MAPD
2027 plan HMO
Alignment Health Smart 040 (HMO)
Plan information effective January 1, 2027.
Alignment Health Plan Plan ID H3815-040-000 Plan #40 MAPD
★★★★☆ 4/5
Plan costs & ratings
Monthly premium$0.00
Annual premium$0.00
Medical premium$0.00
Medical deductible$0
Drug premium$0.00
Drug deductible$700
Medical out-of-pocket limit (in network)$3,999
Part D annual out-of-pocket threshold$2,400
Availability
Available in 4 California counties
Merced County, CA, Santa Clara County, CA, Stanislaus County, CA, Ventura County, CA
Available Cities
This plan is available in 39+ cities in California.
Benefits
Primary care
In Network
$0 copay per visit
Inpatient hospital
In Network
$200 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
$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
Fitness
In Network
$0 copay for Fitness Benefit.
Highlights
- $0 premium plan with a $108 Part B Rebate.
Notes
Drug deductible details: $0 Deductible on Tier(s) 1, 2, 3, 6; 700.00 Deductible on Tier(s) 4, 5
Plan Overview
CarrierAlignment Health Plan
Plan typeMAPD
PlanHMO
Marketing nameAlignment Health Plan
Drug coverageIncluded
Enrollment hours8:00 a.m. to 8:00 p.m.
Plan identifiers
Plan IDH3815-040-000
Plan number40
ContractH3815
Segment0
DRX ID1JNN7096C9
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
$0 premium plan with a $108 Part B Rebate.
