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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMO 3

Alignment Health Heart & Diabetes Plus 044 (HMO C-SNP)

Plan information effective January 1, 2027.

Alignment Health Plan Plan ID H3815-044-000 Plan #44 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$700
Medical out-of-pocket limit (in network)$9,850
Part D annual out-of-pocket threshold$2,400

Availability

Available in 4 California counties

Los Angeles County, CA, Orange County, CA, Riverside County, CA, San Bernardino County, CA

Available Cities

This plan is available in 223+ 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 $171.00 every month (no rollover).

Transportation In Network

$0 copay; Limit of 100 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 full duals diagnosed with a heart condition or diabetes, with rich benefits including a $171/month allowance for OTC + Essentials*.

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 IDH3815-044-000
Plan number44
ContractH3815
Segment0
DRX ID1N5LV2C0J3
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 full duals diagnosed with a heart condition or diabetes, with rich benefits including a $171/month allowance for OTC + Essentials*.