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Alignment Health Plan is an HMO, HMO POS and an HMO SNP plan with a Medicare contract. Enrollment in Alignment Health Plan depends on contract renewal. The Alignment Health Plan Heart and Diabetes (HMO SNP) plan is available to anyone who has chronic Diabetes Mellitus and/or anyone who has been diagnosed with cardiovascular disease or chronic heart failure. Medicare beneficiaries may also enroll in Alignment Health Plan through the CMS Medicare Online Enrollment Center located at www.medicare.gov.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Premiums, co-pays, co-insurance and deductibles may vary based on the level of “Extra Help” you receive. Please contact the plan for further details. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Beneficiaries must use network pharmacies to access their prescription drug benefit, except under non-routine circumstances, and quantity limitations and restrictions may apply. The formulary pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premium. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Alignment Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-866-634-2247 (TTY: 711).

Alignment Health Plan cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si usted habla Español, servicios de asistencia lingüística, de forma gratuita , están disponibles para usted. Llama al 1-877-399-2247 (TTY: 711).

Alignment Health Plan 遵守所有聯邦民權法的規定，沒有種族 、膚色 、出生國 、年齡 、障或性別的歧視。注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-866-634-2247 (TTY: 711).

Alignment Health Plan does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. For more information, view our complete Non-discrimination Notice.

Privacy & Security Alignment Health Plan HMO is committed to protecting your information and ensuring your account is secure: View Privacy Policy

© Copyright 2018 Alignment Health Plan HMO. All Rights Reserved. Page last updated on 6/1/2018 | H3815_18101EN APPROVED

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Don't delay! The Annual Enrollment Period starts Oct. 15, 2017 and goes through Dec. 7, 2017.