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Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Alignment Health Heart & Diabetes Plus 007, 2027

H3443Contract007Plan

HMO C-SNP · special needs plan, chronic or disabling condition · 3 counties in Arizona

Run by Alignment Health Plan of Arizona, Inc. (contract H3443), sold as Alignment Health Plan, owned by Alignment Healthcare USA, LLC

Renews for 2027

2026 star rating, contract H3443: 4 of 5

Alignment Health Heart & Diabetes Plus 007 (H3443-007) costs $0 a month in 2027, down $17 from 2026, with an in-network out-of-pocket limit of $2,900. In 2026 it was called Alignment Health Heart & Diabetes AZPlus.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get20262027Change
Plan nameAlignment Health Heart & Diabetes AZPlusAlignment Health Heart & Diabetes Plus 007renamed
Monthly premium$17$0down $17
Drug deductible$615$700up $85
Emergency room$135 copay$150 copayup $15
Over-the-counter items, yearly$1,128 a year$1,008 a yeardown $120
Drug tier 2, generic25% of the cost22% of the costdown 3 points
Drug tier 3, preferred brand25% of the cost22% of the costdown 3 points
Drug tier 4, non-preferred drug31% of the cost29% of the costdown 2 points
15 lines do not change
In-network out-of-pocket limit$2,900$2,900no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in network$0 a stay$0 a stayno change
Skilled nursing facility, in network$20 a day for days 1–20, then $200 a day for days 21–100$20 a day for days 1–20, then $200 a day for days 21–100no change
Ground ambulance, in network$100 copay$100 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$150 a year$150 a yearno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Counties served33no change
Drug tier 1, preferred generic$0$0no change
Drug tier 5, specialty tier25% of the cost25% of the costno change
Drug tier 6, select care drugs$0$0no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
TierWhat the tier holds20262027
Tier 1Preferred Generic$0$0
Tier 2Generic25% of the cost22% of the cost
Tier 3Preferred Brand25% of the cost22% of the cost
Tier 4Non-Preferred Drug31% of the cost29% of the cost
Tier 5Specialty Tier25% of the cost25% of the cost
Tier 6Select Care Drugs$0$0

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 37 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 9 plans have a lower out-of-pocket limit, 1 the same, 26 a higher one. On the premium, 32 the same, 4 a higher one.

Out-of-pocket limits of the 37 chronic or disabling condition special needs plans

$0 to under $2,0001 plan
$2,000 to under $4,000 (this plan)19 plans
$4,000 to under $6,0004 plans
$6,000 to under $8,0001 plan
$8,000 to $10,00012 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 3 counties: $0 a month and $2,900.

Arizona

MaricopaPimaSanta Cruz

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID
H3443-007
Legal name of the contract
Alignment Health Plan of Arizona, Inc.
Sold as
Alignment Health Plan
Parent company
Alignment Healthcare USA, LLC
Plan type
HMO C-SNP
2026 star rating of the contract
4 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026
638
Plan website, as filed with CMS
www.alignmenthealthplan.com

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.