MAPD 2027 plan HMO

Central Health Harmony 031 (HMO)

Plan information effective January 1, 2027.

Alignment Health Plan Plan ID H3815-031-000 Plan #31 MAPD

Plan costs & ratings

Monthly premium$0.00

Annual premium$0.00

Medical premium$0.00

Medical deductible$0

Drug premium$0.00

Drug deductible$0

Medical out-of-pocket limit (in network)$3,400

Part D annual out-of-pocket threshold$2,400

Availability

Available in 4 California counties

Alameda County, CA, San Francisco County, CA, San Mateo County, CA, Santa Clara County, CA

Available Cities

This plan is available in 48+ cities in California.

Alameda Alameda County Albany Alameda County Berkeley Alameda County Castro Valley Alameda County Dublin Alameda County Fremont Alameda County Hayward Alameda County Kensington Alameda County Livermore Alameda County Newark Alameda County Oakland Alameda County Piedmont Alameda County Pleasanton Alameda County San Leandro Alameda County San Lorenzo Alameda County Union City Alameda County San Francisco San Francisco County Atherton San Mateo County Belmont San Mateo County Daly City San Mateo County East Palo Alto San Mateo County Foster City San Mateo County Half Moon Bay San Mateo County Hillsborough San Mateo County Montara San Mateo County Pacifica San Mateo County Redwood City San Mateo County San Bruno San Mateo County San Carlos San Mateo County San Gregorio San Mateo County San Mateo San Mateo County South San Franci San Mateo County West Menlo Park San Mateo County Woodside San Mateo County Campbell Santa Clara County Gilroy Santa Clara County Los Altos Santa Clara County Los Gatos Santa Clara County Milpitas Santa Clara County Monte Vista Santa Clara County Morgan Hill Santa Clara County Mountain View Santa Clara County Palo Alto Santa Clara County San Jose Santa Clara County Santa Clara Santa Clara County Saratoga Santa Clara County Stanford Santa Clara County Sunnyvale Santa Clara County

Benefits

Primary care In Network

$0 copay per visit

Inpatient hospital In Network

$175 copay per day for days 1-5, $0 copay per day for days 6-90 (Unlimited days per admission).

Skilled nursing In Network

$0 copay per day for days 1-20, $100 copay per day for days 21-100 (no prior hospital stay required).

Emergency care In Network

$150 copay per visit (NOT waived if admitted within 48 hours)

Urgently needed care In Network

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

Ambulance In Network

$175 copay per trip (waived if admitted)

Dental In Network

$0 copay for Medicare-covered Dental Services

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 $25.00 every month (no rollover).

Transportation In Network

$0 copay; Limit of 26 one-way trips every year to plan approved locations (within a 20-mile radius).

Fitness In Network

$0 copay for Fitness Benefit.

Highlights

$0 premium plan with a $30/month Essentials Allowance*, $25/month OTC, unlimited routine acupuncture and more.

Plan Overview

CarrierAlignment Health Plan

Plan typeMAPD

PlanHMO

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 IDH3815-031-000

Plan number31

ContractH3815

Segment0

DRX ID19RMV1ZCNT

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

$0 premium plan with a $30/month Essentials Allowance*, $25/month OTC, unlimited routine acupuncture and more.