Align SecureChoice (PPO) Medicare Advantage Plan H8385-005 • 2027
- Monthly Premium
- $60.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $7150.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $500.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- See List
- Total Enrollment
- 0 beneficiaries
Align SecureChoice (PPO) Introduction
Align SecureChoice is a Medicare Advantage PPO plan offered by Align powered by Sanford Health Plan. It uses a Preferred Provider Organization (PPO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $60.00 monthly premium, $0.00 medical deductible, and $7150.00 in-network maximum out-of-pocket. CMS Plan ID H8385-005 identifies this plan. The 2027 Part D prescription drug deductible is $500.00.
Plan Benefits
Cost-sharing for Align SecureChoice 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 H8385-005.
Compare 2027 plan benefits with 2026.
Office Visits
| Covered Service | 2027 | 2026 |
|---|---|---|
| Primary care | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
| Specialist | In-network: $50 copay Out-of-network: 50% coinsurance |
Coming soon |
Preventive and Wellness Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Annual wellness exam | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
| Telehealth benefit | In-network: $0-$400 copay, 0%-20% coinsurance | Coming soon |
| Routine chiropractic | Not covered | Coming soon |
| Fitness benefits | Coming soon | Coming soon |
| Health education | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
Coming soon |
| Counseling services | Not covered | Coming soon |
| Over-the-counter drug benefits | In-network: $0 copay Out-of-network: 80% coinsurance |
Coming soon |
| Health transportation (non-emergency) | Coming soon | Coming soon |
Diagnostic, Lab, and Imaging Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diagnostic radiology services | In-network: $0-$375 copay Out-of-network: 50% coinsurance |
Coming soon |
| Lab services | In-network: $10 copay Out-of-network: 50% coinsurance |
Coming soon |
| Outpatient x-rays | In-network: $20 copay Out-of-network: 50% coinsurance |
Coming soon |
| Diagnostic tests and procedures | In-network: $55 copay Out-of-network: 50% coinsurance |
Coming soon |
Emergency and Urgent Care Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Emergency room care | $115 copay | Coming soon |
| Worldwide emergency care | Coming soon | Coming soon |
| Urgent care | $0-$50 copay | Coming soon |
| Inpatient hospital care | In-network: Tier 1 $500 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: 22% per stay |
Coming soon |
| Skilled Nursing Facility | In-network: Tier 1 $0 per day for days 1-20 $221 per day for days 21-100 Out-of-network: 16% per stay |
Coming soon |
| Ground ambulance | In-network: $350 copay Out-of-network: $350 copay |
Coming soon |
Mental Health Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Outpatient individual therapy | In-network: $50 copay Out-of-network: 50% coinsurance |
Coming soon |
| Outpatient group therapy | In-network: $50 copay Out-of-network: 50% coinsurance |
Coming soon |
| Inpatient psychiatric hospital care | In-network: Tier 1 $500 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: 22% per stay |
Coming soon |
Rehabilitation Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Physical therapy and speech and language therapy | In-network: $35 copay Out-of-network: 50% coinsurance |
Coming soon |
| Occupational therapy | In-network: $35 copay Out-of-network: 50% coinsurance |
Coming soon |
Medical Equipment and Supplies
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diabetes supplies | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
| Durable medical equipment | In-network: 20% coinsurance Out-of-network: 21% coinsurance |
Coming soon |
| Prosthetics | In-network: 20% coinsurance Out-of-network: 50% coinsurance |
Coming soon |
Medicare Part B Drugs
| Covered Service | 2027 | 2026 |
|---|---|---|
| Chemotherapy | In-network: 0%-20% coinsurance Out-of-network: 50% coinsurance |
Coming soon |
| Other Part B drugs (Medicare-covered) | In-network: 0%-20% coinsurance Out-of-network: 50% coinsurance |
Coming soon |
Dental Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Oral exam | In-network: $0 copay Out-of-network: 80% coinsurance |
Coming soon |
| Dental x-rays | In-network: $0 copay Out-of-network: 80% coinsurance |
Coming soon |
| Cleaning | In-network: $0 copay Out-of-network: 80% coinsurance |
Coming soon |
| Periodontics | Not covered | Coming soon |
| Endodontics | Not covered | Coming soon |
| Restorative services | Not covered | Coming soon |
| Implant services | Not covered | Coming soon |
| Orthodontics | Not covered | Coming soon |
| Oral/Maxillofacial surgery | Not covered | Coming soon |
Vision Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Routine eye exam | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
| Contact lenses | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
| Eyeglass frames only | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
| Eyeglass lenses only | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
| Eyeglasses (frames & lenses) | Not covered | Coming soon |
| Upgrades | In-network: $0 copay Out-of-network: 50% coinsurance |
Coming soon |
Hearing Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Hearing exam | In-network: $0 copay Out-of-network: 80% coinsurance |
Coming soon |
| Fitting/evaluation | In-network: $0 copay Out-of-network: 80% coinsurance |
Coming soon |
| Prescription hearing aids | In-network: $499-$999 copay Out-of-network: 80% coinsurance |
Coming soon |
| OTC hearing aids | Not covered | Coming soon |
Additional and Special Needs Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Adult day health services | Not covered | Coming soon |
| Home-based palliative care | Not covered | Coming soon |
| Personal emergency response system | Coming soon | Coming soon |
| Weight management programs | Not covered | Coming soon |
| Wigs for chemotherapy-related hair loss | Coming soon | Coming soon |
| Alternative therapies | Not covered | Coming soon |
| Massage therapy | Not covered | Coming soon |
| Home/bathroom safety devices | Not covered | Coming soon |
Certain preventive services are covered 100% by Align SecureChoice as a Part B benefit.
Prescription Drug Coverage
Align SecureChoice 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: | $55.90 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $55.90 |
| Low-Income Premium Subsidy: | $24.60 |
| Low-Income Premium Subsidy Paid by CMS: | $24.60 |
| Low-Income Subsidy Premium: | $31.30 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $500.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Align powered by Sanford Health Plan starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Align SecureChoice 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 | $8.00 copay | Coming soon |
| Preferred Brand | 25% coinsurance | Coming soon |
| Non-Preferred Drug | 30% coinsurance | Coming soon |
| Specialty Tier | 27% coinsurance | Coming soon |
| Select Care Drugs | $0.00 copay | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H8385)
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 | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Align powered by Sanford Health Plan
- Website
- Align powered by Sanford Health Plan Plan Page
- Providers
- Align powered by Sanford Health Plan Providers Page
- Formulary
- Align powered by Sanford Health Plan Formulary Page
- Pharmacy
- Align powered by Sanford Health Plan Pharmacy Page
- New Member Health Plan Help
- (888)605-9277
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (888)605-9277
- 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.
Plan Availability
Align SecureChoice (H8385-005-0) is available in the following locations:
North Dakota Counties Served
Frequently Asked Questions
Here are some of the most frequently asked questions about this plan (click to open).
Frequently Asked Questions About Align SecureChoice (PPO)
Is there a monthly premium for this plan in 2027?
The 2027 monthly premium is $60.00. The Medicare Part B premium is paid separately.
What is the in-network MOOP for plan H8385-005?
The 2027 in-network MOOP is $7150.00. Once this limit is reached, covered in-network costs are fully covered.
What is the CMS star rating for this plan?
The 2027 CMS star rating for Align SecureChoice is ★0.0 out of 5.
What is the current enrollment for Align SecureChoice?
CMS reports 0 beneficiaries enrolled in this plan.
What is the prescription drug deductible for 2027?
The plan’s Part D deductible is $500.00, applied to covered prescription drug costs.
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 |
|---|---|---|
| Align powered by Sanford Health Plan (official source) | http://www.align.sanfordhealthplan.co | October 4, 2026 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.