Medicare Plan Lookup Official CMS data · Contract Year 2026
CMS 2026 data

2026 Medicare plan code

H5472-007

Medicare Plan

Alignment Health Dual Select+ (HMO-POS D-SNP) · Alignment Health Plan · HMOPOS · El Paso, Hudspeth

Full CMS plan ID: H5472-007-000

H5472-007-000 is the full CMS identifier for the H5472-007 Medicare plan. Common searches include H5472 007 and H5472007.

Historical 2026 record. Benefits and service areas shown apply to that year.

2026

Spaces or dashes work: H5216-435-002 · S2135 802

● CMS 2026 plan record

Alignment Health Dual Select+ (HMO-POS D-SNP)

H5472-007-000 El Paso, Hudspeth HMOPOS Dual-Eligible

At-a-glance

Quick view

01

In-network

Inpatient hospital

Cost share not reported

02

Emergency transport

Ambulance

Ground · in-network$100 copay
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$135 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$2,900
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkCost share not reported
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$4.80 / month

Plan details

All plan benefits

Medical care3 benefits

Primary care physician

In-networkCost share not reported
Out-of-networkNot separately reported

Specialist

Verify in plan documents
In-networkVerify in plan documents
Out-of-networkNot separately reported

Preventive care

In-networkCost share not reported
Out-of-networkNot separately reported
Diagnostics & imaging4 benefits

Diagnostic procedures & tests

In-networkCost share not reported
Out-of-networkNot separately reported

Laboratory services

In-networkCost share not reported
Out-of-networkNot separately reported

X-rays & standard imaging

In-networkCost share not reported
Out-of-networkNot separately reported

MRI, CT & PET imaging

In-networkCost share not reported
Out-of-networkNot separately reported
Urgent & hospital care6 benefits

Urgent care

In-networkCost share not reported
Out-of-networkNot separately reported

Emergency room

In-network$135 copay
Out-of-networkNot separately reported

Ground ambulance

In-network$100 copay
Out-of-networkNot separately reported

Air ambulance

In-network20% coinsurance
Out-of-networkNot separately reported

Outpatient hospital

In-networkCost share not reported
Out-of-networkNot separately reported

Outpatient surgery / ASC

In-networkCost share not reported
Out-of-networkNot separately reported
Recovery & therapy5 benefits

Home health

In-networkCost share not reported
Out-of-networkNot separately reported

Skilled nursing facility

In-networkCost share not reported
Out-of-networkNot separately reported

Cardiac & pulmonary rehabilitation

In-networkCost share not reported
Out-of-networkNot separately reported

Occupational therapy

In-networkCost share not reported
Out-of-networkNot separately reported

Physical & speech therapy

In-networkCost share not reported
Out-of-networkNot separately reported
Behavioral health2 benefits

Mental health services

In-network$100 copay
Out-of-networkNot separately reported

Substance use treatment

In-network$100 copay
Out-of-networkNot separately reported
Specialty care2 benefits

Podiatry

In-networkCost share not reported
Out-of-networkNot separately reported

Chiropractic

In-networkCost share not reported
Out-of-networkNot separately reported
Supplemental benefits7 benefits

Dental

In-networkCost share not reported
Out-of-networkNot separately reported

Vision

In-networkCost share not reported
Out-of-networkNot separately reported

Hearing

In-networkCost share not reported
Out-of-networkNot separately reported

Transportation

In-networkCost share not reported
Out-of-networkNot separately reported

Fitness & wellness

In-networkCost share not reported
Out-of-networkNot separately reported

Over-the-counter allowance

In-networkCost share not reported
Out-of-networkNot separately reported

Meals

In-networkCost share not reported
Out-of-networkNot separately reported
Plan costs & rulesCoverage overview

Premium & Part B giveback

$0 Part C premium / month · Part B giveback not separately reported

Maximum out-of-pocket (MOOP)

In-network$2,900
Combined in + outNot reported

Medical deductibles

In-networkNot reported
Out-of-networkNot reported

Network & referrals

HMOPOS · Referrals: Required for some services · Out-of-network coverage: Not reported

Prescription drugs6 tiers

Part D deductible

Not reported

Drug tier 1

$0 retail copay · 30-day supply

Drug tier 2

25% retail coinsurance · 30-day supply

Drug tier 3

25% retail coinsurance · 30-day supply

Drug tier 4

25% retail coinsurance · 30-day supply

Drug tier 5

25% retail coinsurance · 30-day supply

Drug tier 6

$0 retail copay · 30-day supply

Using this plan

Understand H5472-007-000

Plain-language context built from this plan’s 2026 CMS record. It is a guide to the reported benefits, not a personalized cost estimate.

Plan at a glance

A quick read on this plan

Alignment Health Dual Select+ (HMO-POS D-SNP) is a 2026 HMOPOS offered by Alignment Health Plan in El Paso, Hudspeth. Referrals are required for some services.

Common benefit costs

What you may pay

These are individual in-network benefit amounts. A real visit may involve more than one separately billed service.

Routine care

Primary care physician
Cost share not reported
Specialist
Verify in plan documents
Laboratory services
Cost share not reported

Separate visits or services; costs are not added together.

Tests & outpatient care

Diagnostic procedures & tests
Cost share not reported
MRI, CT & PET imaging
Cost share not reported
Outpatient hospital
Cost share not reported

The service setting and billing details can change what you pay.

Emergency & hospital care

Emergency room
$135 copay

Actual costs depend on the care received and plan rules.

Helpful context

Terms worth knowing

Maximum out-of-pocket (MOOP)

This is the most you generally pay during the plan year for covered Part A and Part B medical services under the applicable network limit. Premiums and prescription drug costs generally do not count toward it.

Availability

Who can enroll

Service area
El Paso, Hudspeth (TX)
Plan type
HMOPOS
Special Needs Plan
Dual-Eligible
Contract / plan
H5472-007
Coverage year
2026

This is a Dual-Eligible; enrollment requires the plan's specific eligibility criteria as well as residence in its service area. Confirm eligibility and the exact service area with the plan before enrolling.

Supplemental coverage

Extra benefits reported

Availability is summarized here; allowances, frequency limits, networks, and prior-authorization rules may apply.

DentalCost share not reported
VisionCost share not reported
HearingCost share not reported
Over-the-counter allowanceCost share not reported
Fitness & wellnessCost share not reported
TransportationCost share not reported
MealsCost share not reported

Plan-specific answers

Frequently asked questions

Where is H5472-007-000 available?

Alignment Health Dual Select+ (HMO-POS D-SNP) is listed for El Paso, Hudspeth (TX). This is a Dual-Eligible; enrollment requires the plan's specific eligibility criteria as well as residence in its service area.

What is the in-network maximum out-of-pocket limit for H5472-007-000?

The 2026 CMS record lists an in-network medical maximum out-of-pocket limit of $2,900. Prescription drug spending generally does not count toward this medical limit.

What is the monthly plan premium for H5472-007-000?

The listed consolidated Part C and Part D premium is $4.80 per month. This does not replace the standard Medicare Part B premium.

What does an emergency room visit cost on H5472-007-000?

The plan record lists $135 copay, waived when an admission meets the plan's stated timing rule.

Does H5472-007-000 report extra benefits?

Yes. CMS reports dental, vision, hearing, over-the-counter allowance, fitness & wellness, and other supplemental benefits. See the detailed benefit rows and official plan documents for limits and conditions.

Source trail

Official CMS, Contract Year 2026

Plan identity and benefits come from CMS PBP data. Premium and MOOP figures are cross-checked against the August 2026 Landscape release; county identity is sourced from segment-level Landscape rows and stable codes are enriched from the aligned MA contract service-area release where matched. Quick-reference values should be confirmed in 2026 official plan documents.

PBP benefits ↗ Landscape data ↗ County service area ↗

Plan context

Where H5472-007-000 fits

Full CMS plan ID
H5472-007-000
Contract
H5472
Base plan code
H5472-007
Segment
000
Carrier
Alignment Health Plan
Plan type
HMOPOS
Service area
El Paso, Hudspeth (TX)

County/service-area foundation

CMS service-area entries

Named county entries are tied to this exact contract, plan, and segment in CMS Landscape data. County codes are enriched from the aligned CMS contract service-area release where a match exists.

  • El Paso, TX
  • Hudspeth, TX

Same CMS contract

H5472-001-000 Alignment Health the ONE + Walgreens (HMO-POS) El Paso & Hudspeth · HMOPOS H5472-002-000 Alignment Health Heart & Diabetes (HMO-POS C-SNP) El Paso, Hudspeth · HMOPOS H5472-003-000 Alignment Health smartHMO (HMO-POS) El Paso, Hudspeth · HMOPOS H5472-004-000 Alignment Health Heart & Diabetes Plus (HMO-POS C-SNP) El Paso, Hudspeth · HMOPOS H5472-009-000 Alignment Health Total Dual+ (HMO-POS D-SNP) El Paso, Hudspeth · HMOPOS H5472-010-000 Alignment Health smartSavings (HMO-POS) El Paso & Hudspeth · HMOPOS H5472-801-000 Alignment Health Plan Retiree Options (HMO) El Paso & Hudspeth · HMO H5472-802-000 Alignment Health Plan Retiree Options (HMO) El Paso & Hudspeth · HMO

About this code

What H5472-007-000 identifies

H5472-007-000 is a Contract Year 2026 Medicare plan segment code. Searches written as H5472-007, H5472 007, or the compact full CMS ID H5472007000 refer to this plan or its base plan code.

Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.