HMO · Special Needs Plan · Contract H8902 · 2026
Scan Health Plan Texas, Inc.
Scan Health Plan Texas, Inc. is a HMO Medicare Advantage plan from SCAN Health Plan, available in 1 state. Here is its CMS quality rating, drug coverage, and benefits.
- N/R
- Overall CMS rating
- -
- Premium/mo
- 4.0★
- Drug plan rating
- 1
- States available
What the CMS Data Shows About Scan Health Plan Texas, Inc.
Scan Health Plan Texas, Inc. operates under CMS contract H8902, issued by SCAN Health Plan (parent organization SCAN Group). The contract is classified as a HMO product, which governs how enrollees access care: HMOs require in-network providers and referrals for most specialist care, trading network flexibility for lower cost-sharing. 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 (TX) and 4 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 7 individual quality measures spanning 4 CMS domains, including clinical outcomes, patient experience (CAHPS), member complaints and appeals, and plan operations. The Part D drug-benefit portion of this contract carries a separate CMS Star Rating of 4.0, which reflects pharmacy cost, adherence to chronic medications, and drug pricing accuracy. 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 listed, from the CMS CY2026 Landscape file; every enrollee also pays the standard Part B premium. Beyond standard Medicare Parts A and B, the contract documents 14 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
Managing Chronic Conditions
1 measuresCare for Older Adults – Medication Review
Customer Service
1 measuresCall Center – Foreign Language Interpreter and TTY Availability
Drug Plan Customer Service
1 measuresComplaints about the Drug Plan
Drug Safety & Pricing
4 measuresMedication Adherence for Cholesterol (Statins)
Medication Adherence for Diabetes Medications
Medication Adherence for Hypertension (RAS antagonists)
MTM Program Completion Rate for CMR
Supplemental Benefits
| Benefit | Covered | Max Benefit |
|---|---|---|
| Hearing Aids | ✓ Yes | - |
| Hearing Exam | ✓ Yes | - |
| Vision, Eye Exam | ✓ Yes | - |
| Vision, Eyewear | ✓ Yes | - |
Medicare Advantage Guides
Official Medicare resources
Frequently Asked Questions
What is the star rating for Scan Health Plan Texas, Inc.?
Scan Health Plan Texas, Inc. (Contract H8902) by SCAN Health Plan 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 Texas, Inc. cost per month?
Scan Health Plan Texas, Inc. has a monthly plan premium (Part C + D combined) of not listed for this contract. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026). Premiums are from the CMS CY2026 Landscape file and can vary by county; confirm current costs on Medicare.gov.
What type of plan is Scan Health Plan Texas, Inc.?
Scan Health Plan Texas, Inc. is a HMO Medicare Advantage plan offered by SCAN Health Plan. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs. HMO plans generally require you to use in-network providers and get referrals for specialists.
Where is Scan Health Plan Texas, Inc. available?
Scan Health Plan Texas, Inc. is available in 1 state (TX) across 4 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 Texas, Inc. offer?
Scan Health Plan Texas, Inc. covers 14 supplemental benefits beyond standard Medicare, including hearing aids, hearing exam, 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 Texas, Inc. rated on quality measures?
CMS evaluates Scan Health Plan Texas, Inc. across 7 individual quality measures spanning 4 domains, including DD1: Drug Plan Customer Service, DD4: Drug Safety and Accuracy of Drug Pricing, HD2: Managing Chronic (Long Term) Conditions 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: H8902. Last updated: 2026 plan year.
Read our methodology - how this data is sourced, computed, and verified.