Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Alignment Health Plan of Nevada, Inc. (H9686)
H9686Contract
A company of Alignment Healthcare USA, LLC, sold as Alignment Health Plan
4 plans in 2027 (6 in 2026) · 6,680 members in September 2026
Alignment Health Plan of Nevada, Inc. is the Alignment Healthcare USA, LLC company that holds Medicare contract H9686, sold as Alignment Health Plan. In 2027 it offers 4 plans (6 in 2026); 2 of its 2026 plans are not offered in 2027. 6,680 people were in its plans in September 2026.
What plans does H9686 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Alignment Health Heart & Diabetes 004H9686-004 | HMO C-SNP | $0 | $1,700 | 1 county | renews |
| Alignment Health Duals+ 005H9686-005 | HMO D-SNP | $0 | $9,850 | 2 counties | renews |
| Alignment Health Heart & Diabetes Plus 006H9686-006 | HMO C-SNP | $0 | $9,850 | 2 counties | renews |
| Alignment Health + Intermountain Health 009H9686-009 | HMO | $0 | $999 | 2 counties | renews in more counties |
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 of its plans end?
| 2026 plan | Members, Sept. 2026 | Counties in 2026 |
|---|---|---|
| Alignment Health Platinum + InstacartH9686-007 | 1,666 | 1 |
| Alignment Health smartHMOH9686-008 | 244 | 1 |
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).
Which employer and union group plans does it hold?
H9686 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 |
|---|---|---|---|
| H9686-801 | Alignment Health Plan Retiree Options | fewer than 11 | renews |
| H9686-802 | Alignment Health Plan Retiree Options | fewer than 11 | renews |
| H9686-803 | Alignment Health Plan Retiree Options | fewer than 11 | renews in more counties |
| H9686-804 | Alignment Health Plan Retiree Options | fewer than 11 | renews in more counties |
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 5 of 5). Of its 29 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Care for Older Adults – Medication Review | 3 |
| Getting Needed Care | 3 |
| Getting Needed Prescription Drugs | 3 |
| Annual Flu Vaccine | 4 |
| Highest-rated measures | Stars |
|---|---|
| Statin Use in Persons with Diabetes (SUPD) | 5 |
| MTM Program Completion Rate for CMR | 5 |
| Medication Adherence for Cholesterol (Statins) | 5 |
| Medication Adherence for Hypertension (RAS antagonists) | 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