MAPD
2027 plan HMO
Alignment Health Platinum 059 (HMO)
Plan information effective January 1, 2027.
Plan costs & ratings
Monthly premium$0.00
Medical premium$0.00
Drug premium$0.00
Annual premium$0.00
Medical deductible$0
Drug deductible$700
Max OOP in network$4,000
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in San Joaquin County, CASan Joaquin County, CA
Available Cities
This plan is available in 8+ cities in California.
Benefits
Primary care
In Network
$0 copay per visit
Inpatient hospital
In Network
$150 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
$175 copay per trip (waived if admitted)
Highlights
- $0 premium plan with $0 doctor visits and $30/month allowance for Mail Order OTC.
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 IDH3815-059-000
Plan number59
ContractH3815
Segment0
DRX ID1KVML9ZKMY
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
$0 premium plan with $0 doctor visits and $30/month allowance for Mail Order OTC.