Alignment Health Total Dual+ (HMO-POS D-SNP) in Texas
Alignment Health Plan, HMO-POS D-SNP, for 2026. $4.80 a month, and your spending is capped at $9,250 a year in network.
What CMS publishes about it
| Insurer | Alignment Health Plan (part of Alignment Healthcare USA, LLC) |
|---|---|
| Plan type | HMO-POS D-SNP |
| Contract and plan id | H5472-009 |
| Monthly premium | $4.80 |
| Of which drug coverage | $4.80 |
| Most you can pay in a year | $9,250 |
| Drug coverage | Yes — Enhanced |
| Annual drug deductible | $615 |
| Overall star rating | 4.5/5 |
| Medicare Advantage stars | 4.0/5 |
| Part D stars | 5.0/5 |
| Special Needs Plan | Dual-Eligible (CO) |
| Counties it is sold in | 2 |
| Contract year | 2026 |
Plan types: HMO-POS: HMO with a point-of-service option — an HMO that also lets you use some services out of network, at a higher cost. D-SNP: Dual-eligible Special Needs Plan — only for people who have both Medicare and Medicaid. Enhanced: Enhanced drug benefit — more than the standard Part D benefit -- a lower deductible, a lower copay, or more drugs covered.
Among the 97 other plans sold in the same counties, the average monthly premium is $9.44, the average out-of-pocket cap $6,753, and the average star rating 3.9 across the 92 that CMS rated. These averages are ours, from the same CMS file; everything else on this page is as published.
How many people chose it
1,163 people were enrolled in 1 of the 2 counties it is sold in (CMS published no count for the rest) in September 2026. CMS suppresses any county count of ten or fewer, so the real total is a little higher than this.
How CMS rates it, domain by domain
Each domain is rated 1 to 5. 3 of 9 domains carry no rating — CMS either did not require this contract to report them or had too little data.
Where it is sold
Texas
Get told when this changes
Its premium, out-of-pocket maximum, star rating or sanction status changing — and whether it is ending next year.
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CMS files as loaded on 17 September 2026. Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. The only figures we calculate are the averages and medians marked as ours, from those same files. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.