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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMO 3

Alignment Health Clarity Plus 042 (HMO C-SNP)

Plan information effective January 1, 2027.

Alignment Health Plan Plan ID H3815-042-000 Plan #42 MAPD

Plan costs & ratings

Monthly premium$7.30
Annual premium$87.60
Medical premium$0.00
Medical deductible$0
Drug premium$7.30
Drug deductible$700
Medical out-of-pocket limit (in network)$9,850
Part D annual out-of-pocket threshold$2,400

Availability

Available in 18 California counties

Alameda County, CA, Fresno County, CA, Los Angeles County, CA, Madera County, CA, Marin County, CA, Merced County, CA, Orange County, CA, Placer County, CA, Riverside County, CA, Sacramento County, CA, San Bernardino County, CA, San Diego County, CA +6 more

Available Cities

This plan is available in 359+ cities in California.

Benefits

Primary care In Network

$0 copay per visit

Emergency care In Network

20% coinsurance per visit (waived if admitted within 48 hours)

Urgently needed care In Network

$0 copay for Medicare-covered urgently-needed-care visits

Ambulance In Network

20% coinsurance per trip (NOT waived if admitted)

Dental In Network

$0 copay

Vision In Network

This plan includes: Eye Exams, Eyewear.

Hearing In Network

$0 copay for Medicare-covered Hearing Services

Over-the-counter In Network

$0 copay; Maximum plan benefit coverage of $103.00 every month (no rollover).

Transportation In Network

$0 copay; Limit of 50 one-way trips every year to plan approved locations (within a 50-mile radius).

Fitness In Network

$0 copay for Fitness Benefit.

Highlights

  • SNP created for those diagnosed with chronic disabling mental health conditions, including a $103/month allowance for OTC + Essential

Notes

  • Drug deductible details: $0 Deductible on Tier(s) 1, 2, 6; 700.00 Deductible on Tier(s) 3, 4, 5
  • Copay and coinsurance based on 2027 Medicare defined cost shares.

Plan Overview

CarrierAlignment Health Plan
Plan typeMAPD
PlanHMO
Marketing nameAlignment Health Plan
SNP type3
Drug coverageIncluded
Enrollment hours8:00 a.m. to 8:00 p.m.
Carrier websiteOpen website

Plan identifiers

Plan IDH3815-042-000
Plan number42
ContractH3815
Segment0
DRX ID180DV4S7JR
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

Chronic Care

SNP created for those diagnosed with chronic disabling mental health conditions, including a $103/month allowance for OTC + Essential