MAPD
2027 plan HMO 3
Alignment Health Heart & Diabetes 054 (HMO C-SNP)
Plan information effective January 1, 2027.
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)$990
Part D annual out-of-pocket threshold$2,400
Availability
Available in 5 California countiesLos Angeles County, CA, Orange County, CA, Riverside County, CA, San Bernardino County, CA, San Diego County, CA
Available Cities
This plan is available in 254+ cities in California.
Acton
Los Angeles County
Agua Dulce
Los Angeles County
Alhambra
Los Angeles County
Altadena
Los Angeles County
Arcadia
Los Angeles County
Arleta
Los Angeles County
Azusa
Los Angeles County
Bassett
Los Angeles County
Bell Gardens
Los Angeles County
Bellflower
Los Angeles County
Beverly Hills
Los Angeles County
Burbank
Los Angeles County
Calabasas
Los Angeles County
Canoga Park
Los Angeles County
Canyon Country
Los Angeles County
Carson
Los Angeles County
Castaic
Los Angeles County
Cerritos
Los Angeles County
Chatsworth
Los Angeles County
City Of Commerce
Los Angeles County
Claremont
Los Angeles County
Covina
Los Angeles County
Culver City
Los Angeles County
Diamond Bar
Los Angeles County
Downey
Los Angeles County
East Los Angeles
Los Angeles County
East Rancho Domi
Los Angeles County
El Monte
Los Angeles County
El Segundo
Los Angeles County
Encino
Los Angeles County
Flintridge
Los Angeles County
Gardena
Los Angeles County
Glendale
Los Angeles County
Glendora
Los Angeles County
Granada Hills
Los Angeles County
Hacienda Heights
Los Angeles County
Harbor City
Los Angeles County
Hawaiian Gardens
Los Angeles County
Hermosa Beach
Los Angeles County
Huntington Park
Los Angeles County
Inglewood
Los Angeles County
La Crescenta
Los Angeles County
La Mirada
Los Angeles County
La Verne
Los Angeles County
Lake Los Angeles
Los Angeles County
Lakewood
Los Angeles County
Lancaster
Los Angeles County
Lawndale
Los Angeles County
Lennox
Los Angeles County
Long Beach
Los Angeles County
Los Angeles
Los Angeles County
Los Nietos
Los Angeles County
Lynwood
Los Angeles County
Malibu
Los Angeles County
Manhattan Beach
Los Angeles County
Marina Del Rey
Los Angeles County
Maywood
Los Angeles County
Monrovia
Los Angeles County
Montebello
Los Angeles County
Monterey Park
Los Angeles County
Montrose
Los Angeles County
Newhall
Los Angeles County
North Hills
Los Angeles County
North Hollywood
Los Angeles County
Northridge
Los Angeles County
Norwalk
Los Angeles County
Oak Park
Los Angeles County
Pacific Palisade
Los Angeles County
Palmdale
Los Angeles County
Palos Verdes Est
Los Angeles County
Panorama City
Los Angeles County
Paramount
Los Angeles County
Pasadena
Los Angeles County
Phillips Ranch
Los Angeles County
Pico Rivera
Los Angeles County
Playa Del Rey
Los Angeles County
Pomona
Los Angeles County
Porter Ranch
Los Angeles County
Quartz Hill
Los Angeles County
Rancho Dominguez
Los Angeles County
Rancho Palos Ver
Los Angeles County
Redondo Beach
Los Angeles County
Reseda
Los Angeles County
Rosemead
Los Angeles County
Rowland Heights
Los Angeles County
San Dimas
Los Angeles County
San Fernando
Los Angeles County
San Gabriel
Los Angeles County
San Marino
Los Angeles County
San Pedro
Los Angeles County
Santa Fe Springs
Los Angeles County
Santa Monica
Los Angeles County
Shadow Hills
Los Angeles County
Sherman Oaks
Los Angeles County
Sierra Madre
Los Angeles County
Signal Hill
Los Angeles County
South El Monte
Los Angeles County
South Gate
Los Angeles County
South Pasadena
Los Angeles County
Studio City
Los Angeles County
Sun Valley
Los Angeles County
Sylmar
Los Angeles County
Tarzana
Los Angeles County
Temple City
Los Angeles County
Toluca Lake
Los Angeles County
Topanga
Los Angeles County
Torrance
Los Angeles County
Tujunga
Los Angeles County
Valencia
Los Angeles County
Valley Village
Los Angeles County
Van Nuys
Los Angeles County
Venice
Los Angeles County
West Covina
Los Angeles County
West Hills
Los Angeles County
West Hollywood
Los Angeles County
Whittier
Los Angeles County
Wilmington
Los Angeles County
Winnetka
Los Angeles County
Woodland Hills
Los Angeles County
Aliso Viejo
Orange County
Anaheim
Orange County
Buena Park
Orange County
Capistrano Beach
Orange County
Cerritos
Orange County
Corona Del Mar
Orange County
Costa Mesa
Orange County
Coto De Caza
Orange County
Cowan Heights
Orange County
Cypress
Orange County
Foothill Ranch
Orange County
Fountain Valley
Orange County
Huntington Beach
Orange County
La Habra Heights
Orange County
Laguna Hills
Orange County
Laguna Niguel
Orange County
Lake Forest
Orange County
Midway City
Orange County
Mission Viejo
Orange County
Newport Beach
Orange County
Rancho Santa Margarita
Orange County
Rossmoor
Orange County
San Clemente
Orange County
Santa Ana
Orange County
Santa Ana Height
Orange County
Seal Beach
Orange County
Stanton
Orange County
Westminster
Orange County
Banning
Riverside County
Beaumont
Riverside County
Cabazon
Riverside County
Calimesa
Riverside County
Canyon Lake
Riverside County
Cathedral City
Riverside County
Coachella
Riverside County
Corona
Riverside County
Desert Hot Sprin
Riverside County
Eagle Mountain
Riverside County
Hemet
Riverside County
Homeland
Riverside County
Idyllwild
Riverside County
Indian Wells
Riverside County
Indio
Riverside County
La Quinta
Riverside County
Lake Elsinore
Riverside County
March Air Force
Riverside County
Mead Valley
Riverside County
Menifee
Riverside County
Mira Loma
Riverside County
Moreno Valley
Riverside County
Mountain Center
Riverside County
Murrieta
Riverside County
North Palm Sprin
Riverside County
Palm Desert
Riverside County
Palm Springs
Riverside County
Perris
Riverside County
Rancho Mirage
Riverside County
Riverside
Riverside County
Rubidoux
Riverside County
San Jacinto
Riverside County
Sun City
Riverside County
Temecula
Riverside County
Wildomar
Riverside County
Adelanto
San Bernardino County
Alta Loma
San Bernardino County
Angelus Oaks
San Bernardino County
Apple Valley
San Bernardino County
Arrowbear Lake
San Bernardino County
Barstow
San Bernardino County
Big Bear City
San Bernardino County
Big Bear Lake
San Bernardino County
Bloomington
San Bernardino County
Bryn Mawr
San Bernardino County
Chino
San Bernardino County
Chino Hills
San Bernardino County
Crestline
San Bernardino County
Daggett
San Bernardino County
East Highland
San Bernardino County
Essex
San Bernardino County
Etiwanda
San Bernardino County
Fontana
San Bernardino County
Grand Terrace
San Bernardino County
Helendale
San Bernardino County
Hesperia
San Bernardino County
Joshua Tree
San Bernardino County
Lake Arrowhead
San Bernardino County
Landers
San Bernardino County
Loma Linda
San Bernardino County
Lucerne Valley
San Bernardino County
Mentone
San Bernardino County
Montclair
San Bernardino County
Muscoy
San Bernardino County
Ontario
San Bernardino County
Phelan
San Bernardino County
Pinon Hills
San Bernardino County
Rancho Cucamonga
San Bernardino County
Redlands
San Bernardino County
Rialto
San Bernardino County
San Bernardino
San Bernardino County
Spring Valley La
San Bernardino County
Twentynine Palms
San Bernardino County
Upland
San Bernardino County
Yucaipa
San Bernardino County
Yucca Valley
San Bernardino County
Borrego Springs
San Diego County
Campo
San Diego County
Cardiff By The S
San Diego County
Carlsbad
San Diego County
Chula Vista
San Diego County
Coronado
San Diego County
Del Mar
San Diego County
Descanso
San Diego County
El Cajon
San Diego County
Encinitas
San Diego County
Escondido
San Diego County
Fallbrook
San Diego County
Imperial Beach
San Diego County
Jamul
San Diego County
La Jolla
San Diego County
La Mesa
San Diego County
Lakeside
San Diego County
Lemon Grove
San Diego County
National City
San Diego County
Oceanside
San Diego County
Poway
San Diego County
Ramona
San Diego County
Rancho Santa Fe
San Diego County
San Diego
San Diego County
San Marcos
San Diego County
San Ysidro
San Diego County
Santee
San Diego County
Solana Beach
San Diego County
Spring Valley
San Diego County
Valley Center
San Diego County
Vista
San Diego County
Benefits
Primary care
In Network
$0 copay per visit
Inpatient hospital
In Network
$0 copay per admission (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 $40.00 every month (no rollover).
Transportation
In Network
$0 copay; Limit of 50 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, $40/month OTC allowance and $50/month for Essentials 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.
Provider searchOpen provider directory
Carrier websiteOpen website
Plan identifiers
Plan IDH3815-054-000
Plan number54
ContractH3815
Segment0
DRX ID1JNTV6N36Z
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, $40/month OTC allowance and $50/month for Essentials Allowance*.