Medicare Plan Lookup Official CMS data · Contract Year 2026
CMS 2026 data

2026 Medicare plan code

H5425-085-000

SCAN Venture (HMO) · SCAN Health Plan · Riverside and San Bernardino Counties

Compact plan code: H5425085000

2026

Spaces or dashes work: H5216-435-002 · S2135 802

● CMS 2026 plan record

SCAN Venture (HMO)

H5425-085-000 Riverside and San Bernardino Counties HMO
Open in quick lookup
01

In-network

Inpatient hospital

No cost share reported

02

Emergency transport

Ambulance

Ground · in-network$155 copay
Air · in-network$155 copay
03

Emergency services

Emergency room

$90 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$1,900
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$0 / month

Source trail

Official CMS, Contract Year 2026

Plan identity and benefits come from CMS PBP data. Premium and MOOP figures are cross-checked against the August 2026 Landscape release. Quick-reference values should be confirmed in current official plan documents.

PBP benefits ↗ Landscape data ↗

Same CMS contract

H5425-001-000 SCAN Classic (HMO) Ventura County · HMO H5425-005-000 SCAN Classic (HMO) San Diego County · HMO H5425-006-000 SCAN Classic (HMO) Los Angeles County · HMO H5425-007-000 SCAN Classic (HMO) Orange County · HMO H5425-008-000 SCAN Classic (HMO) Riverside County · HMO H5425-009-000 SCAN Classic (HMO) San Bernardino County · HMO H5425-019-000 SCAN Classic (HMO) San Francisco County · HMO H5425-034-000 SCAN Balance (HMO C-SNP) Los Angeles and Orange Counties · HMO

About this code

What H5425-085-000 identifies

H5425-085-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5425085000 refers to the same normalized contract, plan, and segment shown on this page.

Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.