Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Alignment Health Platinum 010, 2027
H5296Contract010Plan
HMO · 16 counties in North Carolina
Run by Alignment Health Plan of North Carolina, Inc. (contract H5296), sold as Alignment Health Plan, owned by Alignment Healthcare USA, LLC
Alignment Health Platinum 010 (H5296-010) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $4,300 ($5,900 in 2026). In 2026 it was called Alignment Health Platinum Select. It takes in the members of H5296-003.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Alignment Health Platinum Select | Alignment Health Platinum 010 | renamed |
| In-network out-of-pocket limit | $5,900 | $4,300 | ▼down $1,600 |
| Comprehensive dental, yearly limit | not offered | $2,000 a year | ▲added |
| Drug tier 5, specialty tier | 25% of the cost | 30% of the cost | ▲up 5 points |
| 19 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Drug deductible | $225 | $225 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $20 copay | $20 copay | no change |
| Emergency room | $120 copay | $120 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $200 a day for days 1–2, then $350 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 | no change |
| Skilled nursing facility, in network | $10 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 | no change |
| Ground ambulance, in network | $200 copay | $200 copay | 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 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?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $0 | $0 |
| Tier 3 | Preferred Brand | $45 | $45 |
| Tier 4 | Non-Preferred Drug | 40% of the cost | 40% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 30% of the cost |
| Tier 6 | Select Care Drugs | $5 | $5 |
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, 84 plans open to everyone are sold for 2027, this one included. Against the others, 6 plans have a lower out-of-pocket limit, 77 a higher one. On the premium, 66 the same, 17 a higher one.
Out-of-pocket limits of the 84 plans open to everyone
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 16 counties: $0 a month and $4,300.
North Carolina
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which 2026 plans move into it, and what changes for their members?
For 2027 this plan takes in the members of 1 other plan, beside its own 1,707 members. In 2027 it costs $0 a month with a $4,300 limit; each row compares that with the plan its members had in 2026.
| 2026 plan | Members, Sept. 2026 | Members who move | Premium 2026 | Premium change | Limit 2026 | Limit change |
|---|---|---|---|---|---|---|
| Alignment Health PlatinumH5296-003 | 5,168 | 5,132 | $0 | no change | $3,900 | ▲up $400 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.
Who runs this plan?
- Plan ID
- H5296-010
- Legal name of the contract
- Alignment Health Plan of North Carolina, Inc.
- Sold as
- Alignment Health Plan
- Parent company
- Alignment Healthcare USA, LLC
- Plan type
- HMO
- 2026 star rating of the contract
- 5 of 5 overall; health plan 4.5 of 5, drug plan 4.5 of 5
- Members, September 2026
- 1,707
- 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?
- Other 2027 plans in Wake, NCWhere most of its members live; premiums and limits side by side
- Every Alignment Health Plan plan for 2027Its contracts, counties and plans that end
- The other 8 plans of contract H5296Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
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.