MAPD
2027 plan HMO
Alignment Health My Choice 061 (HMO)
Plan information effective January 1, 2027.
Plan costs & ratings
Monthly premium$40.00
Medical premium$40.00
Drug premium$0.00
Annual premium$480.00
Medical deductible$0
Drug deductible$700
Max OOP in network$4,900
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in Kern County, CAKern County, CA
Available Cities
This plan is available in 15+ cities in California.
Arvin
Kern County
Bakersfield
Kern County
Bear Valley Spri
Kern County
California City
Kern County
College Heights
Kern County
Delano
Kern County
Greenacres
Kern County
Lamont
Kern County
Mc Farland
Kern County
Mojave
Kern County
Shafter
Kern County
Taft
Kern County
Weldon
Kern County
Willow Springs
Kern County
Wofford Heights
Kern County
Benefits
Primary care
In Network
$5 copay per visit
Inpatient hospital
In Network
$260 copay per day for days 1-5, $0 copay per day for days 6-90 (Unlimited days per admission).
Skilled nursing
In Network
$10 copay per day for days 1-20, $160 copay per day for days 21-51, $0 copay per day for days 52-100 (no prior hospital stay required).
Emergency care
In Network
$130 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
$250 copay per trip (waived if admitted)
Highlights
- An HMO with comprehensive coverage, low out-of-pocket costs, a $15 monthly OTC allowance, and $1,000 dental.
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 IDH3815-061-000
Plan number61
ContractH3815
Segment0
DRX ID1N12TVBS66
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
Provider searchYes
An HMO with comprehensive coverage, low out-of-pocket costs, a $15 monthly OTC allowance, and $1,000 dental.