Premier Care (HMO I-SNP)
Align Senior Care · HMO I-SNP · 2027 coverage
The big numbers
The plan premium is on top of your Part B premium.
- Monthly premium
- $0
- Most you pay in a year for covered care in network
- $1,900
- Drug deductible
- $50
- Medicare star rating
- No rating yet
This is a special needs plan. Only some people can join: Institutional.
In plain English
Compared with the 1 other plans in Riverside County that the same person could join.
What stands out
- No monthly premium
What a year could cost
Premiums plus the plan’s copays for three example years. Medicines are not included.
- A light year$0$0 in premiums + $0 for care2 checkups and 2 lab tests.
- A busier year$40$0 in premiums + $40 for care4 checkups, 4 specialist visits, 4 lab tests, 1 X-ray and 1 urgent care visit.
- A hard year$215$0 in premiums + $215 for care6 checkups, 12 specialist visits, 6 lab tests, 2 scans, an ambulance ride, an ER visit and a 5-day hospital stay.Not counted, because the plan charges a percentage: MRI, CT and other scans.
The visit counts are examples we chose to show how costs add up, not a prediction. Your costs depend on the care you get.
What you pay for care
Your cost each time, at doctors and hospitals in the plan’s network.
- Primary care visit$0
- Specialist visit$0
- Urgent care$40
- Emergency room$90Not charged if you stay in the hospital within 3 days
- Hospital stay$0 per stayPlan approval may be needed
- Lab tests$0Plan approval may be needed
More care: surgery, X-rays, scans, ambulance, nursing home
- Outpatient surgery center20%Plan approval may be needed
- Outpatient hospital care$0 to $225Depends on the service
- X-rays$0Plan approval may be needed
- MRI, CT and other scans20%Plan approval may be needed
- Ground ambulance$125Plan approval may be needed
- Skilled nursing facility$0 for days 1 to 100Plan approval may be needed
From the costs the plan filed with Medicare for 2027. A range like “$0 to $100” means the cost depends on the service or the place. “Lower than most” compares this plan with the 1 other plans in Riverside County that the same person could join. Read the plan’s 2027 booklet (PDF)
What medicines cost
| Drug tier | Network pharmacy |
|---|---|
| 1Preferred Generic | $0 |
| 2Generic | $10 |
| 3Preferred BrandAfter the deductible | 25% of the price |
| 4Non-Preferred DrugAfter the deductible | 25% of the price |
| 5Specialty TierAfter the deductible | 32% of the price |
For a 1-month supply. The $50 drug deductible applies only to the tiers marked. Covered insulin costs at most $35 for a month’s supply. Your medicine’s tier is on the plan’s drug list; check it below.
Check my medicines
See if this plan covers each medicine you take in 2027, and what a month costs.
Type the name on the bottle. Add the strength to narrow it down.
Add each medicine once. We’ll show if this plan covers it, what a month costs, and any rules.
Extras
Help Original Medicare doesn’t give you.
- Dental IncludedCleanings and exams: $0. Fillings, crowns and dentures: you pay $0.Plan pays up to $3,000 a year.
- Vision IncludedRoutine eye exam covered. Glasses or contacts covered.Eyewear: plan pays up to $225 a year.
- Hearing Not included
- Over-the-counter items IncludedCovered for things like vitamins, pain relief and bandages.
- Fitness Not included
- Rides to care Included24 one-way rides to medical visits a year.
What changed from 2026
- Drug deductible2026$02027$50
- Dental2026Cleanings and exams: $0. Fillings, crowns and dentures: you pay $0. Plan pays up to $5,000 a year2027Cleanings and exams: $0. Fillings, crowns and dentures: you pay $0. Plan pays up to $3,000 a year
Is my doctor in this plan?
Look up your doctors, then confirm with their office.
Call each doctor’s office and ask:
“Do you take Premier Care (HMO I-SNP), plan number H3274-002, for 2027?”