Latest news with #AlignmentHealth


Health Line
02-07-2025
- Health
- Health Line
What Medicare Advantage plans are available from Alignment Health?
Alignment Health is an insurance company that offers various Medicare Advantage plans in California, Nevada, Texas, and North Carolina. Many of these plans offer premiums as low as $0 per month. Medicare Advantage (Part C) is an alternative to Original Medicare (parts A and B) provided by Medicare-approved private insurance companies. Medicare Advantage plans provide the same coverage as Original Medicare but may also offer additional benefits, such as vision, dental, and hearing. Alignment Health is one of the private insurance companies that offers Medicare Advantage plans. Glossary of common Medicare terms Out-of-pocket cost: This is the amount you pay for care when Medicare doesn't pay the full cost or offer coverage. It includes premiums, deductibles, coinsurance, and copayments. Premium: This is the monthly amount you pay for Medicare coverage. Deductible: This is the annual amount you must spend out of pocket before Medicare begins to cover services and treatments. Coinsurance: This is the percentage of treatment costs you're responsible for paying out of pocket. With Medicare Part B, you typically pay 20%. Copayment: This is a fixed dollar amount you pay when receiving certain treatments or services. With Medicare, this often applies to prescription medications. Alignment Health Medicare Advantage plan options Alignment Health offers different types of Medicare Advantage plans, including: health maintenance organization (HMO) health maintenance organization point of service (HMO-POS) preferred provider organization (PPO) special needs plan (SNP) HMO plans HMO plans generally require you to receive care and services from doctors, facilities, and other healthcare professionals within the plan's network. They also typically include prescription drug coverage (Part D). You will most likely need to choose a primary care provider (PCP) with an HMO plan and get a referral from them to consult a specialist. »Learn more: Medicare HMO plans HMO-POS plans HMO-POS plans have all the same requirements as HMO plans. However, with POS plans, you may be able to use out-of-network providers for a higher copayment or coinsurance. »Learn more: HMO-POS plans PPO plans PPO plans offer a different level of flexibility. With PPO plans, you aren't required to choose a PCP, and you don't need a referral to a specialist. PPO plans also allow you to see any healthcare professional who accepts Medicare. However, seeing out-of-network providers may mean higher costs to you. »Learn more: Medicare PPO plans SNPs There are different types of SNPs. Alignment Health offers two of them: What states offer Alignment Health Medicare Advantage plans? Medicare Advantage plans from Alignment Health are not available in all states and areas. Alignment Health offers coverage in: California Nevada Texas North Carolina You can view the plans available in your area by searching your ZIP code on the Alignment Health website. What do Alignment Health Medicare Advantage plans cover? Medicare Advantage plans are required to offer the same coverage as Original Medicare (parts A and B). This means that Medicare Advantage plans will cover services and treatments, such as: inpatient hospital care outpatient doctor's visits preventive care durable medical equipment (DME) some home healthcare Medicare Advantage plans may also offer additional benefits that Original Medicare does not cover. For example, some Alignment Health plans offer gym memberships and vision care. Alignment Health Medicare Advantage plans also include an on-demand concierge team that you can speak with 24 hours a day, 365 days a year. How much do Alignment Health Medicare Advantage plans cost? The following table gives examples of the 2025 costs of Alignment Health plans in various areas: Location Plan type Monthly premium Copayments Out-of-pocket maximum Wake County, NC (ZIP code: 27605) Alignment Health Platinum (HMO-POS) $0 • PCP: $0 • Specialist: $3 $2,999 El Paso County, TX (ZIP code: 79908) Alignment Health the One + Walgreens (HMO-POS) $0 • PCP: $0 • Specialist: $15 $2,950 Clark County, NV (ZIP code: 89109) Alignment Health Platinum + Instacart (HMO) $0 • PCP: $0 • Specialist: $0 $1,499 Sacramento County, CA (ZIP code: 94229) Alignment Health My Choice (PPO) $89 • PCP: $5 • Specialist: $35 $4,200 These premiums are in addition to the Medicare Part B premium. Everyone with Medicare is required to pay the Part B premium, along with any other premiums required by their plan. The information on this website may assist you in making personal decisions about insurance, but it is not intended to provide advice regarding the purchase or use of any insurance or insurance products. Healthline Media does not transact the business of insurance in any manner and is not licensed as an insurance company or producer in any U.S. jurisdiction. Healthline Media does not recommend or endorse any third parties that may transact the business of insurance.


Los Angeles Times
28-03-2025
- Business
- Los Angeles Times
Reader Letter for OC Inspirational Women Forum & Leadership Awards Magazine 2023
2023 was the first year of our Orange County Inspirational Women Forum & Leadership Awards, which recognized professionals who displayed exemplary leadership qualities within their companies and impacted change across OC communities over the past two years. We received dozens of great nominations from a wide range of industries, and a few were recognized at the awards luncheon and networking event on August 18, 2023 at Marriott Irvine Spectrum. It was an honor and a privilege to meet so many of them. This magazine recaps the event with a photo gallery; highlights of an inspiring keynote speech on taking risks by Annette M. Walker, president of City of Hope Orange County; and a summary of an enlightening discussion panel called Awareness to Impact: How Organizations Can Support Sustainable Progress for Women in Business. It also presents several informative articles touching on the current business trends in Orange County as well as profiles of all the honorees, finalists and nominees. A huge thank you goes to the partners and sponsors who made this all possible this year: Paid Platinum Sponsor Alignment Health and Paid Gold Sponsor TRA Tax Relief Advocates. I look forward to growing this event and returning bigger and better next year.