Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Alignment Health Freedom is not offered under this ID in 2027
H8832Contract003Plan
PPO · served 3 counties in California in 2026
Run by Alignment Health Advantage Plan Inc (contract H8832), sold as Alignment Health Plan, owned by Alignment Healthcare USA, LLC
CMS crosswalk: members move into H8832-001 in 2 of its 3 counties; in the others the plan ends
Alignment Health Freedom (H8832-003) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Alignment Health Advantage 001 (H8832-001), in the 2 counties where that plan is sold (69 members in September 2026). In its other 1 county (124 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan.
What changes for its members in Alignment Health Advantage 001?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Alignment Health Freedom | Alignment Health Advantage 001 | renamed |
| Monthly premium | $12 | $70 | ▲up $58 |
| In-network out-of-pocket limit | $8,500 | $4,451 | ▼down $4,049 |
| Drug deductible | $615 | $0 | ▼down $615 |
| Primary care visit | 20% of the cost | $0 copay | changed |
| Specialist visit | 20% of the cost | $20 copay | changed |
| Emergency room | 20% of the cost | $120 copay | changed |
| Hospital stay, in network | not filed | $250 a day for days 1–3, then $0 a day for days 4–90 | changed |
| Skilled nursing facility, in network | not filed | $0 a day for days 1–20, then $100 a day for days 21–51, then $0 a day for days 52–100 | changed |
| Ground ambulance, in network | 20% of the cost | $250 copay | changed |
| Comprehensive dental, yearly limit | $1,200 a year | not offered | ▼dropped |
| Eyewear, yearly limit | $250 a year | $75 a year | ▼down $175 |
| Counties served | 3 | 6 | ▲up 3 |
| Drug tier 2, generic | 25% of the cost | $5 | changed |
| Drug tier 3, preferred brand | 25% of the cost | $40 | changed |
| Drug tier 4, non-preferred drug | 30% of the cost | 32% of the cost | ▲up 2 points |
| Drug tier 5, specialty tier | 25% of the cost | 33% of the cost | ▲up 8 points |
| Drug tier 6, select care drugs | $0 | $5 | ▲up $5 |
| 5 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Medical deductible, in network | none | none | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Drug tier 1, preferred generic | $0 | $0 | 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 live in San Joaquin (CA), Stanislaus (CA)
- If you do nothing
- You are moved into Alignment Health Advantage 001 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.
If you live in San Diego (CA)
- Your coverage
- Ends December 31, 2026: Alignment Health Advantage 001 is not sold where you live.
- October 15 to December 7, 2026
- Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
- December 8, 2026 to the end of February 2027
- A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
- If you do nothing
- You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
- Without a drug plan
- Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
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.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| San Diego, CA | 124 | plan ends here |
| Stanislaus, CA | 39 | moves into H8832-001 |
| San Joaquin, CA | 30 | moves into H8832-001 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in San Diego, CAThe 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