MarketSCAN Health Plan
Company Profile

SCAN Health Plan

SCAN Health Plan (SCAN) is a not-for-profit, Medicare Advantage health plan based in Long Beach, California. Founded in 1977, SCAN provides healthcare coverage to Medicare beneficiaries in 33 counties across California, Arizona, Texas, New Mexico, Nevada, and Washington, serving more than 440,000 members. It is one of the largest not-for-profit Medicare Advantage plans in the United States. SCAN Health Plan is part of SCAN Group.

History
1977–1978 The Senior Care Action Network, now known as SCAN, was created based on a proposal developed by a team at the University of Southern California. The new network was briefly known as the Long Beach Geriatric Healthcare Council, Inc., before changing its name to SCAN. Its healthcare delivery model centered on assessing each senior's needs individually in order to coordinate social services and medical care through a network of local agencies, community providers, and hospitals, enabling older adults to remain living safely in their homes as they aged. 1979–1983 Multipurpose Senior Services Program In 1979, the state of California selected SCAN as one of eight sites for the state's Multipurpose Senior Services Program (MSSP). This program helps elderly Medi-Cal recipients in the Long Beach area stay out of nursing institutions as long as possible by providing home-based services. For more than 40 years, SCAN has served California's most at-risk seniors as one of the state's MSSP sites through Independence at Home, a community service of SCAN. Social HMO Until 1983, SCAN had been relatively unknown outside of Long Beach. That changed when it was awarded a federal contract as one of four sites nationwide to pilot the Social Health Maintenance Organization (SHMO) demonstration program. The SHMO concept expanded SCAN's existing model of home-based services for seniors to include at-risk elderly individuals enrolled in Medicare while also providing healthcare coverage to other Medicare beneficiaries. In November 1984, under a three-and-a-half-year contract with the federal government, SCAN was officially licensed as a health plan in California. In March 1985, it began enrolling members in its Social HMO. Congress renewed the SHMO demonstration project five times before the program ended in 2004. 1996–1998 Growth and expansion Between 1996 and 1998, SCAN more than doubled its membership by expanding into three Southern California counties: Orange, Riverside, and San Bernardino. When the government ended the SHMO program, SCAN continued operating as a Medicare Advantage plan, offering healthcare coverage and services beyond what the federal Medicare program alone would provide. SCAN continued to grow, extending its service area and membership across both Southern and Northern California. 2020–2026 In 2021, SCAN grew by more than 60,000 members, largely due to the popularity of its Embrace Venture plan, a product that offered a Medicare Part B premium give-back during a period of heightened inflation to help ease financial burdens for seniors. SCAN's growth during this period was also fueled by expansion into three Arizona counties (Maricopa, Pima, and Pinal) and Clark County, Nevada, marking the first time SCAN expanded beyond California into two states simultaneously. During the 2022 Annual Enrollment Period, SCAN's membership grew to more than 285,000 people. That growth was driven by the launch of new products including SCAN Affirm, the first LGBTQ+ focused Medicare Advantage plan, and SCAN's expansion into Texas and Nye County, Nevada. During the 2026 Annual Enrollment Period, SCAN recorded the largest membership increase in its history, with membership growing by more than 127,000 individuals and total enrollment reaching nearly 440,000 members. == Quality of care and rankings ==
Quality of care and rankings
In 2026, SCAN Health Plan received an overall rating of 4 out of 5 stars in California, marking its 13th consecutive year maintaining a 4-star rating or higher in the state. In 2026, 100% of SCAN members enrolled in plans eligible for star ratings were in plans rated 4 stars or higher by the Centers for Medicare & Medicaid Services (CMS). In Arizona, SCAN earned a 4.5-star rating for 2026, representing a one-star increase from the prior year. In Nevada, SCAN achieved a 4.0-star rating for 2026. In 2023, SCAN ranked highest in overall customer satisfaction among Medicare Advantage plans in California based on the results of the J.D. Power U.S. Medicare Advantage Study. In 2025, SCAN was named to U.S. News & World Report's list of Best Medicare Advantage Companies in California and Nevada. The plan also achieved a 90% member satisfaction rating for 2025, according to CMS. SCAN's California CMS Star Rating announced in October 2023 initially reflected a decline from 4.5 to 3.5 stars. SCAN successfully challenged the decision through litigation, and its STAR rating was restored to 4 stars, reflecting 11 consecutive years of maintaining a 4-star rating or higher. == Population-specific plans ==
Population-specific plans
Since 2021, SCAN has developed several population-specific Medicare Advantage plans. These include: • SCAN Affirm, designed for LGBTQ+ older adults • SCAN Inspired, focused on women • SCAN Allied, aimed at serving Asian older adult populations According to company-reported enrollment figures from the 2026 Annual Enrollment Period, membership in these plans increased significantly. SCAN Affirm enrollment increased by 112% to nearly 4,000 members, SCAN Inspired enrollment rose by 1,280% to approximately 2,500 members, and SCAN Allied enrollment grew by 820% to nearly 10,000 members. == Coverage by counties ==
Coverage by counties
As of 2026, SCAN provides healthcare coverage to more than 400,000 Medicare beneficiaries in 33 counties across Arizona, California, Nevada, New Mexico, Texas, and Washington. == Community benefits ==
Community benefits
Independence at Home (IAH), a community service of SCAN Health Plan, provides intensive care management for low-income seniors and helps build community capacity to serve older adults. Its services are delivered through county and state contract programs, the largest of which is the Multipurpose Senior Services Program, as well as programs funded by SCAN Health Plan to support its mission of keeping seniors healthy and independent. IAH also provides a resource and referral line to connect seniors and caregivers to needed services across Los Angeles, Orange, Riverside, and San Bernardino counties, along with a virtual senior center for older adults in all communities served by SCAN. == Diversification and expansion into care delivery ==
Diversification and expansion into care delivery
Beginning in 2020, SCAN expanded into care delivery through its parent organization, SCAN Group, with a focus on developing evidence-based, patient-centered care for vulnerable populations. Beginning in 2021, SCAN launched four new care delivery organizations: • Healthcare in Action, an integrated street medical group offering healthcare services for individuals experiencing or at risk of homelessness, including behavioral health, substance use treatment, housing navigation, and care management support • Welcome Health, a medical group providing primary care based on geriatric medicine through in-clinic, virtual, and in-home visits • Homebase Medical, a medical practice providing palliative care, chronic disease management, care transition management, and in-home personal health assessments • myPlace Health, an integrated care delivery organization providing personalized care for older adults through the PACE (Program of All-Inclusive Care for the Elderly) model and value-based partnerships with local health plans == References ==
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