CareMore Health Plan by SCAN (HMO) Medicare Advantage Plan H5425-152 • 2027

CareMore Health Plan by SCAN is a Medicare Advantage HMO plan offered by SCAN Health Plan. It uses a Health Maintenance Organization (HMO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $299.00 in-network maximum out-of-pocket. CMS Plan ID H5425-152 identifies this plan. The 2027 Part D prescription drug deductible is $150.00.

CareMore Health Plan by SCAN includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $150.00 annual Part D deductible. You'll pay this deductible at the pharmacy before SCAN Health Plan starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, CareMore Health Plan by SCAN may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.

Plan Availability

CareMore Health Plan by SCAN (H5425-152-0) is available in the following locations: