Alignment Healthcare is a consumer-centric platform delivering customized health care in the United States to seniors and those who need it most, the chronically ill and frail, through its Medicare Advantage plans.
Full Answer
What Medicare plans does alignment offer?
Alignment offers Medicare HMO and HMO POS plans to Nevada and North Carolina residents in 2021 Elevating Your Care, Together Proud to welcome MemorialCare, P3 Health Partners,
Where can I find information on available Medicare Advantage plans?
If you need help, please call 1-800-299-3116 (TTY User: 711) Mon - Fri, 8am - 9pm ET for Customer Service Representatives and licensed insurance agents who can assist with finding information on available Medicare Advantage, Medicare Supplement Insurance and Prescription Drug Plans.
What do I need to enroll in a Medicare Advantage plan?
You must have both Part A and B to enroll in a Medicare Advantage plan. Members may enroll in the plan only during specific times of the year. Contact the plan for more information. You must have Medicare Part A or Part B (or both) to join a Medicare Prescription Drug plan. Members may enroll in the plan only during specific times of the year.
What is Medicare Advantage?
What is Medicare Supplement?
How to get extra help for Part D?
How often does Medicare evaluate plans?
Who may contract with other plan sponsors?
About this website
What is alignment healthcare?
Alignment Healthcare is redefining the business of health care by shifting the focus from payments to people. We have created a new model for health care delivery that cuts costs and improves lives by unraveling the inefficiencies of the current system to drive patients, providers and payers toward a common goal of wellness. Harnessing best practices from Medicare Advantage, our innovative data-management technology allows us to commit to caring for seniors and those who need it most: the chronically ill and frail. Alignment Healthcare provides partners and patients with customized care and service where they need it and when they need it, including clinical coordination, risk management and technology facilitation. Alignment Healthcare offers health plan options through Alignment Health Plan, and also partners with select health plans to help deliver better benefits at lower costs. For more information, please visit www.alignm enthealthcare.com.
When will alignment health plan open?
1, 2020) – Alignment Healthcare, an award-winning Medicare Advantage company that has served the greater Raleigh area since 2014, is offering Alignment Health Plan options with socially conscious benefits for the first time to seniors in North Carolina this Medicare open enrollment period starting Oct. 15 through Dec. 7. The company, which now provides medical and managed care services to patients at Alignment Healthcare Centers in Wake County, will offer three Medicare Advantage Prescription Drug plans – all of which include Alignment’s ACCESS On-Demand Concierge program and black benefits card – with coverage starting Jan. 1, 2021.
What is alignment on demand?
Launched in 2019, Alignment’s ACCESS On-Demand Concierge program provides members a personal concierge team who can connect them to a board-certified doctor by phone or video, schedule medical appointments, arrange transportation and answer health care questions 24 hours a day, seven days a week – all with single phone number. Members can also use their “black card” to purchase eligible OTC and grocery items at more than 50,000 retailers across the country, including CVS, Walgreens and Walmart. For more information, visit www.alignmenthealthplan.com.
Is alignment health a nonprofit?
Alignment’s partnership with UNC Health, the nonprofit system owned by the state of North Carolina comprising the University of North Carolina’s health enterprise, also gives plan members access to more than 300 board-certified primary and specialty care physicians in the UNC network. North Carolina Medicare beneficiaries who enroll with Alignment Health Plan can seek “in-network” care with those UNC physicians.
What is alignment healthcare?
Alignment Healthcare is a consumer-centric platform delivering customized health care in the United States to seniors and those who need it most, the chronically ill and frail, through its Medicare Advantage plans.
Does alignment offer virtual care?
Alignment currently offers two PPO plans including the My Choice PPO with Sutter Health. Among the new PPO plan choices will be a virtual care PPO option in Arizona, California and North Carolina, on the heels of Alignment’s debut this year of AVA™ HMO – a virtual-first health plan.
What hospitals are part of the NC alignment health plan?
Medicare beneficiaries who enroll with Alignment Health Plan in North Carolina will have access to a broad network of providers that includes some of the nation’s largest hospital systems, such as Duke Health, UNC Health, Wake Forest Baptist Health, and WakeMed Health.
What counties are in alignment health plan?
1, 2022, Alignment Health Plan will serve seniors in 12 more counties in the Western region of the state: Avery, Buncombe, Davidson, Davie, Forsyth, Guilford, Henderson, Madison, McDowell, Mitchell, Transylvania and Wilkes. These additional counties join Alignment’s existing coverage area in Wake, Johnston and Chatham.
Is alignment a PPO?
In addition, Alignment’s new AVA ® (PPO) plan offers low premium with the flexibility to see a doctor out of network, as well as the convenience to see a specialist without a referral. Its new AVA ® (HMO POS) plan provides additional flexibility than a typical HMO, allowing members to seek in-person care out of network for certain services, as well as a virtual primary care physician accessible by phone or video on Alignment’s proprietary AVA ® data and technology platform.
Search our Part D Network
A drug formulary is a complete list of all the prescription drugs that are covered by Alignment Health Plan during the covered benefit year. For your prescription drug to be covered, your drug must be included in this comprehensive list.
Prescription Drug Benefit Information
To learn more about our Part D prescription drug benefits, please review the plan’s Summary of Benefits. The document highlights applicable premiums, copayments, coinsurance and deductibles. Please refer to the Evidence of Coverage for a complete explanation of benefits.
Part D Resources and Links
The process for coverage decisions and appeals can be found in Chapter 9 of your evidence of coverage (EOC). This is the process you use for issues such as whether something is covered or not and the way in which something is covered. Please refer to Chapter 9 of your EOC for a full description of the process.
What is Medicare Advantage?
Medicare Advantage plans are an alternative way to get your Original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans' prescription drug component helps cover medications. Even if a plan's monthly premium is $0, you would still pay the Original Medicare Part B premium, and Part A premium if applicable, to have medical coverage.
What is Medicare Supplement?
Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and , in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
How to get extra help for Part D?
For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778 or consult www.socialsecurity.gov; or your Medicaid Office.
How often does Medicare evaluate plans?
Every year, Medicare evaluates plans based on a 5-star rating system.
Who may contract with other plan sponsors?
Pharmacies, Physicians, and Providers may also contract with other Plan Sponsors.
What is Medicare Advantage?
Medicare Advantage plans are an alternative way to get your Original Medicare. These plans help cover the costs of services provided by hospitals, doctors, lab tests and some preventive screenings. These plans' prescription drug component helps cover medications. Even if a plan's monthly premium is $0, you would still pay the Original Medicare Part B premium, and Part A premium if applicable, to have medical coverage.
What is Medicare Supplement?
Medicare Supplement insurance is available to those age 65 and older enrolled in Medicare Parts A and B and , in some states, to those under age 65 eligible for Medicare due to disability or End-Stage Renal disease. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program.
How to get extra help for Part D?
For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778 or consult www.socialsecurity.gov; or your Medicaid Office.
How often does Medicare evaluate plans?
Every year, Medicare evaluates plans based on a 5-star rating system.
Who may contract with other plan sponsors?
Pharmacies, Physicians, and Providers may also contract with other Plan Sponsors.