
Alignment Health Clarity Plus 042 (HMO C-SNP)
Plan information effective January 1, 2027.
Plan costs & ratings
Availability
Available in 18 California countiesAlameda 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
$0 copay per visit
20% coinsurance per visit (waived if admitted within 48 hours)
$0 copay for Medicare-covered urgently-needed-care visits
20% coinsurance per trip (NOT waived if admitted)
$0 copay
This plan includes: Eye Exams, Eyewear.
$0 copay for Medicare-covered Hearing Services
$0 copay; Maximum plan benefit coverage of $103.00 every month (no rollover).
$0 copay; Limit of 50 one-way trips every year to plan approved locations (within a 50-mile radius).
$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
Plan identifiers
Carrier contact
Network & documents
Chronic Care
SNP created for those diagnosed with chronic disabling mental health conditions, including a $103/month allowance for OTC + Essential