2026 Medicare plan code

H3815-028-000

Alignment Health My Choice (HMO) · Alignment Health Plan · San Luis Obispo and Ventura Counties

Compact plan code: H3815028000

2026

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

● CMS 2026 plan record

Alignment Health My Choice (HMO)

H3815-028-000 San Luis Obispo and Ventura Counties HMO
Open in quick lookup
01

In-network

Inpatient hospital

No cost share reported

02

Emergency transport

Ambulance

Ground · in-network$100 copay
Air · in-network$200 copay
03

Emergency services

Emergency room

$100 copay

Waived if admitted within 48 hours

04

Medical maximum

Maximum out-of-pocket

In-network$698
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

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

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. Quick-reference values should be confirmed in current official plan documents.

About this code

What H3815-028-000 identifies

H3815-028-000 is a Contract Year 2026 Medicare plan segment code. The compact form H3815028000 refers to the same normalized contract, plan, and segment shown on this page.

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.