Medicare Plans

Open Medicare Plan Data.

Alignment Health Advantage 002 (PPO) Medicare Advantage Plan H8832-002 • 2027 • Santa Clara County, CA

CMS Rating: ☆☆☆☆☆ (4.0 out of 5 stars*)
Monthly Premium
$101.50Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$2850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Enhanced, $0.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
Santa Clara County, CA
Local Enrollment
941 beneficiaries in Santa Clara County
Last update:

Alignment Health Advantage 002 (PPO) Introduction

This Medicare Advantage PPO plan, Alignment Health Advantage 002, 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 $101.50, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $2850.00. The plan is identified by CMS Plan ID H8832-002. The 2027 Part D prescription drug deductible is $0.00.

Enrollment in this plan requires residence in Santa Clara County, California. CMS enrollment data reports 941 plan members in Santa Clara County. New members can call the plan directly at (888)979-2247 (TTY 711) for assistance.

Compare Similar Plans in Santa Clara County

No other PPO plans are available in Santa Clara County, California using the same plan-type comparison criteria.

Although no other PPO plans meet the comparison criteria in Santa Clara County, you may have other Medicare Advantage options. Browse all Medicare Advantage plans available in Santa Clara County, or explore our California Medicare Advantage plan directory for statewide information on plan availability, premiums, out-of-pocket costs, CMS ratings, and enrollment.

Plan Benefits

Alignment Health Advantage 002 includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan H8832-002.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H8832-002-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: 40% coinsurance
Specialist
In-network: $0 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-$20 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: $0 copay
Out-of-network: 40% coinsurance
Lab services
In-network: $0 copay
Out-of-network: 40% coinsurance
Outpatient x-rays
In-network: $0 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
$100 copay
Worldwide emergency care
Coming soon
Urgent care
$0 copay
Inpatient hospital care
In-network:
Tier 1
$75 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
40% per stay
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$50 per day for days 21-100
Out-of-network:
40% per stay
Ground ambulance
In-network: $100 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
$75 per day for days 1-5
$0 per day for days 6-90
$0 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 002 as a Part B benefit.

Prescription Drug Coverage

Alignment Health Advantage 002 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.

Alignment Health Advantage 002 (H8832-002-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$0.00
Supplemental Part D Premium:$$0.00
Total Part D Premium:$0.00
Low-Income Premium Subsidy:$7.28
Low-Income Premium Subsidy Paid by CMS:$0.00
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $0.00 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 002 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Alignment Health Advantage 002 (H8832-002-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$3.00 copayComing soon
Preferred Brand$40.00 copayComing soon
Non-Preferred Drug32% coinsuranceComing soon
Specialty Tier33% coinsuranceComing soon
Select Care Drugs$3.00 copayComing 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.

2027 Medicare Star Ratings for Contract H8832
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 002 is available to eligible Medicare beneficiaries residing in Santa Clara County, California, including communities such as Los Altos, Mountain View, Sunnyvale, Palo Alto, Stanford, Alviso, Campbell, Cupertino, Gilroy, Los Gatos, Milpitas, Morgan Hill, San Martin, Santa Clara, Saratoga, San Jose, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services November 10, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services November 10, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services November 10, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services November 10, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
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
Medicare.gov Joining a plan 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025

MedicarePlans.com is an independent informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.