SCAN Affirm partnered with Included LGBTQ+ Health (HMO) — 2026 Medicare Advantage Prescription Drug Plan

MA-PDHMO

SCAN Health Plan

Plan ID: H5425_107

4.0-0.5

Declined from 4.5 stars last year

100/100

Very Stable

What affects this score:

Plan continues unchanged (renewed)0

Monthly Premium

$0

Medical Deductible

N/A

Drug Deductible

$250

Max Out-of-Pocket

$1,499

Key Copays

Primary Care

Specialist

$90

Emergency Room

Urgent Care

Supplemental Benefits

🦷 Dental
👁️ Vision
👂 Hearing
🏋️ Fitness
💊 OTC Benefit
🚘 Transportation
📱 Telehealth
🍲 Meals

OTC Allowance: $60/quarter

Benefit Details

Preventive Dental
Comprehensive Dental
Vision - Eye Exams
Vision - Eyewear
Hearing Exams & Aids
Fitness/Wellness$10 copay
OTC Allowance · 60.0
Meals

Drug Coverage Summary

Drug Deductible

$250

Drug Premium

$0/mo

This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.

Medical Benefits

Inpatient Hospital

inpatient

Emergency Room

emergency

In: $90 copay

Primary Care

primary_care

Specialist

specialist

Outpatient Hospital

outpatient

Dental - Preventive

dental

Dental - Comprehensive

dental

Vision - Eye Exams

vision

Hearing - Exams & Aids

hearing

Counties Served (1)

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