Page 58 - OTHS-APR2026

PAGE 56 www.OverTheHumpSaver.com April 2026

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living with diabetes N34392105A+2--1 / 1

or heart disease?

SCAN Balance (HMO C-SNP) is a Medicare
Advantage plan designed for people managing
chronic conditions, like diabetes, heart failure,
coronary artery disease, or vascular disorders
— offering meaningful support and real savings
on the care you use most.
2026 SCAN Balance (HMO C-SNP)
Plan benefits may include :
†
• $0 Primary Care Physician (PCP) and
Specialist Copays
• $0 Tier 1 and Tier 2 Prescription Drug
(Part D) Copays 1
• $0 copays for select insulins 2
• $0 for continuous glucose monitors 3
• Up to $300 per year for eyewear
• Up to $600 per year for over-the-counter
items or groceries 4
† Benefits listed may vary by plan and not all benefits listed may be
available in each SCAN plan; call SCAN for more information.
†
¹Prescription copay/coinsurance may vary by plan, county, pharmacy Dental benefits worth smiling about :
type (e.g., Preferred or Standard, etc.), day supply, Part D benefit • $3,000 annual dental allowance for preventive
phase, or in members who receive “Extra Help”. $0 copay applies
2
to select insulins covered by the plan. Some restrictions apply. You and comprehensive services
won’t pay more than $35 for a one-month supply and no more than • Coverage for cleanings, exams, X-rays, fillings,
$105 for a three-month supply of each insulin product covered by and more using your allowance
our plan, no matter what cost-sharing tier it’s on, even if you haven’t
paid your deductible. Most adult Part D vaccines are covered by our • Allowance may be used with in-network or
plan at no cost to you, even if you haven’t paid your deductible. out-of-network dentists, depending on plan
4
3 Approved prescription required. This is a special supplemental
benefit for chronically ill members. That means, to get this benefit,
you must have an eligible chronic condition such as heart disease, enroll today at
diabetes, cancer, lung disease, or dementia. Other chronic
conditions may apply. Not all members with chronic conditions may scandifference.org
qualify. See your Evidence of Coverage for a complete list of eligible or contact your local
chronic conditions and coverage criteria. Out-of-network/ scan representative
non-contracted providers are under no obligation to treat Plan
members, except in emergency situations. Please call our Member
Services number or see your Evidence of Coverage for more Adam Zukowski
information, including the cost-sharing that applies to Phone # (702) 580-5767
out-of-network services. SCAN Balance (HMO C-SNP) is an HMO Calling this number will connect you to
plan with a Medicare contract. Enrollment in SCAN Health Plan a licensed insurance agent/broker.
depends on contract renewal. License # 187648
Y0057_SCAN_22169_2026_M 09172025
Visit us online at www.SCANdifference.org