Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Alignment Health Plan of North Carolina, Inc. (H5296)
H5296Contract
A company of Alignment Healthcare USA, LLC, sold as Alignment Health Plan
9 plans in 2027 (8 in 2026) · 32,833 members in September 2026
Alignment Health Plan of North Carolina, Inc. is the Alignment Healthcare USA, LLC company that holds Medicare contract H5296, sold as Alignment Health Plan. In 2027 it offers 9 plans (8 in 2026); every one of its 2026 plans continues in 2027. 32,833 people were in its plans in September 2026.
What plans does H5296 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Alignment Health Duals+ 004H5296-004 | HMO-POS D-SNP | $13.30 | $9,850 | 20 counties | renews in more counties |
| Alignment Health Smart 006H5296-006 | HMO | $0 | $3,400 | 16 counties | renews |
| Alignment Health Platinum + Instacart 007H5296-007 | HMO | $0 | $1,499 | 1 county | renews |
| Alignment Health Smart 008H5296-008 | HMO | $0 | $2,499 | 1 county | renews |
| Alignment Health Heart & Diabetes Plus 009H5296-009 | HMO-POS C-SNP | $4.80 | $9,850 | 20 counties | renews in more counties |
| Alignment Health Platinum 010H5296-010 | HMO | $0 | $4,300 | 16 counties | takes in other plans |
| Alignment Health Heart & Diabetes 011H5296-011 | HMO C-SNP | $0 | $3,400 | 20 counties | renews in more counties |
| Alignment Health Platinum 012H5296-012 | HMO | $0 | $3,500 | 4 counties | new plan |
| Alignment Health Smart 013H5296-013 | HMO | $0 | $6,500 | 4 counties | new plan |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which employer and union group plans does it hold?
H5296 also holds 4 group plans offered through former employers and unions, with 0 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H5296-801 | Alignment Health Plan Retiree Options | fewer than 11 | renews |
| H5296-802 | Alignment Health Plan Retiree Options | fewer than 11 | renews |
| H5296-803 | Alignment Health Plan Retiree Options | fewer than 11 | renews |
| H5296-804 | Alignment Health Plan Retiree Options | fewer than 11 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 5 of 5 (health plan 4.5 of 5, drug plan 4.5 of 5). Of its 42 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Special Needs Plan (SNP) Care Management | 1 |
| Monitoring Physical Activity | 2 |
| Medication Reconciliation Post-Discharge | 2 |
| Call Center – Foreign Language Interpreter and TTY Availability | 2 |
| Highest-rated measures | Stars |
|---|---|
| Statin Use in Persons with Diabetes (SUPD) | 5 |
| MTM Program Completion Rate for CMR | 5 |
| Medication Adherence for Hypertension (RAS antagonists) | 5 |
| Medication Adherence for Diabetes Medications | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Alignment Health Plan plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter