Alignment Medicare Advantage Plans 2025

Choosing a Medicare Advantage plan? You may be wondering how Alignment Medicare Advantage plans compare to your other options.

Our guide strips away the complexity to provide you with straightforward, essential information on Alignment Health Plan’s offerings.

From their comprehensive benefits and cost-saving opportunities to their broad network, we’ll outline why many choose Alignment for their healthcare needs without unnecessary fluff.


Key Takeaways

  • Alignment Medicare Advantage plans may offer comprehensive coverage including hospital, doctor visits, and prescription drugs, with added benefits such as dental and vision.


  • Alignment Health Plan provides a variety of plan types including HMO, PPO, and SNP tailored to individual needs.


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Exploring Alignment Medicare Advantage Plans


Alignment Medicare Advantage Plans 2025 Exploring Alignment Medicare Advantage Plans


One of the leading providers of Medicare Advantage plans is Alignment Health Plan. As a senior-focused health services provider, Alignment Health Plan offers innovative Medicare Advantage plans that integrate technology for personalized healthcare.

But what sets Alignment Health Plan apart is its array of possibly added benefits, such as dental care, and eyewear that extend beyond typical Medicare coverage.


Prescription Drug Coverage with Alignment Health Plan

A standout feature of Alignment Health Plan’s Medicare Advantage plans is the comprehensive prescription drug coverage. These plans typically incorporate both Part A and Part B benefits, with some also offering prescription drug coverage or Part D.

It’s not just about affordability; it’s also about convenience. Members have the option to use mail-order pharmacy services to get their medications delivered directly to their homes.


Accessibility and Availability

A major strength of the Alignment Health Plan lies in its widespread coverage across the United States. Medicare Advantage beneficiaries in six states can avail themselves of Alignment Health Plan services.

These states are:

  • Arizona


  • California


  • Florida


  • Nevada


  • North Carolina


  • Texas


In North Carolina alone, Alignment Health Plan has served over 645,000 residents across 16 counties, including Avery and Buncombe, among others since launching its coverage in the state in 2021.


Types of Alignment Medicare Advantage Plans


Alignment Medicare Advantage Plans 2025 Types of Alignment Medicare Advantage Plans


Alignment Health Plan provides a variety of Medicare Advantage Plans, including:

  • HMO




  • PPO


  • SNP


These plans are designed to cater to the specific needs of beneficiaries, offering choices to fit individual healthcare requirements and preferences.

For instance, in North Carolina, the upcoming year’s Medicare Advantage options may include PPO, dual-eligible SNPs, chronic condition HMO POS, an HMO POS, and the smartHMO.


HMO Plans

If you are someone who prefers a structured approach to healthcare, you might find the HMO Medicare Advantage plans offered by Alignment Health Plan appealing. The HMO plans are centered around managed care coordinated by a primary care physician who takes care of regular health exams.

You are required to select a primary care physician from within the Alignment Health Plan’s network of healthcare providers. This physician will be your main point of contact for your healthcare needs and will provide referrals for specialist care within the HMO network.


PPO Plans

If you value flexibility in choosing your healthcare providers, then the PPO Medicare Advantage plans offered by Alignment Health Plan might be an excellent fit for you. These plans allow you to use both in-network and Medicare-participating out-of-network providers.

You have the freedom to see any doctor or specialist of your choosing without being restricted to a single primary care physician. However, visiting out-of-network providers may lead to increased costs.

The best part? You can visit both in-network and out-of-network providers without needing a referral.


SNP Plans

Special Needs Plans (SNPs) offered by Alignment Health Plan are designed to serve individuals with certain medical disabilities or those who have ongoing health issues like heart disease or asthma.

These plans are thoughtfully tailored to cater to the unique healthcare needs of such individuals.

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Evaluating Alignment Health Plan’s Performance: CMS Star Ratings and Member Experience


Alignment Medicare Advantage Plans 2025 Evaluating Alignment Health Plan's Performance: CMS Star Ratings and Member Experience


The decision to choose a healthcare plan relies not only on the benefits and costs but also on the quality of service.

Here, we evaluate the performance of Alignment Health Plan through its average CMS star rating and member experience ratings.


CMS Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates healthcare providers based on their service quality and customer satisfaction. Alignment Health Plan’s Medicare Advantage plans have an average star rating of 3.96 stars from CMS, which is a commendable score.

Over 90% of Alignment Health Plan members are enrolled in plans with a CMS rating of 4 stars or higher for 2024. This recognition speaks volumes about the quality of care provided by Alignment Health Plan.


Member Experience Feedback

The true measure of a healthcare provider’s performance lies in the experience of its members. While the CMS star ratings are encouraging, we also need to consider the member experience ratings.

It’s noteworthy to mention that the ratings for Getting Appointments and Care Quickly and Customer Service have experienced a slight dip from 2023 to 2024. This feedback suggests areas for potential improvement, and Alignment Health Plan is committed to making its member experience even better.

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Enrollment Process and Eligibility

With a thorough understanding of Alignment Health Plan’s Medicare Advantage plans in hand, it’s time to delve into the enrollment process and eligibility criteria.


Eligibility Criteria

Most individuals become eligible for Medicare when they turn 65 years old, becoming medicare beneficiaries. However, younger individuals may also qualify for Medicare if they meet certain criteria:

  • Those with Social Security or Railroad Retirement Board disability benefits for at least two years


  • Those diagnosed with end-stage renal disease


  • Those diagnosed with Lou Gehrig’s disease


Eligibility for Medicare usually requires being at least 65 years old or having permanent legal residency in the U.S. for five consecutive years.


Enrollment Periods and Deadlines

Joining a Medicare Advantage plan involves understanding the various enrollment periods, including Initial, Annual, and Special Enrollment Periods. The Initial Enrollment Period for joining a Medicare Advantage plan begins three months before an individual’s Medicare coverage starts and ends three months after, surrounding their 65th birthday.

Medicare’s annual enrollment period, during which beneficiaries can join Medicare Advantage plans, runs from October 15th to December 7th, with an additional general enrollment period from January 1st to March 31st for those who missed the initial sign-up.


Steps to Enroll

To enroll in a Medicare Advantage Plan, call us at 1-844-350-0776 (TTY user 711) Mon-Fri 8am-9pm Est or visit


Comparing Alignment Health Plans to Other Medicare Advantage Providers

Before making a decision, it’s prudent to compare your options.

Thus, when considering an Alignment Health Plan, make sure to contrast it with other Medicare Advantage providers.


Plan Availability by ZIP Code and County

When comparing Medicare Advantage plans, it’s important to consider plan availability by ZIP code and county.

Type in your zip code to see the rates of plans near you.


Cost Comparison

Alignment Health Plan Medicare Advantage plans may have a lower average maximum out-of-pocket cost compared to many other major providers. This means potential savings for enrollees due to the cost advantage.


Extra Benefits and Value


Alignment Medicare Advantage Plans 2025 Extra Benefits and Value


The value of a Medicare Advantage plan is not just in its cost but also in the extra benefits it offers. Medicare Advantage plans from Alignment Health Plan often include additional benefits not covered by Original Medicare, such as dental, and vision.

In fact, Alignment Healthcare’s North Carolina plan was recognized by U.S. News & World Report as a 2024 Best Insurance Company for Medicare Advantage.


We’ve covered a lot of ground in exploring Alignment Health Plan’s Medicare Advantage plans.

From the diverse types of plans to the unique benefits, cost-saving features, and high-quality care, it’s clear that Alignment Health Plan offers a holistic, affordable, and personalized approach to healthcare.

If you’re eligible for Medicare and are considering your options, Alignment Health Plan’s Medicare Advantage plans are worth considering.



Frequently Asked Questions


Is alignment part of Medicare?

Yes, Alignment Health offers Medicare Advantage plans as part of its services.


Is alignment an advantage plan?

Yes, Alignment Health Plan offers Advantage Plans for Medicare beneficiaries in California.


What does the prescription drug coverage include?

The possible prescription drug coverage includes comprehensive access to medications.

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Compare Medicare Plans

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Speak with a licensed insurance agent

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Mon-Fri : 8am-9pm ET