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Alignment Health Plan Named a “Best” Medicare Advantage Insurer in California by U.S. News & World Report

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Alignment Health Plan has been recognized as one of only six insurers named to U.S. News & World Report's 2025 Best Insurance Companies for Medicare Advantage Honor Roll in California. The company's PPO plans achieved 4.5 stars and HMO plans maintained 4 stars from CMS. For 2025, Alignment is offering HMO, PPO, and special needs plans across 22 California counties, serving nearly 5.8 million Medicare-eligible seniors. Key features include $0 to low premium plans, $0 copay for Part D generic drugs in HMO plans, and two new chronic condition SNPs for lung and mental health conditions.

Alignment Health Plan è stato riconosciuto come uno dei soli sei assicuratori nominati nel 2025 Best Insurance Companies di U.S. News & World Report per la lista d'onore dei piani Medicare Advantage in California. I piani PPO hanno ottenuto 4.5 stelle e i piani HMO hanno mantenuto 4 stelle secondo CMS. Per il 2025, Alignment offre piani HMO, PPO e piani per bisogni speciali in 22 contee della California, servendo quasi 5.8 milioni di anziani idonei per Medicare. Le caratteristiche principali includono piani con premi da $0 a bassi costi, copagamento di $0 per i farmaci generici della Parte D nei piani HMO, e due nuovi SNP per condizioni croniche relative alla salute polmonare e mentale.

Alignment Health Plan ha sido reconocido como uno de los seis únicos aseguradores nombrados en el 2025 Best Insurance Companies de U.S. News & World Report en la lista de honor de las mejores compañías de seguros para Medicare Advantage en California. Los planes PPO lograron 4.5 estrellas y los planes HMO mantuvieron 4 estrellas según CMS. Para 2025, Alignment ofrece planes HMO, PPO y planes para necesidades especiales en 22 condados de California, sirviendo a casi 5.8 millones de ancianos elegibles para Medicare. Las características clave incluyen planes de $0 a bajo costo, copago de $0 para medicamentos genéricos de la Parte D en los planes HMO, y dos nuevos SNP para condiciones crónicas relacionadas con la salud pulmonar y mental.

Alignment Health Plan은 캘리포니아에서 U.S. News & World Report의 2025 최고의 보험사 명단에 선정된 단 6개의 보험사 중 하나로 인정받았습니다. 회사의 PPO 플랜은 4.5 스타를 획득했습니다 그리고 HMO 플랜은 4 스타를 유지했습니다 CMS에 따르면. 2025년에는 Alignment가 22개 캘리포니아 카운티에서 HMO, PPO 및 특별 필요 계획을 제공하여 거의 580만 명의 Medicare 자격이 있는 노인들을 서비스합니다. 주요 특징으로는 $0에서 저렴한 프리미엄 플랜, HMO 플랜의 Part D 일반 의약품에 대한 $0 공동 부담금, 그리고 폐 및 정신 건강 질환에 대한 두 가지 새로운 만성 질환 SNP가 있습니다.

Le plan de santé Alignment a été reconnu comme l'un des six seuls assureurs mentionnés dans le 2025 Best Insurance Companies de U.S. News & World Report sur la liste d'honneur des meilleures compagnies d'assurance pour Medicare Advantage en Californie. Les plans PPO ont obtenu 4,5 étoiles et les plans HMO ont maintenu 4 étoiles selon le CMS. Pour 2025, Alignment propose des plans HMO, PPO et des plans pour besoins spéciaux dans 22 comtés de Californie, servant près de 5,8 millions de personnes âgées éligibles pour Medicare. Les principales caractéristiques comprennent des plans à prime de $0 à faible coût, un co-paiement de $0 pour les médicaments génériques de la Partie D dans les plans HMO, et deux nouveaux SNP pour les conditions chroniques liées à la santé pulmonaire et mentale.

Alignment Health Plan wurde als eines von nur sechs Versicherern anerkannt, die in der 2025 Best Insurance Companies-Liste von U.S. News & World Report für Medicare Advantage in Kalifornien genannt wurden. Die PPO-Pläne erhielten 4,5 Sterne und die HMO-Pläne hielten 4 Sterne von CMS. Für 2025 bietet Alignment HMO-, PPO- und spezielle Bedarfspläne in 22 kalifornischen Landkreisen an und bedient nahezu 5,8 Millionen Medicare-berechtigte Senioren. Zu den wichtigsten Merkmalen gehören Pläne mit Prämien von $0 bis niedrigen Kosten, $0 Zuzahlung für generische Medikamente der Teil D in HMO-Plänen und zwei neue SNPs für chronische Erkrankungen der Lungen- und psychischen Gesundheit.

Positive
  • Named among top 6 Medicare Advantage insurers in California by U.S. News & World Report
  • PPO plans achieved 4.5-star rating from CMS
  • HMO plans maintained 4-star rating for eighth consecutive year
  • Expanded market coverage to 5.8M Medicare-eligible seniors across 22 California counties
  • $0 to low premium plans and $0 copay for Part D generic drugs in HMO plans
Negative
  • None.

Insights

The U.S. News & World Report recognition and strong CMS star ratings demonstrate Alignment Health Plan's competitive positioning in the important California Medicare Advantage market. Their 4.5-star PPO and 4-star HMO ratings, particularly the HMO's eight-year streak, indicate consistent operational excellence and member satisfaction.

The expansion of their portfolio with new specialty SNPs for lung and mental health conditions, coupled with their presence in 22 California counties reaching 5.8 million Medicare-eligible seniors, shows strategic market penetration. The $0 to low premium structure and $0 copay for generic drugs position them well for membership growth during the annual enrollment period.

While this recognition enhances brand value, the real metrics to watch will be membership growth and retention rates following the enrollment period, which will directly impact revenue and market share.

PPO achieves 4.5 stars, HMO 4 stars in 2025 from Centers for Medicare & Medicaid Services

ORANGE, Calif., Oct. 30, 2024 (GLOBE NEWSWIRE) --  Alignment Health Plan, an award-winning Medicare Advantage plan from Alignment Health, has been named to U.S. News & World Report’s 2025 Best Insurance Companies for Medicare Advantage (MA) Honor Roll in California. With more than 400 MA plans offered in California, Alignment is one of only six insurers in the state to earn the “Best” ranking badge, which recognizes insurers with a U.S. News rating above 3.8 on a 5-point scale.1

To calculate its 2025 rankings, U.S. News & World Report consulted with Medicare experts to identify more than 30 quality measures from the Centers for Medicare & Medicaid Services (CMS) and assigned each measure a weight reflecting its relevance to consumers. The results for a provider's plans were averaged together, with greater weight assigned to plans having the highest enrollments.

“We are honored to be recognized once again for delivering high-quality, affordable care that supports the diverse health needs of our members,” said Dawn Maroney, CEO of Alignment Health Plan and president, markets of Alignment Health. “With our California HMO earning 4 stars or higher for eight consecutive years and our PPO achieving 4.5 stars, we’re proud to offer plans that provide both quality and choice. We look forward to helping more seniors find the plan that best serves their unique needs this annual enrollment period.”

Alignment is offering a broad portfolio of MA plans across California in 2025, including HMO, PPO and special needs plans (SNPs), available to nearly 5.8 million Medicare-eligible seniors across 22 counties.2 Members who enroll with Alignment during the annual enrollment period (Oct. 15-Dec. 7) will have access to the company’s 24/7 ACCESS On-Demand Concierge for health-related questions, scheduling medical appointments and arranging transportation at no additional cost.

Key highlights of Alignment’s California plans:

  • PPO plans, including Balance PPO and My Choice PPO, which earned 4.5 star from CMS, offering more flexible care options than an HMO.3
  • $0 to low premium and $0 copay for Part D generic prescription drugs in its HMO plans, which earned 4 stars in California, marking the eighth straight year as a 4-star or greater plan.
  • Two new HMO chronic condition SNPs for members with lung conditions and chronic or disabling mental health conditions, available in select counties.

In addition to California, Alignment offers a diverse range of 2025 product offerings, benefits and services in select counties in Arizona, Nevada, North Carolina and Texas. To learn more, visit www.alignmenthealthplan.com.

About Alignment Health
Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. A consumer brand name of Alignment Healthcare (NASDAQ: ALHC), Alignment Health’s mission-focused team makes high-quality, low-cost care a reality for its Medicare Advantage members every day. Based in California, the company partners with nationally recognized and trusted local providers to deliver coordinated care, powered by its customized care model, 24/7 concierge care team and purpose-built technology, AVA®. As it expands its offerings and grows its national footprint, Alignment upholds its core values of leading with a serving heart and putting the senior first. For more information, visit www.alignmenthealth.com.

Media Contact
Priya Shah
mPR, Inc. for Alignment Health
alignment@mpublicrelations.com

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1 Best Medicare Advantage Plans in California 2025

2 5,782,233 as of October 2024 in Alameda, Fresno, Los Angeles, Madera, Marin, Merced, Orange, Placer, Riverside, Sacramento, San Bernardino, San Diego, San Francisco, San Joaquin, San Luis Obispo, San Mateo, Santa Clara, Santa Cruz, Sonoma, Stanislaus, Ventura and Yolo; Centers for Medicare & Medicaid Services Medicare Advantage/Part D Contract and Enrollment Data, October 2024 MA State/County Penetration

3  Every year, CMS evaluates plans based on a 5-star rating, with 5 stars representing “excellent” performance.



FAQ

What star rating did Alignment Health Plan (ALHC) receive for its PPO plans in 2025?

Alignment Health Plan's PPO plans received a 4.5-star rating from CMS for 2025.

How many consecutive years has Alignment Health Plan's (ALHC) California HMO maintained 4 stars or higher?

Alignment Health Plan's California HMO has maintained 4 stars or higher for eight consecutive years.

How many California counties does Alignment Health Plan (ALHC) serve in 2025?

Alignment Health Plan serves 22 counties in California for 2025.

What recognition did Alignment Health Plan (ALHC) receive from U.S. News & World Report for 2025?

Alignment Health Plan was named to U.S. News & World Report's 2025 Best Insurance Companies for Medicare Advantage Honor Roll in California, being one of only six insurers to receive this recognition.

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