Alignment Health Advantage 005 (PPO) Medicare Advantage Plan H8832-005 • 2027 • Los Angeles County, CA
- Monthly Premium
- $160.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $4451.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $700.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Los Angeles County, CA
- Local Enrollment
- 0 beneficiaries in Los Angeles County
Alignment Health Advantage 005 (PPO) Introduction
This Medicare Advantage PPO plan, Alignment Health Advantage 005, is offered by Alignment Health Plan and uses a Preferred Provider Organization (PPO) provider network. It comes with prescription drug coverage. For the 2027 plan year, the monthly premium is $160.00, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $4451.00. The plan is identified by CMS Plan ID H8832-005. The 2027 Part D prescription drug deductible is $700.00.
Enrollment in this plan requires residence in Los Angeles County, California. CMS enrollment data reports 0 plan members in Los Angeles County. New members can call the plan directly at (888)979-2247 (TTY 711) for assistance.
Compare Similar Plans in Los Angeles County
Compare this plan with the two most-enrolled PPO plans available in Los Angeles County, California. Enrollment is based on CMS local enrollment data.
| Plan Detail | Alignment Health Advantage 005 | HumanaChoice H5525-074 | HumanaChoice H5525-075 |
|---|---|---|---|
| CMS Plan ID | H8832-005-0 |
H5525-074-0 |
H5525-075-0 |
| Local Enrollment | 0 | 2,898 | 2,096 |
| Monthly Premium | $160.00 | $49.00 | $0.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $4,451.00 | $3,650.00 | $4,350.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $35 copay | $20 copay | $35 copay |
| Part D Deductible | $700.00 | $700.00 | $700.00 |
| CMS Star Rating | 4.0 | 4.0 | 4.0 |
| Dental | Not covered | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Advantage plans in Los Angeles County, or compare Medicare Advantage plans across California, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Cost-sharing for Alignment Health Advantage 005 includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H8832-005.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H8832-005-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: 40% coinsurance - Specialist
- In-network: $35 copay
Out-of-network: 40% coinsurance
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: 40% coinsurance - Telehealth benefit
- In-network: $0 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- Not covered
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $150 copay
Out-of-network: 40% coinsurance - Lab services
- In-network: $0 copay
Out-of-network: 40% coinsurance - Outpatient x-rays
- In-network: $15 copay
Out-of-network: 40% coinsurance - Diagnostic tests and procedures
- In-network: $0 copay
Out-of-network: 40% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $130 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $20 copay
- Inpatient hospital care
- In-network:
Tier 1
$500 per stay
Out-of-network:
40% per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$100 per day for days 21-51
$0 per day for days 52-100
Out-of-network:
40% per stay - Ground ambulance
- In-network: $250 copay
Out-of-network: 40% coinsurance
Mental Health Services
- Outpatient individual therapy
- In-network: $40 copay
Out-of-network: 40% coinsurance - Outpatient group therapy
- In-network: $40 copay
Out-of-network: 40% coinsurance - Inpatient psychiatric hospital care
- In-network:
Tier 1
$500 per stay
Out-of-network:
40% per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $0 copay
Out-of-network: 40% coinsurance - Occupational therapy
- In-network: $0 copay
Out-of-network: 40% coinsurance
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: 40% coinsurance - Durable medical equipment
- In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
Dental Services
- Oral exam
- Not covered
- Dental x-rays
- Not covered
- Cleaning
- Not covered
- Periodontics
- Not covered
- Endodontics
- Not covered
- Restorative services
- Not covered
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- Not covered
Vision Services
- Routine eye exam
- In-network: $0 copay
Out-of-network: 40% coinsurance - Contact lenses
- In-network: $0 copay
Out-of-network: 40% coinsurance - Eyeglass frames only
- In-network: $0 copay
Out-of-network: 40% coinsurance - Eyeglass lenses only
- In-network: $0 copay
Out-of-network: 40% coinsurance - Eyeglasses (frames & lenses)
- In-network: $0 copay
Out-of-network: 40% coinsurance - Upgrades
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 copay
Out-of-network: 40% coinsurance - Fitting/evaluation
- In-network: $0 copay
Out-of-network: 40% coinsurance - Prescription hearing aids
- Not covered
- OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Alignment Health Advantage 005 as a Part B benefit.
Prescription Drug Coverage
Alignment Health Advantage 005 includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $$10.50 |
| Total Part D Premium: | $10.50 |
| Low-Income Premium Subsidy: | $7.28 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $10.50 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Alignment Health Plan starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Alignment Health Advantage 005 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $5.00 copay | Coming soon |
| Preferred Brand | $40.00 copay | Coming soon |
| Non-Preferred Drug | 32% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| Select Care Drugs | $5.00 copay | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H8832)
CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Plan too new to be measured |
| Managing Chronic (Long Term) Conditions | Plan too new to be measured |
| Member Experience with Health Plan | Plan too new to be measured |
| Complaints and Changes in Plans Performance | Plan too new to be measured |
| Health Plan Customer Service | Plan too new to be measured |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | Plan too new to be measured |
| Member Experience with the Drug Plan | Plan too new to be measured |
| Drug Safety and Accuracy of Drug Pricing | Plan too new to be measured |
Contact Information for Alignment Health Plan
- Website
- Alignment Health Plan Plan Page
- Providers
- Alignment Health Plan Providers Page
- Formulary
- Alignment Health Plan Formulary Page
- Pharmacy
- Alignment Health Plan Pharmacy Page
- New Member Health Plan Help
- (888)979-2247
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (888)979-2247
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Advantage Plan Availability
Alignment Health Advantage 005 is available to eligible Medicare beneficiaries residing in Los Angeles County, California, including communities such as Los Angeles, West Hollywood, Playa Vista, Bell Gardens, Beverly Hills, Compton, Culver City, Downey, El Segundo, Gardena, Hawthorne, Hermosa Beach, Huntington Park, Lawndale, Lynwood, Malibu, Manhattan Beach, Maywood, Pacific Palisades, Palos Verdes Peninsula, Rancho Palos Verdes, Redondo Beach, South Gate, Topanga, Venice, Marina Del Rey, Playa Del Rey, Inglewood, Santa Monica, Torrance, Whittier, La Mirada, Montebello, Norwalk, Pico Rivera, Santa Fe Springs, Artesia, Cerritos, Avalon, Bellflower, Harbor City, Lakewood, Hawaiian Gardens, Lomita, Paramount, San Pedro, Wilmington, Carson, Signal Hill, Long Beach, Altadena, Arcadia, Duarte, La Canada Flintridge, Monrovia, Montrose, Sierra Madre, South Pasadena, Sunland, Tujunga, Pasadena, San Marino, Glendale, La Crescenta, Agoura Hills, Calabasas, Canoga Park, Winnetka, West Hills, Chatsworth, Encino, Newhall, Northridge, Porter Ranch, Pacoima, Reseda, San Fernando, Sylmar, North Hills, Granada Hills, Mission Hills, Santa Clarita, Canyon Country, Sun Valley, Valencia, Tarzana, Woodland Hills, Stevenson Ranch, Castaic, Van Nuys, Panorama City, Sherman Oaks, Burbank, North Hollywood, Studio City, Valley Village, Azusa, Baldwin Park, Claremont, Covina, El Monte, South El Monte, Glendora, La Puente, Hacienda Heights, Rowland Heights, La Verne, Monterey Park, Diamond Bar, Pomona, Rosemead, San Dimas, San Gabriel, Temple City, Walnut, West Covina, Alhambra, Acton, Lake Hughes, Lancaster, Littlerock, Palmdale, Pearblossom, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Alignment Health Plan (official source) | http://www.alignmenthealthplan.com | October 4, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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