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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMO 3

Alignment Health Heart & Diabetes 048 (HMO C-SNP)

Plan information effective January 1, 2027.

Alignment Health Plan Plan ID H3815-048-000 Plan #48 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)$1,990
Part D annual out-of-pocket threshold$2,400

Availability

Available in 15 California counties

Alameda County, CA, Fresno County, CA, Kern County, CA, Madera County, CA, Marin County, CA, Merced County, CA, Placer County, CA, Sacramento County, CA, San Francisco County, CA, San Joaquin County, CA, San Luis Obispo County, CA, Santa Clara County, CA +3 more

Available Cities

This plan is available in 126+ cities in California.

Benefits

Primary care In Network

$0 copay per visit

Inpatient hospital In Network

$100 copay per day for days 1-5, $0 copay per day for days 6-90 (Unlimited days per admission).

Skilled nursing In Network

$20 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 (waived if admitted within 48 hours)

Urgently needed care In Network

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

Ambulance In Network

$100 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 $10.00 every month (no rollover).

Transportation In Network

$0 copay; Limit of 24 one-way trips every year to plan approved locations (within a 35-mile radius).

Fitness In Network

$0 copay for Fitness Benefit.

Highlights

  • SNP created for those diagnosed with a heart condition or diabetes, $0 premium including $0 diabetic supplies, with rich benefits including a $35/month Essentials Allowance* and a $200 annual Vision allowance.

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 IDH3815-048-000
Plan number48
ContractH3815
Segment0
DRX ID0J9060NLST
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 a heart condition or diabetes, $0 premium including $0 diabetic supplies, with rich benefits including a $35/month Essentials Allowance* and a $200 annual Vision allowance.