
Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)
Plan information effective January 1, 2027.
Plan costs & ratings
Availability
Available in 20 California countiesAlameda County, CA, Fresno County, CA, Kern 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 +8 more
Available Cities
This plan is available in 380+ cities in California.
Benefits
$0 copay per visit
$275 copay per day for days 1-6, $0 copay per day for days 7-90 (Unlimited days per admission).
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 for Medicare-covered Dental Services
This plan includes: Eye Exams, Eyewear.
$0 copay for Medicare-covered Hearing Services
$0 copay; Maximum plan benefit coverage of $127.00 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 full duals diagnosed with a heart condition or diabetes, with rich benefits including a $127/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
Plan Overview
Plan identifiers
Carrier contact
Network & documents
Chronic Care
SNP created for full duals diagnosed with a heart condition or diabetes, with rich benefits including a $127/month allowance for OTC + Essentials*.