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For Providers

Welcome to Alignment Health Plan's Provider web page! At Alignment, we believe that the patient/physician relationship is an integral part of any treatment plan and want to work together to provide our members with the best quality of care possible. This portion of our websit...

Thank You

Thank you for reviewing Alignment Health Plan’s Special Needs Plan Model of Care Training. If you have any questions, please contact your designated network management representative. Provider Training Attestation Thank You

Special Needs Plan (SNP) Training

Providers and staff who manage or have the potential to manage members enrolled in a Special Needs Plan (SNP) are required to complete Alignment’s SNP and Model of Care (MOC) provider training within the first 60 days of employment and annually thereafter.   Providers Spe...

Request Plan Materials

For the most up-to-date information, you can find a provider, pharmacy and drug online, as well as your Evidence of Coverage booklet: Provider Search Pharmacy Search Drug Search Evidence of Coverage To have a printed copy mailed to you, please fill out the form...

Request Materials by Mail

For the most up-to-date information, you can find a provider, pharmacy and drug online, as well as your Evidence of Coverage booklet: Provider Search Pharmacy Search Drug Search Evidence of Coverage To have a printed copy mailed to you, please fill out the form...

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Enroll Now ANNOUNCEMENT: Take action today to keep your Medicaid coverage. Learn more . Alignment Health Plan is an HMO, HMO POS, HMO C-SNP, HMO D-SNP, and PPO plan with a Medicare contract and a contract with the California, Nevada, and North Carolina Medicaid programs. E...

Out-of-Network Policy

In most cases, care you receive from an out-of-network provider (a provider who is not part of our plan's network) will not be covered. You are responsible for paying the full cost of services that aren't covered by our plan, either because they are not plan covered services, ...

Contact Us

Need help? We’re here and ready to answer your questions.   Expand all  |  Collapse all About Us Contact Us I am a Member > I am a Provider > I am a Broker > Other Inquiries >   Send Us a Message For your personal security, ple...

Understanding HMO Plans

With the many insurance options available to you, it can be difficult to know which health insurance plan to choose. While researching your health insurance options, you will very likely come across what’s known as a Health Management Organization (HMO) plan.   What is ...

How To Find the Medicare Plan and Providers That Best Fit You

Medicare is a federal program for those who are over 65, disabled or have end-stage renal disease (ESRD). It has two forms: Original Medicare , which consists of hospital insurance (Part A) and insurance for doctors and other health services (Part B)  Medicare Advantage ...