Committed to Your Health and Independence.
SCAN Gold-Select
Thank you for your interest in SCAN Gold-Select.

SCAN Gold-Select is a Medicare Advantage special needs plan designed specifically for individuals with dual coverage from Medicare and Medi-Cal. SCAN Gold-Select offers all of the benefits provided by Original Medicare plus more, including the NEW Part D prescription drugs coverage.

You may join SCAN Gold-Select Medicare Advantage Health and Prescription Drug Plan if you are full dual benefit eligible with both Medicare and Medi-Cal. This special plan has a $24.80 premium, however since you qualify for low income subsidy because you have Medicare and full Medi-Cal benefits, Medicare will pay the monthly health plan premium of $24.80. SCAN Gold-Select also offers co-pays as little as $1.10 or $3.20 for prescription drugs. You also continue to pay the Medicare Part B premium of $96.40 each month.

You can visit any doctor in our network, choose among our network hospitals, including St.Joseph's, Dameron and Lodi Memorial, and take advantage of our mail-order prescription drug service for more convenience and additional savings on your prescriptions.

For more information on SCAN Gold-Select, review the Summary of Benefits. This will outline some of the features of SCAN Gold-Select and compare them to what Original Medicare currently offers. The Gold-Select Summary does not list every service that we cover, or list every limitation or exclusion. For a complete list of our benefits, please refer to SCAN Gold-Select's Evidence of Coverage.

If you are a full dual eligible Medicare and Medi-Cal recipient you may join SCAN Gold-Select if you live in San Joaquin County.

We invite you to learn more about SCAN Health Plan and 2010 benefits. There are 3 easy ways to get more information:

  1. Call us to get answers to any questions you may have
  2. Schedule an in-home appointment with a SCAN representative
  3. Reserve a seat at a nearby SCAN event

Call toll-free 1-877-452-5898
Se habla Espaņol*
8:00 a.m. - 8:00 p.m., 7 days a week.
TTY users should call: 1-800-735-2929
*We speak Spanish

Join SCAN by Mail

Click on the Enrollment Form button below to print the form. Then complete and sign the form and mail it to the address listed below. We strongly encourage you to call us at 1-877-452-5898 for assistance in completing the form so your enrollment will not be delayed.

Enrollment Form - 2009

Mail your enrollment form to:

SCAN Health Plan
Enrollment Department
3800 Kilroy Airport Way Suite #100
Long Beach, CA 90806

*We speak Spanish

SCAN Health Plan is a Medicare Advantage Organization with a Medicare contract. Co-payments apply for most services. Limitations and Exclusions may apply. *We speak Spanish

Enrollment Form - 2010 can be found on the SCAN web site by clicking here

Financial help for people with limited income and resources

Monthly plan premiums for people who get extra help from Medicare to help pay for their prescription drug costs. Click on the button below to view our premium summary chart.

View Chart - 2009
View Chart - 2010

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H5811_SCAN_5263_2009_CMS XXXXXX Pending CMS Approval.