Consumer Trends Positive 7

Costco Targets 5M Medicare Enrollees with New Health Plan

Costco is extending its membership ecosystem into health insurance by launching a Medicare Advantage plan with SCAN. The move leverages Costco's trusted pharmacy, optical, hearing, and OTC departments to reach about 5 million Medicare enrollees across three initial states.

· 5 min read ·

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Retail briefing

Key takeaways

7 impact
Positivesentiment
5min read
  1. Costco is extending its membership ecosystem into health insurance by launching a Medicare Advantage plan with SCAN.
  2. The move leverages Costco's trusted pharmacy, optical, hearing, and OTC departments to reach about 5 million Medicare enrollees across three initial states.

In this briefing

Mentioned

Key Intelligence

Key Facts

  1. 1Costco is partnering with California-based nonprofit insurer SCAN to launch a co-branded Medicare Advantage plan.
  2. 2The Medicare Advantage industry is worth more than $500 billion, according to the announcement.
  3. 3SCAN has around 500,000 members; the Costco partnership gives it access to millions of Medicare enrollees who shop at Costco.
  4. 4The initial rollout will include two states for Medicare Advantage products and one state for a Medicare supplement, with combined access to about 5 million Medicare enrollees, per The Wall Street Journal.
  5. 5The plan will integrate with Costco's existing prescription, vision, hearing, and over-the-counter offerings.
  6. 6The companies did not disclose launch dates or specific states.
Medicare enrollees in initial reach
5M across 3 states

Two Medicare Advantage states plus one Medicare supplement state, per The Wall Street Journal

Analysis

For retail executives, this is a masterclass in extracting more value from an existing membership base. Costco already owns the senior health shopping trip through its pharmacy, optical, and hearing aid departments; adding a Medicare plan turns that trust into a recurring insurance relationship and gives members another reason to renew. The co-branded launch with SCAN also limits Costco's risk while testing whether healthcare can drive warehouse traffic and basket size.

Costco Wholesale is making a significant move into the U.S. senior health insurance market, announcing on August 18, 2026 that it will partner with Long Beach, California-based nonprofit insurer SCAN Group to launch a co-branded Medicare Advantage plan. The deal, disclosed in a SCAN news release and reported by The Seattle Times and The Spokesman-Review, positions the Issaquah, Washington-based warehouse retailer to compete in a Medicare Advantage industry valued at more than $500 billion. It also gives SCAN, a midsized nonprofit with roughly half a million members, a powerful new distribution channel through one of the most trusted retail brands in America.

The deal, disclosed in a SCAN news release and reported by The Seattle Times and The Spokesman-Review, positions the Issaquah, Washington-based warehouse retailer to compete in a Medicare Advantage industry valued at more than $500 billion.

According to The Wall Street Journal, the companies plan to begin selling the jointly named Medicare Advantage products in two states and a Medicare supplement product in a third, a footprint that would give the partnership access to approximately 5 million Medicare enrollees. The companies did not specify which states or when the rollout would begin. SCAN said the products will integrate with Costco's existing prescription, vision, hearing, and over-the-counter offerings, an important design choice because those services already attract older shoppers and can make the plan feel more tangible and convenient than a typical insurance card.

For Costco, the move extends a decade-long push into healthcare services. The company already operates pharmacies, optical departments, hearing aid centers, and a broad OTC health assortment inside its warehouses, often at prices below traditional drugstores. Its membership model gives it a direct, recurring relationship with consumers, including a large base of older adults who shop for value and routine essentials. By adding a Medicare Advantage plan under the Costco brand, the retailer is not necessarily becoming a full-risk insurer; SCAN, as the licensed nonprofit health plan, will presumably bear the regulatory and underwriting responsibilities. Costco's role appears to be distribution, brand, and member experience integration, which is a relatively asset-light way to enter a huge, growing market.

For SCAN, the benefits are equally clear. As a California-based nonprofit Medicare Advantage insurer with around 500,000 members, SCAN has deep experience serving seniors but limited national brand recognition. Partnering with Costco gives it access to millions of Medicare-eligible shoppers who already trust the warehouse brand for prescriptions, glasses, hearing aids, and everyday health products. The partnership is described as an expanded one by SCAN CEO Sachin H. Jain, suggesting the two organizations already have some relationship, likely around member discounts or referral programs. Jain framed the strategy around navigation and trust: Older adults want healthcare that is easier to navigate, more responsive to their needs and rooted in organizations they trust.

Costco CEO Ron Vachris emphasized the company's long-term member focus, saying Costco has spent more than 40 years listening to its members and earning their trust. That trust is the core asset being monetized. Medicare Advantage plans are heavily marketed during the annual enrollment period, and brand recognition can materially lower customer acquisition costs. A Costco-branded plan could differentiate itself by bundling plan benefits with in-store deals, such as OTC allowances usable at Costco, or discounts on prescription, vision, and hearing services. If executed well, the integration could make Costco a destination for senior health needs rather than just a weekly shopping trip.

What to Watch

The Medicare Advantage market is lucrative but also increasingly competitive and scrutinized. Large insurers such as UnitedHealth Group, Humana, and CVS Health's Aetna dominate enrollment and spending, while the Centers for Medicare & Medicaid Services has tightened rules around marketing, prior authorization, and star ratings. A new entrant linked to a trusted retailer could pressure incumbents on both pricing and experience, but it also faces the same regulatory headwinds: plans must meet network adequacy standards, submit bids to CMS, and maintain quality ratings. The decision to start with only two Medicare Advantage states and one supplement state is likely a measured pilot, allowing the partners to refine operations before broader expansion.

Looking ahead, the most important unanswered questions are which states and when the plans will launch, what plan benefits and premiums will look like, and how Costco and SCAN will split economics. If the pilot is successful, the partnership could expand to more states and potentially include other Costco health services such as its recently expanded primary care or telehealth ventures. For the broader healthcare industry, the move is another signal that retail and healthcare are converging, and that trusted consumer brands are moving beyond clinics and prescriptions into insurance products themselves. For investors, Costco's incremental entry into a half-trillion-dollar market with limited capital risk is a potentially meaningful long-term growth lever, even if near-term financial impact is likely modest.

Cite This Page

"Costco Targets 5M Medicare Enrollees with New Health Plan." Retail Intelligence Brief, August 18, 2026. https://getretailbrief.com/story/costco-medicare-advantage-retail

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