H3815-048 — Alignment Health Heart & Diabetes Care (HMO C-SNP) — 2026 Special Needs Plan
Alignment Health Plan
Plan ID: H3815-048 · Contract: H3815
Use this Medicare plan ID to verify you are comparing the exact 2026 plan before checking benefits, county availability, drug coverage, provider networks, and costs.
Declined from 4 stars last year
Plan history signals: Very Stable
A plain-language summary of year-over-year CMS plan data, not a CMS rating or guarantee.
What the available history shows:
How this C-SNP works
A Chronic Condition Special Needs Plan serves people with specific severe or disabling chronic conditions. Enrollment requires the plan to verify that you meet its eligibility criteria, and its provider network and care-management rules may be tailored to that condition.
Monthly Premium
$0/mo
This is the plan premium shown in CMS data. You must continue paying your Medicare Part B premium unless another program pays it for you.
Medical Deductible
Not available
CMS data does not list a medical deductible for this plan. This does not mean the cost is $0.
Drug Deductible
$0
The CMS data lists a $0 drug deductible. Other costs and plan rules may still apply.
Max Out-of-Pocket
$1,990
Common Medical Cost Sharing
A copay is a fixed dollar amount. Coinsurance is a percentage of the allowed cost. The amount you owe can depend on the service, provider, network, and plan rules.
Not available in the CMS data
Primary Care
Not available in the CMS data
Specialist
$120 copay
Emergency Room
Not available in the CMS data
Urgent Care
Supplemental Benefits
OTC Allowance: $25/quarter
Benefit Details
Drug Coverage Summary
Drug Deductible
$0
Drug Premium
$0/mo
This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.
Medical Benefits
Inpatient Hospital
inpatient
Emergency Room
emergency
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Counties Served (14)
Data Source and Verification
Source: Centers for Medicare & Medicaid Services (CMS) public-use plan, benefit, service-area, formulary, and Star Ratings data.
Data vintage: 2026 plan-year data. CMS may revise files during the year.
Last reviewed: July 30, 2026.
Verify before enrolling: Confirm premiums, benefits, drugs, pharmacies, providers, eligibility, and service area with Medicare.gov Plan Compare or the plan. Read our methodology and editorial policy, or visit the Medicare plan FAQ.
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