Alignment Health Platinum Preferred 004 (HMO)
Available to residents of Orange County, CA for 2027. Contract H6697, plan 004, segment 0.
2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.
New for 2027. This plan has no 2026 predecessor in the CMS crosswalk.
Plan details
| Monthly premium (Part C + D) | $0.00 |
|---|---|
| — medical (Part C) part | $0.00 |
| — drug (Part D) part | $0.00 |
| In-network out-of-pocket maximum | $999.00 |
| Drug deductible | $700.00Tier 1, 2, 3 and 6 exempt |
| Drug out-of-pocket threshold | $2,400.00 |
| Plan type | HMO |
| Contract / plan | H6697-004-0 |
| Offered by | Alignment Health Plan |
| Parent organization | Alignment Healthcare USA, LLC |
| Formulary tiers | 6 |
| Member services | (888)979-2247TTY 711 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H6697 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 · Preferred Generic | $0.00 |
| Tier 2 · Generic | $0.00 |
| Tier 3 · Preferred Brand | $40.00 |
| Tier 4 · Non-Preferred Drug | 32% |
| Tier 5 · Specialty Tier | 25% |
| Tier 6 · Select Care Drugs | $5.00 |
Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.