Medicare Advantage

Alignment Health Plan's 2027 Medicare Advantage lineup in Sacramento: 1 new, 2 not returning, 8 renamed

SACRAMENTO — If you have an Alignment Health Plan Medicare Advantage plan in Sacramento, your 2027 lineup looks different on paper. The carrier is bringing 10 Medicare Advantage plans to Sacramento County next year, according to the CMS Medicare Advantage Landscape files. One plan is new for 2027, two are not coming back, and eight have been renamed — the plan is still being offered, but the name on the card is changing.

That matters right now because the Annual Enrollment Period runs October 15 through December 7, 2026, and any change you make takes effect January 1, 2027. If you do nothing, your current plan renews — if it is still offered — with any changes spelled out in your Annual Notice of Change (ANOC).

MyMedicarePlans.org is an independent news and education site. We are not Alignment Health Plan, and nine other carriers also offer Medicare Advantage plans in Sacramento County for 2027 — 32 plans in total across all carriers.

What Alignment Health Plan is offering in Sacramento County for 2027

For plan year 2027, Alignment Health Plan has 10 Medicare Advantage plans available in Sacramento County. All 10 are HMOs, and all 10 include Part D prescription drug coverage. Six of them are Chronic Condition Special Needs Plans (C-SNPs), which are built for people with specific long-term conditions and have their own eligibility rules.

The table below lists every Alignment Health Plan plan in the county for 2027. In alphabetical order, those plans are:

• Alignment Health BreathEasy Plus 041 (HMO C-SNP)
• Alignment Health Clarity Plus 042 (HMO C-SNP)
• Alignment Health Heart & Diabetes 010 (HMO C-SNP)
• Alignment Health Heart & Diabetes 048 (HMO C-SNP)
• Alignment Health Heart & Diabetes 051 (HMO C-SNP)
• Alignment Health Heart & Diabetes Plus 039 (HMO C-SNP)
• Alignment Health Honor Plus 060 (HMO)
• Alignment Health My Choice 050 (HMO)
• Alignment Health Smart 038 (HMO)
• Alignment Health Sutter Advantage +More (HMO)

Sacramento is in Sacramento County, and Medicare Advantage availability is set at the county level — so the same lineup applies whether you live in midtown, Natomas, Elk Grove or Citrus Heights.

What is new, and what is not returning

One Alignment Health Plan plan is new in Sacramento County for 2027: Alignment Health Honor Plus 060 (HMO). Two plans the carrier offered in 2026 are not being offered in 2027. If you are enrolled in a plan that is not returning, Medicare will send you a non-renewal notice, and you have a Special Enrollment Period to pick a new plan.

Eight continuing plans have been renamed for 2027. For example, the plan previously called Alignment Health BreathEasy (HMO C-SNP) is listed for 2027 as Alignment Health BreathEasy Plus 041 (HMO C-SNP), and the plan previously called Alignment Health smartHMO (HMO) is listed as Alignment Health Smart 038 (HMO). A new name does not automatically mean new benefits or new costs — that information lives in the plan's 2027 ANOC and Evidence of Coverage. But a new name is a good reason to actually open those documents instead of assuming nothing has changed.

Special Needs Plans: who they are for

Six of Alignment Health Plan's 10 Sacramento County plans for 2027 are C-SNPs — Chronic Condition Special Needs Plans. These plans are only open to people with qualifying conditions (names like "Heart & Diabetes" and "BreathEasy" hint at the focus, but each plan has its own eligibility rules verified by a doctor). Alignment Health Plan is not offering a D-SNP (dual eligible) or I-SNP (institutional) plan in the county for 2027.

If you don't have a qualifying chronic condition, the C-SNPs are not available to you, and your choices from this carrier are the four other HMOs on the list.

How to check a plan against your doctors and prescriptions before December 7

Plan names and plan types don't tell you whether your cardiologist is in network or whether your inhaler is on the drug list. Before you enroll, do these three checks:

1. Run the Medicare Plan Finder at medicare.gov. Enter your ZIP code, your prescriptions (with dose and quantity), and your preferred pharmacy. The tool shows each plan's own costs for your drugs. 2. Search the plan's provider directory for every doctor and facility you use. Networks can change year to year, so confirm for 2027, not 2026. 3. Read your ANOC. If you already have a plan, this document — mailed by the end of September — spells out exactly what is changing on January 1.

If you prefer to talk to someone, 1-800-MEDICARE is open 24/7.

A few 2027 program numbers worth knowing

These are program-level figures from CMS and apply no matter which plan you pick:

• The Part D out-of-pocket cap rises to $2,400 in 2027 (it is $2,100 in 2026).
• The Part D maximum deductible rises to $700 in 2027 (it is $615 in 2026).
• The 2027 Part B standard premium, Part B deductible, and IRMAA income brackets have not been announced yet; CMS typically publishes them later in the fall.

The Medicare Prescription Payment Plan — the option to spread your drug costs over the year in monthly installments — continues into 2027.