SCAN Classic Texas (HMO)
Available to residents of Montgomery County, TX for 2026. Contract H8902, plan 010, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $0.00 |
| Plan type | Medicare Advantage |
| Contract / plan | H8902-010-0 |
| Offered by | SCAN Health Plan |
| Parent organization | SCAN Group |
| Formulary drugs | 3,604 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- 4 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H8902 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | $42.00 |
| Tier 4 | 35% |
| Tier 5 | 33% |
Also available in 3 other TX counties
Plan facts come from the CMS quarterly prescription drug plan public use files.