48 Days
09 Hours
34 Minutes
48 Seconds
Medicare Open Enrollment

Medicare Open Enrollment ends in...

Get a sneak preview of what's changing in 2027

1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMO

Alignment Health Sutter Advantage +More (HMO)

Plan information effective January 1, 2027.

Alignment Health Plan Plan ID H3815-023-000 Plan #23 MAPD

Plan costs & ratings

Monthly premium$50.00
Annual premium$600.00
Medical premium$0.00
Medical deductible$0
Drug premium$50.00
Drug deductible$0
Medical out-of-pocket limit (in network)$4,900
Part D annual out-of-pocket threshold$2,400

Availability

Available in 3 California counties

San Francisco County, CA, San Mateo County, CA, Sonoma County, CA

Available Cities

This plan is available in 25+ 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 21-51, $0 copay per day for days 52-100 (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.
Carrier websiteOpen website

Plan identifiers

Plan IDH3815-023-000
Plan number23
ContractH3815
Segment0
DRX ID180Q8W1YZP
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.