Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

Alignment Health Platinum is not offered under this ID in 2027

H5296Contract003Plan

HMO · served 16 counties in North Carolina in 2026

Run by Alignment Health Plan of North Carolina, Inc. (contract H5296), sold as Alignment Health Plan, owned by Alignment Healthcare USA, LLC

CMS crosswalk: members move into H5296-010

Folds into H5296-010

Alignment Health Platinum (H5296-003) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Alignment Health Platinum 010 (H5296-010), which is sold in every county it served. 5,168 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.

What changes for its members in Alignment Health Platinum 010?

For its members: this plan's 2026 amounts beside Alignment Health Platinum 010 (H5296-010) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Plan name	Alignment Health Platinum	Alignment Health Platinum 010	renamed
In-network out-of-pocket limit	$3,900	$4,300	up $400
Drug deductible	$0	$225	up $225
Specialist visit	$15 copay	$20 copay	up $5
Hospital stay, in network	$200 a day for days 1–2, then $295 a day for days 3–7, then $0 a day for days 8–90	$200 a day for days 1–2, then $350 a day for days 3–7, then $0 a day for days 8–90	up $165for a 5-day stay
Skilled nursing facility, in network	$20 a day for days 1–20, then $178 a day for days 21–100	$10 a day for days 1–20, then $178 a day for days 21–100	down $200for a 30-day stay
Drug tier 5, specialty tier	33% of the cost	30% of the cost	down 3 points
16 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Emergency room	$120 copay	$120 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$200 copay	$200 copay	no change
Comprehensive dental, yearly limit	$2,000 a year	$2,000 a year	no change
Eyewear, yearly limit	$300 a year	$300 a year	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Over-the-counter items, yearly	$480 a year	$480 a year	no change
Counties served	16	16	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$0	$0	no change
Drug tier 3, preferred brand	$45	$45	no change
Drug tier 4, non-preferred drug	40% of the cost	40% of the cost	no change
Drug tier 6, select care drugs	$5	$5	no change

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); 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. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.

What can members do, and by when?

If you do nothing: You are moved into Alignment Health Platinum 010 on January 1, 2027.
October 15 to December 7, 2026: Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
January 1 to March 31, 2027: Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.

Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).

Where did its members live?

Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.

All 16 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
County	Members, Sept. 2026	For 2027
Wake, NC	2,654	moves into H5296-010
Johnston, NC	491	moves into H5296-010
Buncombe, NC	386	moves into H5296-010
Orange, NC	336	moves into H5296-010
Chatham, NC	300	moves into H5296-010
Forsyth, NC	230	moves into H5296-010
Guilford, NC	224	moves into H5296-010
Henderson, NC	124	moves into H5296-010
Davidson, NC	100	moves into H5296-010
Davie, NC	66	moves into H5296-010
Madison, NC	63	moves into H5296-010
McDowell, NC	61	moves into H5296-010
Mitchell, NC	34	moves into H5296-010
Transylvania, NC	32	moves into H5296-010
Wilkes, NC	31	moves into H5296-010
Avery, NC	fewer than 11	moves into H5296-010

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?

2027 plans in Wake, NCThe plans you can join instead
Alignment Health Plan plans for 2027Plans the same company still offers
Every plan not offered in 2027764 Medicare Advantage and drug plans