MAPD
2027 plan HMO
Alignment Health Platinum Preferred 004 (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$999
Max OOP out of network$0
Initial coverage limit$2,400
Catastrophic limit$2,400
Availability
Available in Orange County, CAOrange County, CA
Available Cities
This plan is available in 28+ cities in California.
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
Benefits
Primary care
In Network
$0 copay per visit
Inpatient hospital
In Network
$0 copay per day for days 1-2, $50 copay per day for days 3-6, $0 copay per day for days 7-90 (Unlimited days per admission).
Skilled nursing
In Network
$0 copay per admission (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
$50 copay per trip (waived if admitted)
Highlights
- $0 premium plan with a low MOOP and $46/month Essentials Allowance*.
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 IDH6697-004-000
Plan number4
ContractH6697
Segment0
DRX ID0KDJSYZN49
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 a low MOOP and $46/month Essentials Allowance*.