MAPD
2027 plan LPPO
Alignment Health Advantage 005 (PPO)
Plan information effective January 1, 2027.
Plan costs & ratings
Monthly premium$160.50
Annual premium$1,926.00
Medical premium$160.00
Medical deductible$0
Drug premium$0.50
Drug deductible$700
Medical out-of-pocket limit (in network)$4,451
Medical out-of-pocket limit (out of network)$8,950
Part D annual out-of-pocket threshold$2,400
Availability
Available in 2 California countiesLos Angeles County, CA, San Diego County, CA
Available Cities
This plan is available in 150+ cities in California.
Acton
Los Angeles County
Agua Dulce
Los Angeles County
Alhambra
Los Angeles County
Altadena
Los Angeles County
Arcadia
Los Angeles County
Arleta
Los Angeles County
Azusa
Los Angeles County
Bassett
Los Angeles County
Bell Gardens
Los Angeles County
Bellflower
Los Angeles County
Beverly Hills
Los Angeles County
Burbank
Los Angeles County
Calabasas
Los Angeles County
Canoga Park
Los Angeles County
Canyon Country
Los Angeles County
Carson
Los Angeles County
Castaic
Los Angeles County
Cerritos
Los Angeles County
Chatsworth
Los Angeles County
City Of Commerce
Los Angeles County
Claremont
Los Angeles County
Covina
Los Angeles County
Culver City
Los Angeles County
Diamond Bar
Los Angeles County
Downey
Los Angeles County
East Los Angeles
Los Angeles County
East Rancho Domi
Los Angeles County
El Monte
Los Angeles County
El Segundo
Los Angeles County
Encino
Los Angeles County
Flintridge
Los Angeles County
Gardena
Los Angeles County
Glendale
Los Angeles County
Glendora
Los Angeles County
Granada Hills
Los Angeles County
Hacienda Heights
Los Angeles County
Harbor City
Los Angeles County
Hawaiian Gardens
Los Angeles County
Hermosa Beach
Los Angeles County
Huntington Park
Los Angeles County
Inglewood
Los Angeles County
La Crescenta
Los Angeles County
La Mirada
Los Angeles County
La Verne
Los Angeles County
Lake Los Angeles
Los Angeles County
Lakewood
Los Angeles County
Lancaster
Los Angeles County
Lawndale
Los Angeles County
Lennox
Los Angeles County
Long Beach
Los Angeles County
Los Angeles
Los Angeles County
Los Nietos
Los Angeles County
Lynwood
Los Angeles County
Malibu
Los Angeles County
Manhattan Beach
Los Angeles County
Marina Del Rey
Los Angeles County
Maywood
Los Angeles County
Monrovia
Los Angeles County
Montebello
Los Angeles County
Monterey Park
Los Angeles County
Montrose
Los Angeles County
Newhall
Los Angeles County
North Hills
Los Angeles County
North Hollywood
Los Angeles County
Northridge
Los Angeles County
Norwalk
Los Angeles County
Oak Park
Los Angeles County
Pacific Palisade
Los Angeles County
Palmdale
Los Angeles County
Palos Verdes Est
Los Angeles County
Panorama City
Los Angeles County
Paramount
Los Angeles County
Pasadena
Los Angeles County
Phillips Ranch
Los Angeles County
Pico Rivera
Los Angeles County
Playa Del Rey
Los Angeles County
Pomona
Los Angeles County
Porter Ranch
Los Angeles County
Quartz Hill
Los Angeles County
Rancho Dominguez
Los Angeles County
Rancho Palos Ver
Los Angeles County
Redondo Beach
Los Angeles County
Reseda
Los Angeles County
Rosemead
Los Angeles County
Rowland Heights
Los Angeles County
San Dimas
Los Angeles County
San Fernando
Los Angeles County
San Gabriel
Los Angeles County
San Marino
Los Angeles County
San Pedro
Los Angeles County
Santa Fe Springs
Los Angeles County
Santa Monica
Los Angeles County
Shadow Hills
Los Angeles County
Sherman Oaks
Los Angeles County
Sierra Madre
Los Angeles County
Signal Hill
Los Angeles County
South El Monte
Los Angeles County
South Gate
Los Angeles County
South Pasadena
Los Angeles County
Studio City
Los Angeles County
Sun Valley
Los Angeles County
Sylmar
Los Angeles County
Tarzana
Los Angeles County
Temple City
Los Angeles County
Toluca Lake
Los Angeles County
Topanga
Los Angeles County
Torrance
Los Angeles County
Tujunga
Los Angeles County
Valencia
Los Angeles County
Valley Village
Los Angeles County
Van Nuys
Los Angeles County
Venice
Los Angeles County
West Covina
Los Angeles County
West Hills
Los Angeles County
West Hollywood
Los Angeles County
Whittier
Los Angeles County
Wilmington
Los Angeles County
Winnetka
Los Angeles County
Woodland Hills
Los Angeles County
Borrego Springs
San Diego County
Campo
San Diego County
Cardiff By The S
San Diego County
Carlsbad
San Diego County
Chula Vista
San Diego County
Coronado
San Diego County
Del Mar
San Diego County
Descanso
San Diego County
El Cajon
San Diego County
Encinitas
San Diego County
Escondido
San Diego County
Fallbrook
San Diego County
Imperial Beach
San Diego County
Jamul
San Diego County
La Jolla
San Diego County
La Mesa
San Diego County
Lakeside
San Diego County
Lemon Grove
San Diego County
National City
San Diego County
Oceanside
San Diego County
Poway
San Diego County
Ramona
San Diego County
Rancho Santa Fe
San Diego County
San Diego
San Diego County
San Marcos
San Diego County
San Ysidro
San Diego County
Santee
San Diego County
Solana Beach
San Diego County
Spring Valley
San Diego County
Valley Center
San Diego County
Vista
San Diego County
Benefits
Primary care
In Network
In-Network: $0 copay per visit
Inpatient hospital
In Network
In-Network: $500 copay per admission (Unlimited days per admission).
Skilled nursing
In Network
In-Network: $0 copay per day for days 1-20, $100 copay per day for days 21-51, $0 copay per day for days 52-100 (no prior hospital stay required).
Emergency care
In Network
In-Network: $130 copay per visit (NOT waived if admitted)
Urgently needed care
In Network
In-Network: $20 copay for Medicare-covered urgently-needed-care visits (waived if admitted within24 hours).
Ambulance
In Network
In-Network: $250 copay per trip (waived if admitted)
Dental
In Network
In-Network: $0 copay for Medicare-covered Dental Services
Vision
In Network
This plan includes: Eye Exams, Eyewear.
Hearing
In Network
In-Network: $0 copay for Medicare-covered Hearing Services
Fitness
In Network
In-Network: $0 copay for Fitness Benefit.
Highlights
- PPO plan with $160 monthly premium, including flexibility to see providers in-network and out-of-network.
Notes
Drug deductible details: $0 Deductible on Tier(s) 1, 2, 3, 6; 700.00 Deductible on Tier(s) 4, 5
Plan Overview
CarrierAlignment Health Plan
Plan typeMAPD
PlanLPPO
Marketing nameAlignment Health Plan
Drug coverageIncluded
Enrollment hours8:00 a.m. to 8:00 p.m.
Provider searchOpen provider directory
Carrier websiteOpen website
Plan identifiers
Plan IDH8832-005-000
Plan number5
ContractH8832
Segment0
DRX ID1BJPSKS9ZB
Carrier ID587
Formulary ID27146
Formulary version9042026
Carrier contact
Carrier phone1-866-634-2247
Enrollment phone1-866-634-2247
Enrollment TTY711
Carrier hours8:00 a.m. to 8:00 p.m.
Network & documents
Preferred pharmacy networkNo
Preferred retail pharmacyNo
Preferred mail pharmacyNo
Mail drug benefitsNo
PPO plan with $160 monthly premium, including flexibility to see providers in-network and out-of-network.