MAPD
2027 plan HMO
Alignment Health Sutter Advantage +More (HMO)
Plan information effective January 1, 2027.
Alignment Health Plan Plan ID H3815-020-000 Plan #20 MAPD
★★★★☆ 4/5
Plan costs & ratings
Monthly premium$51.00
Annual premium$612.00
Medical premium$0.00
Medical deductible$0
Drug premium$51.00
Drug deductible$0
Medical out-of-pocket limit (in network)$4,900
Part D annual out-of-pocket threshold$2,400
Availability
Available in Santa Clara County, CA
Santa Clara County, CA
Available Cities
This plan is available in 14+ cities in California.
Benefits
Primary care
In Network
$5 copay per visit
Inpatient hospital
In Network
$275 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 21-57, $0 copay per day for days 58-100 (no prior hospital stay required).
Emergency care
In Network
$120 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)
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
Over-the-counter
In Network
$0 copay; Maximum plan benefit coverage of $15.00 every month (no rollover).
Fitness
In Network
$0 copay for Fitness Benefit.
Highlights
- An HMO that provides in-network access to Sutter Health.
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 IDH3815-020-000
Plan number20
ContractH3815
Segment0
DRX ID1JNCQS4MZR
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
An HMO that provides in-network access to Sutter Health.
