Alignment Healthcare USA Medicare
Alignment Healthcare USA Medicare Plans Ending for 2027 in California, Nevada, North Carolina: Plan List and What to Do
4 Alignment Healthcare USA Medicare plans end or leave counties for 2027 in 3 states, per CMS; at least 6,009 people must choose a new plan. Another 6 plans were merged or renumbered, so those members move automatically. If yours is on the list, a licensed agent can help at no cost to you.
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No cost. No obligation. Not the government. Speak with a licensed insurance agent (TTY 711).
You can enroll in a 2027 Medicare plan from October 15 through December 7.
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You'll talk to a real person: Rick Lander, licensed insurance agent, NPN 21255551, Lander LLC, or one of the licensed agents on this team.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. Not connected with or endorsed by the United States government or the federal Medicare program. Calls are recorded, as Medicare requires.
Will a 2027 plan keep your doctors and cover your prescriptions?
The public plan sites can't tell you that without a lot of clicking, and some 2027 plans aren't on them until October 15. Give us your doctors and your prescriptions and a licensed agent checks every 2027 plan in your county against your list, then calls you with the two or three that fit. No cost, no obligation.
Which Alignment Healthcare USA Medicare plans are ending in 2027?
Checked October 6, 2026 against CMS's 2027 Plan Crosswalk, its 2026 and 2027 plan lists, and September 2026 enrollment.
- California: 2 plans end or leave counties (4,109 members); 5 merged or renumbered (14,608 members) county detail
- Nevada: 2 plans end or leave counties (1,900 members) county detail
- North Carolina: no plans ending; 1 merged or renumbered (5,132 members) county detail
Alignment Healthcare USA in California
| Plan | Plan ID | Counties | Members | What CMS says for 2027 |
|---|---|---|---|---|
| Alignment Health My Choice (PPO) Alignment Healthcare USA | H4961-001 | Placer, Sacramento, San Joaquin, Yolo | 2,463 | Leaves these counties for 2027. Members here must choose a new plan. |
| Alignment Health My Choice (PPO) Alignment Healthcare USA | H4961-003 | San Mateo, Sonoma | 1,646 | Ends December 31, 2026. Members must choose a new plan. |
| Alignment Health Honor+ Plan (HMO) Alignment Healthcare USA | H3815-052 | Alameda, Fresno, Los Angeles, Madera and 16 more | 7,871 | Merged into Central Health Harmony 031 (HMO) (H3815-031) for 2027. Members are moved automatically and can still switch. |
| Alignment Health My Choice Select (HMO) Alignment Healthcare USA | H3815-049 | Los Angeles, Orange, Riverside, San Bernardino | 3,376+ | Merged into Alignment Health My Choice 001 (HMO) (H3815-001) for 2027. Members are moved automatically and can still switch. |
| Alignment Health Advantage PPO (PPO) Alignment Healthcare USA | H8832-001 | Orange, San Diego | 1,808 | Merged into Alignment Health Advantage 001 (PPO) (H8832-001) for 2027. Members are moved automatically and can still switch. |
| Alignment Health the ONE (HMO) Alignment Healthcare USA | H3815-034 | Los Angeles, Orange, Riverside, San Bernardino and 2 more | 1,360+ | Merged into Central Health Harmony 031 (HMO) (H3815-031) for 2027. Members are moved automatically and can still switch. |
| Alignment Health Freedom (PPO) Alignment Healthcare USA | H8832-003 | San Diego, San Joaquin, Stanislaus | 193 | Merged into Alignment Health Advantage 001 (PPO) (H8832-001) for 2027. Members are moved automatically and can still switch. |
Alignment Healthcare USA in Nevada
| Plan | Plan ID | Counties | Members | What CMS says for 2027 |
|---|---|---|---|---|
| Alignment Health Platinum + Instacart (HMO) Alignment Healthcare USA | H9686-007 | Washoe | 1,657 | Ends December 31, 2026. Members must choose a new plan. |
| Alignment Health smartHMO (HMO) Alignment Healthcare USA | H9686-008 | Washoe | 243 | Ends December 31, 2026. Members must choose a new plan. |
Alignment Healthcare USA in North Carolina
| Plan | Plan ID | Counties | Members | What CMS says for 2027 |
|---|---|---|---|---|
| Alignment Health Platinum (HMO) Alignment Healthcare USA | H5296-003 | Avery, Buncombe, Chatham, Davidson and 12 more | 5,132+ | Merged into Alignment Health Platinum 010 (HMO) (H5296-010) for 2027. Members are moved automatically and can still switch. |
CMS hides county counts of 10 or fewer, so totals are at least the number shown. A plan's own letter is the final word on what happens to it.
My Alignment Healthcare USA Medicare plan is ending. What are my deadlines?
- Your current plan keeps working through December 31, 2026. Doctors, prescriptions and benefits work as usual until then.
- Open Enrollment, October 15, 2026 to December 7, 2026: pick a new plan now and it starts January 1, 2027, with no gap.
- Your extra window, December 8, 2026 to February 28, 2027: because your plan is being discontinued, you get a Special Enrollment Period on top of Open Enrollment. An enrollment request received December 8-31 is effective January 1; received in January, effective February 1; received in February, effective March 1.
- Medigap guaranteed issue: apply as early as November 1, 2026, and no later than March 4, 2027 (63 days after your coverage ends).
What happens if I do nothing when my plan is cancelled?
You don't lose Medicare. If you don't choose a new plan, you're moved to Original Medicare (Parts A and B) on January 1, 2027. Original Medicare doesn't include prescription drug coverage, so you'd need to join a separate Part D plan. Going 63 days or more without creditable drug coverage can mean a permanent late-enrollment penalty.
Can I switch to a Medicare Supplement (Medigap) plan without health questions?
Usually yes. When a Medicare Advantage plan leaves your area or stops offering coverage, federal law gives you a guaranteed issue right: a Medigap company must sell you Plan A, B, D or G (or C or F if you were eligible for Medicare before January 1, 2020), can't charge more for past or present health problems, and can't refuse you, as long as you switch to Original Medicare. Some states add more rights than this. Keep your non-renewal letter; it can serve as proof.
How Medigap guaranteed issue works when your plan ends
Losing your Advantage plan this year? Moving to Medigap | Medigap or another Advantage plan? | Moving to Medigap, step by step
What to check before choosing a replacement plan
- Are your doctors, specialists and hospitals in the new plan's network?
- Are your prescriptions on its drug list, and is your pharmacy covered?
- Premium, deductible, copays and maximum out-of-pocket
- HMO or PPO, and any extra benefits (dental, vision, hearing) that matter to you
- Medicare Advantage vs. Original Medicare with Medigap and a Part D plan
Free Medicare tools
Questions about Alignment Healthcare USA Medicare plans ending
Is Alignment Healthcare USA leaving Medicare entirely?
No. CMS's 2027 files show Alignment Healthcare USA still offering plans in California, Nevada, North Carolina. The plans on this page are the ones that end, leave counties, or were merged or renumbered.
My Alignment Healthcare USA plan is on the list. When do I have to act?
Your plan works through December 31, 2026. Pick a new plan between October 15, 2026 and December 7, 2026 and it starts January 1, 2027. Because your plan is ending, you also get a Special Enrollment Period from December 8, 2026 to February 28, 2027.
What if CMS says my Alignment Healthcare USA plan was merged or renumbered?
Then you are moved into the new plan automatically on January 1, 2027, and your letter names it. You can still compare other plans during Open Enrollment, October 15, 2026 to December 7, 2026.
Will I get pressured into a sales call if I ask for help?
No. A licensed agent looks at the plans available where you live, explains what changes for you, and you decide. There is no cost to you and no obligation to enroll. Calls are recorded, as Medicare requires.
Is your Alignment Healthcare USA plan ending?
Call to check your plan and compare what's available where you live, with licensed Medicare help.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
GetFastRates.com is not connected with or endorsed by the U.S. government or the federal Medicare program. Calling connects you with licensed insurance help. Plan availability, costs, benefits, and enrollment rules can vary by state, carrier, and individual situation.
Sources
- CMS Monthly Enrollment by Contract/Plan/State/County (2026-09)
- CMS Medicare Advantage and Part D Enrollment and Disenrollment Guidance, section 30.6.10 (SEP for non-renewals and service-area reductions)
- Medicare.gov: Choosing a Medigap Policy (guaranteed issue rights)
- Medicare.gov: Special Enrollment Periods
- 42 CFR 422.506 (non-renewal notice to members)
Last updated 2026-10-06. Plan counts come from CMS files; CMS doesn't publish county counts of 10 or fewer members, so totals are at least the number shown.