Alignment Health Heart & Diabetes Plus 045 (HMO C-SNP)
Plan information effective January 1, 2027.
Plan costs & ratings
Availability
Available in Santa Clara County, CASanta Clara County, CA
Available Cities
This plan is available in 14+ cities in California.
Benefits
$0 copay per visit
20% coinsurance per visit (waived if admitted within 48 hours)
$0 copay for Medicare-covered urgently-needed-care visits
20% coinsurance per trip (NOT waived if admitted)
$0 copay
This plan includes: Eye Exams, Eyewear.
$0 copay for Medicare-covered Hearing Services
$0 copay; Maximum plan benefit coverage of $153.00 every month (no rollover).
$0 copay; Limit of 60 one-way trips every year to plan approved locations (within a 50-mile radius).
$0 copay for Fitness Benefit.
Highlights
- SNP created for those diagnosed with a heart condition or diabetes, including $0 diabetic supplies, and rich benefits including a $153/month allowance for OTC + Essentials Allowance*.
Notes
- Drug deductible details: $0 Deductible on Tier(s) 1, 2, 6; 700.00 Deductible on Tier(s) 3, 4, 5
- Copay and coinsurance based on 2027 Medicare defined cost shares.
Plan Overview
Plan identifiers
Carrier contact
Network & documents
Chronic Care
SNP created for those diagnosed with a heart condition or diabetes, including $0 diabetic supplies, and rich benefits including a $153/month allowance for OTC + Essentials Allowance*.