SCAN Health Plan
SCAN Health Plan is a not-for-profit Medicare Advantage HMO founded in 1977, serving more than 440,000 members across six U.S. states with all-in-one plans bundling medical, prescription drug, and supplemental benefits, distributed through field sales, brokers, and community retail hubs.
- Company typePrivate
- Founded1977
- HeadquartersLong Beach, United States
- Headcount1,001–5,000
- GTM typeB2C
- OfferingServices
What SCAN Health Plan does
SCAN Health Plan is a not-for-profit Medicare Advantage HMO organization headquartered in Long Beach, California, founded in 1977 by 12 seniors and operating as part of the SCAN Group nonprofit parent. The company delivers all-in-one Medicare Advantage plans that bundle hospital (Part A), medical (Part B), and prescription drug (Part D) coverage with extensive supplemental benefits (dental, vision, hearing, fitness, transportation, OTC allowances, telehealth, caregiver support) across six states—Arizona, California, Nevada, New Mexico, Texas, and Washington—serving more than 440,000 members. The product portfolio includes core HMO plans, Dual Special Needs Plans (D-SNP) for Medicare-Medicaid dual-eligible beneficiaries, multiple branded plan variants (SCAN Balance, SCAN Connections, SCAN Strive, SCAN Affirm, SCAN Inspired, VillageHealth, etc.) targeting specific member segments, and customized employer/union retiree group plans.
Revenue is generated primarily through CMS capitation premiums paid per enrolled member, supplemented by employer-sponsored group premiums and quality-based Star Ratings bonuses; pricing is heavily subsidy-driven with $0 premium plan options available in many service areas. Distribution is multi-channel: dedicated field sales representatives across California counties, licensed broker/agent networks (including the recently launched Brokers as Health Navigators program), telesales, self-service online enrollment, physical SCAN Central community hubs (first opened in Henderson, Nevada in April 2025), and healthcare provider referrals. The underlying technology stack includes an integrated care management platform, AI-powered clinical and customer-service productivity tools (medical chart summarization, call summarization), and a newly created Chief AI Officer function to lead enterprise AI and analytics strategy. SCAN has vertically extended into care delivery through wholly-owned and affiliated subsidiaries—myPlace Health (PACE), Welcome Health (house calls), Healthcare in Action (medical care for homeless seniors), Homebase Medical (home-based care), and Independence at Home—and has built strategic provider network partnerships with Sutter Health, MultiCare, Cedars-Sinai, and Hill Physicians to support geographic expansion and member access.
SCAN Health Plan firmographics
Firmographics- Name
- SCAN Health Plan
- Legal name
- SCAN Health Plan
- Website
- https://scanhealthplan.com
- Company type
- Private
- Founded year
- 1977
- Operating status
- Operating
- Headcount range
- 1,001–5,000 employees
- Short description
- SCAN Health Plan is a not-for-profit Medicare Advantage HMO founded in 1977, serving more than 440,000 members across six U.S. states with all-in-one plans bundling medical, prescription drug, and supplemental benefits, distributed through field sales, brokers, and community retail hubs.
- Ownership category
- akta.pro rank
SCAN Health Plan industry classification
Industry- Product category
- Medicare Advantage Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Accident & Health Insurance (6321)
- akta.pro industry
- Medicare Advantage (MA) PlansMA-PD Plans (Medicare Advantage with Prescription Drug Coverage)D-SNP Enrollment, Eligibility & RedeterminationsHealthcare & Life Sciences/Health Insurance & Managed Care/Dual-Eligible Special Needs Plans (D-SNP)
Keywords
Where SCAN Health Plan is headquartered
LocationHeadquarters
- HQ city
- Long Beach
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
SCAN Health Plan business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Medicare Advantage Premiums: SCAN generates primary revenue through Medicare Advantage plan premiums paid by the federal government (CMS) based on member enrollment and risk adjustment. The company receives capitation payments for each enrolled member and generates additional revenue through quality-based bonuses from CMS Star Ratings system.
- Employer Group Retiree Plans: SCAN offers customized Medicare Advantage solutions for employer and union retiree groups, generating revenue through employer-sponsored premium payments for fully-insured Medicare Advantage HMO medical plans with integrated prescription drug coverage.
- Supplemental Benefits Administration: Revenue from administering supplemental benefits including dental, vision, hearing, transportation, fitness (One Pass), over-the-counter allowances, and other extra benefits included in Medicare Advantage plans, often through partnerships with vendors like Delta Dental, EyeMed, and TruHearing.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Many SCAN plans feature $0 premium options |
Go-to-market motion2 records
Distribution channels7 records
Marketing channels7 records
SCAN Health Plan product offering
Product offeringCore offering
SCAN Health Plan is a not-for-profit Medicare Advantage HMO organization that provides all-in-one Medicare Advantage plans bundling hospital (Part A), medical (Part B), and prescription drug (Part D) coverage with extensive supplemental benefits including dental, vision, hearing, transportation, fitness, OTC allowances, and caregiver support. The company serves Medicare-eligible seniors across six U.S. states with approximately 440,000 members and operates specialized Dual Special Needs Plans (D-SNPs) for dual-eligible beneficiaries plus customized employer/union retiree group plans.
Product overview
SCAN Health Plan offers a comprehensive Medicare Advantage platform providing all-in-one HMO plans that bundle hospital, medical, and prescription drug coverage with extensive supplemental benefits. The portfolio includes core Medicare Advantage HMO plans and D-SNP Dual Special Needs Plans, complemented by multiple branded plan variants (SCAN Balance, SCAN Connections, SCAN Connections at Home, SCAN Strive, SCAN Allied, SCAN Embrace, SCAN Embrace Together, SCAN MyChoice, SCAN Classic, SCAN Affirm, SCAN Inspired, VillageHealth) designed for different member segments including those with chronic conditions, LGBTQ+ members, and home-based care needs. The product ecosystem is enhanced through supplemental benefit modules including FlexEssentials OTC spending, dental (Delta Dental/DentaQuest), vision (EyeMed), hearing (TruHearing), fitness (One Pass), transportation, telehealth, mental health, caregiver support, and specialized programs like Caregiver Advantage, Independent Living Power, and HEALTHtech technology support. Employer group retiree plans provide customized group benefit designs with ILP in-home services.
Differentiator
Problem solved
Functional benefit
Brands
- SCAN Desert Health Plan: Arizona nonprofit corporation operating Medicare Advantage plans
- SCAN Health Plan Nevada
- SCAN Health Plan Texas
- FlexEssentials
- SCAN Transportation
- SCAN Connections
- SCAN Affirm
- SCAN Inspired
- SCAN Balance
- SCAN MyChoice
- SCAN Strive
- SCAN Allied
- SCAN Embrace
- VillageHealth
- SCAN Connections at Home
Products and services
- SCAN Medicare Advantage HMO Plans All-in-one Medicare Advantage HMO plans combining hospital (Part A), medical (Part B), and prescription drug coverage (Part D) with supplemental benefits such as dental, vision, hearing, transportation, fitness, and over-the-counter allowances, targeted at Medicare-eligible seniors across Arizona, California, Nevada, New Mexico, Texas, and Washington.
- D-SNP Dual Special Needs Plans (VillageHealth) Specialized Medicare Advantage plans for individuals eligible for both Medicare and Medicaid, providing coordinated care for dual-eligible beneficiaries, including dedicated member phone support and care coordination through VillageHealth.
- Employer Group Medicare Advantage Plans
Quantifiable outcome
- 40.6% membership growth adding 127,000 new members during 2026 AEP
- +4 more outcomes
Companies that use SCAN Health Plan
Customer profileNamed customers1 record
Segments3 records
Ideal customer profiles3 records
SCAN Health Plan technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration12 records
AI capability4 records
Feature3 records
SCAN Health Plan partnerships and signals
Strategic signalPartnerships
14 partnerships are on record, tiered core and flagship.
- Cedars-SinaicoreExpanded partnership to improve healthcare access and coordination for older adults in Southern California, effective January 1, 2026. Collaboration allows SCAN members in Los Angeles County to access Cedars-Sinai hospitals and physicians. Continues longstanding relationship to enhance geriatric care.
- CostcoflagshipPartnership to provide older adults with access to affordable medications, vaccines, and health essentials. Includes launching SCAN Health Day at Costco locations to promote Medicare Advantage education and preventive health services. Starting January 2026, SCAN members in Washington can use OTC and spending benefits at Costco. Partnership extends to groceries, utilities, and other spending categories.
- myPlace HealthcoreSCAN Group took full ownership of myPlace Health, reinforcing commitment to the PACE (Program of All-inclusive Care for the Elderly) model and vulnerable populations. myPlace Health operates PACE centers providing coordinated community-based care for older adults with complex health needs. Expanded to second center in South L.A. in August 2025. Surpassed 300 participants across Los Angeles PACE centers in June 2026.
- MultiCare Health SystemcoreMultiyear partnership to improve healthcare access for older adults in Washington state, effective January 1, 2026. Collaboration expands SCAN members' access to MultiCare's hospital and clinic network across Pierce, Spokane, and Thurston counties.
- Hill Physicians Medical GroupcoreLargest independent physician group in Northern California joined SCAN's provider network, bringing more care choices and access for seniors in SCAN's newest Northern California service areas.
- Sutter HealthcoreLong-term strategic collaboration to enhance Medicare Advantage services in Northern California. The partnership introduced new MA products in Northern California and plans to create a new joint venture. Sutter Health is the largest not-for-profit health system in Northern California. SCAN added approximately 41,000 new members from this partnership during the 2026 AEP.
- One Pass (by American Specialty Health)coreFitness benefit provider offering SCAN members access to 25,000+ fitness gyms nationwide, on-demand classes, online brain fitness, and community-based classes. Includes specialized programs like Age Bold (fall prevention), Wellen (osteoporosis), and Grouper (social activities).
- EyeMed Vision CarecoreVision care provider offering routine eye exams and eyewear through EyeMed Select network. SCAN members receive yearly routine eye exams and eyewear allowance to spend on frames, lenses, or contacts.
- Delta DentalcoreDental benefits provider for California and Washington residents offering Delta Dental HMO plans with option to expand coverage with PPO plans.
- DentaQuestcoreDental benefits provider for Arizona, California, New Mexico, Nevada, and Texas residents providing preventive, routine, and specialized oral health care.
- TruHearingcoreHearing solutions provider offering hearing exams and reduced-cost hearing aids for SCAN members.
- CVS OTC Health SolutionscoreOver-the-counter (OTC) benefits administrator for SCAN's FlexEssentials program. Manages OTC card, mobile app, catalog orders, and point-of-sale transactions. SCAN members can use OTC allowances for allergy medication, cough/cold relief, first-aid items, eye care, and more at major retailers including CVS, Costco, Walmart, and local markets.
- SafeRide (Transportation)coreTransportation benefit provider offering free rides to medical appointments and pharmacy. Also coordinates Lyft/Uber for return trips when needed. Scheduling available by phone or online through SCAN member account. SCAN members can schedule rides up to 30 days in advance.
- American Specialty HealthcoreNetwork provider for chiropractic, acupuncture, and therapeutic massage services through their provider network.
Scale indicators6 records
Recent moves10 records
Expansion highlights6 records
SCAN Health Plan competitors and assessment
Company assessmentDirect peers
- Aetna (CVS Health): Major national Medicare Advantage carrier under the CVS Health umbrella, offering bundled MA-PD and supplemental benefit products that overlap directly with SCAN's portfolio.
- Kaiser Permanente: California-anchored, nonprofit integrated health system and Medicare Advantage HMO provider; directly competes with SCAN in the California MA market as the only organization ranked ahead of SCAN in the state.
- Humana: Largest pure-play Medicare Advantage carrier in the U.S. and the most direct national comparable to SCAN's MA-HMO-led strategy.
- UnitedHealthcare (UnitedHealth Group): Market-leading Medicare Advantage insurer (including AARP co-branded MA plans) and the dominant scale competitor to SCAN across most U.S. markets.
- Elevance Health (Anthem Blue Cross): Top-five Medicare Advantage insurer and the most direct cross-state competitor to SCAN in California through Anthem Blue Cross of California; recently involved alongside SCAN in Star Ratings litigation.
- Alignment Health: California-focused Medicare Advantage HMO plan targeting seniors with tech-enabled care management — a closely comparable niche peer to SCAN's California-led model.
- Clever Care Health Plan: California-based Medicare Advantage HMO serving Asian-American and underserved seniors — competes with SCAN in the same California counties with culturally tailored MA plans.
- Molina Healthcare: Government-program-focused health plan with significant Medicare Advantage and D-SNP exposure across multiple states — directly comparable to SCAN's dual-eligible (D-SNP) segment strategy.
- Centene Corporation (WellCare): Largest Medicaid managed care carrier with a sizable MA franchise (WellCare); competes for government-program seniors, D-SNP members, and lower-income MA enrollees in overlapping states.
Broad incumbents
- Blue Shield of California: California nonprofit health plan offering Medicare Advantage alongside commercial and Medi-Cal products; an established statewide peer with broader scope than SCAN's MA-only focus.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights6 records
Customer concentration
SCAN Health Plan social profiles
Digital presenceSCAN Health Plan compliance and trust
Trust signalCompliance3 records
SCAN Health Plan financial estimates
Financial estimateRevenue estimate
Valuation estimate
SCAN Health Plan leadership team
Management profileNumber of profiles
Profiles14 records
SCAN Health Plan subsidiaries and ownership
Company hierarchySubsidiaries5 records
SCAN Health Plan funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
SCAN Health Plan M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about SCAN Health Plan
What does SCAN Health Plan do?
SCAN Health Plan is a not-for-profit Medicare Advantage HMO organization that provides all-in-one Medicare Advantage plans bundling hospital (Part A), medical (Part B), and prescription drug (Part D) coverage with extensive supplemental benefits including dental, vision, hearing, transportation, fitness, OTC allowances, and caregiver support. The company serves Medicare-eligible seniors across six U.S. states with approximately 440,000 members and operates specialized Dual Special Needs Plans (D-SNPs) for dual-eligible beneficiaries plus customized employer/union retiree group plans.
Is SCAN Health Plan a public or private company?
SCAN Health Plan is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was SCAN Health Plan founded?
SCAN Health Plan was founded in 1977. It employs 1,001 to 5,000 people.
Where is SCAN Health Plan based?
SCAN Health Plan is headquartered in Long Beach, United States, in the North America region.
How does SCAN Health Plan make money?
Three revenue lines are on record. Medicare Advantage Premiums are the primary driver. The others are employer Group Retiree Plans and supplemental Benefits Administration.
Who are SCAN Health Plan's main competitors?
Direct peers on record are Aetna (CVS Health), Kaiser Permanente, Humana, UnitedHealthcare (UnitedHealth Group), Elevance Health (Anthem Blue Cross), Alignment Health, Clever Care Health Plan, Molina Healthcare and Centene Corporation (WellCare). Blue Shield of California is listed as a broad incumbent.
Does SCAN Health Plan have an API?
No public API is recorded for SCAN Health Plan.
What industry is SCAN Health Plan in?
SCAN Health Plan's product category is Medicare Advantage Health Insurance. Its primary akta.pro industry code is FSAIAGAA, Medicare Advantage (MA) Plans, with a secondary code of FSAIAGAG, MA-PD Plans (Medicare Advantage with Prescription Drug Coverage). Its NAICS code is 524114 and its SIC code is 6321.