Alignment Health Duals+ 004 (HMO-POS D-SNP) (H5296-004) in 2027
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HMO-POS D-SNP: about this plan type · For people with Medicare and Medicaid: about Special Needs Plans · Legal name: ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.
Called Alignment Health NC Duals (HMO-POS D-SNP) in 2026 and Alignment Health Duals+ 004 (HMO-POS D-SNP) in 2027. The plan ID stayed the same.
Offered again in all 16 counties where it was offered in 2026. In 2027 it is also offered in 4 counties where it wasn't offered in 2026.
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- Offered Againin 2027
- 16
- of 16 countiesin 2026
- People inThis Plan
- at least 590
- CMS enrollment,October 2026
North Carolina
See the 20 counties in North CarolinaHide the counties
Costs and Star Rating
| What | 2026 | 2027 |
|---|---|---|
| Monthly premium (without Extra Help) | $36.20 a month | $13.30 a month |
| Maximum you pay for covered medical care | Covered by Medicaid (see note) | Covered by Medicaid (see note) |
| Drug deductible | $615 | $700 |
| Overall star rating (from CMS) | 5 out of 5 stars | 4.5 out of 5 stars |
Covered by Medicaid: if you have Medicare and Medicaid, most of your costs are covered. What you pay depends on your Medicaid level.
This plan may also have a limit for in- and out-of-network care combined. See Medicare Plan Finder.
CMS rates contracts, so plans under one contract share its rating. For costs with Extra Help, use the lookup.
What Happens Next
Where it is offered again, members who do nothing stay in this plan.
These numbers come from CMS's plan files. If you're in this plan, confirm with your Annual Notice of Change or the letter from your plan.
Source: CMS CY2027 Landscape, data as of October 18, 2026 (release 202610). Enrollment: CMS Monthly Enrollment by Contract/Plan/State/County, October 2026. Plan moves: CMS 2027 Plan Crosswalk, file dated October 1, 2026. People counts add up the counties where this plan is offered. They leave out members who live outside that area. See how we get our numbers.