’s Performance, DD3: Member Experience with the Drug Plan, DD4: Drug Safety and Accuracy of Drug Pricing and more. These measures cover clinical outcomes, patient experience, and plan operations.
Data Source
Data from CMS Medicare Advantage 2026 Star Ratings and Plan Finder datasets. Contract ID: H5943. Last updated: 2026 plan year.
Read our methodology — how this data is sourced, computed, and verified.