Skyline Benefit

2026 Medicare Advantage and Part B rebate plans

Compare 2026 Alignment plans by California county

Compare Alignment Part B premium-reduction plans by county, then review the rebate together with your doctors, prescriptions, pharmacy, total costs, and ZIP code.

Reported 2026 monthly reductions

Alignment Part B rebate plans in California for 2026

A Part B premium reduction can lower the amount collected for your Medicare Part B premium. It is not a separate cash benefit, and it should be compared with the plan’s network, prescriptions, medical costs, and rules.

Plan and ID California counties Reported monthly Part B reduction
Alignment Health smartHMO (HMO)H3815-038 Sacramento, Placer, and Yolo Counties $140per month
Alignment Health smartHMO (HMO)H3815-040 Merced, Santa Clara, Stanislaus, and Ventura Counties $115per month
Alignment Health smartSavings (HMO)H3815-047 Los Angeles, Orange, Riverside, San Bernardino, and San Diego Counties $150per month
Alignment Health L.A. Premium Giveback (HMO)H3815-055 Los Angeles County $185per month
Alignment Health S.D. Premium Giveback (HMO)H3815-056 San Diego County $185per month
01

Confirm the exact service area

County-level listings do not guarantee availability in every ZIP code. Verify the exact plan for your permanent address.

02

Compare total yearly costs

Review premiums, copays, coinsurance, prescriptions, and the medical maximum out-of-pocket limit—not only the Part B reduction.

03

Allow time for processing

You must keep Medicare Part B and continue paying the Part B premium to stay enrolled. Confirm how and when the plan applies its listed reduction.

Source: 2026 Alignment product material supplied to Skyline Benefit. Amounts are reported monthly Part B premium reductions; current official plan documents and carrier records control.

Start with the details that affect your care

A county-first way to compare Alignment plans

Benefits, providers, pharmacies, premiums, and plan availability can differ by plan, county, and ZIP code.

01

Choose your county

Open the current county page and benefit highlights that apply where you live.

02

Verify your care

Confirm doctors, medical groups, hospitals, prescriptions, and preferred pharmacy access.

03

Review the exact plan

Use the official benefit highlights to compare benefits, costs, rules, and eligibility.

Before you compare benefits

Understanding Alignment Medicare Advantage plans

Use the county pages as a starting point, then verify the exact plan for your address and care needs.

01

County and ZIP availability

A county listing does not guarantee that every plan is available in every ZIP code. Confirm the official service area for your permanent address.

02

How an HMO generally works

HMO plans generally use a defined provider network and may include primary-care, medical-group, and referral requirements.

03

How a PPO generally works

PPO plans may allow out-of-network care at a higher cost. Review the exact plan’s network, costs, and authorization rules.

04

Verify providers and official documents

Check the current provider directory, formulary, pharmacy directory, Summary of Benefits, and Evidence of Coverage before enrolling.

Open the Alignment provider directory

California service areas

Choose a region, then your county

Each county page presents a focused shortlist and the local details to verify before enrollment. Featured plans are not ranked by enrollment or popularity.

Northern California

4 featured plans Alameda County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 4 featured plans Marin County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 4 featured plans Placer County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 4 featured plans Sacramento County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 4 featured plans San Francisco County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 4 featured plans San Mateo County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 4 featured plans Santa Clara County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 2 featured plans Santa Cruz County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 2 featured plans Sonoma County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans 4 featured plans Yolo County Review a focused shortlist of 2026 Alignment plans for this county, then verify your ZIP code, eligibility, providers, prescriptions, total costs, and current official documents. View county plans

Alignment plan questions

What to confirm before choosing a plan

These answers explain the comparison process. The official plan documents and current carrier records control.

Are Alignment Medicare Advantage plans available in every California county and ZIP code?

No. Plan availability is based on the official service area and may vary by county and ZIP code. Confirm the exact plan for your permanent address before enrolling.

What is the difference between an Alignment HMO and PPO?

An HMO generally uses a defined provider network and may require you to follow primary-care and referral rules. A PPO may offer out-of-network coverage at a higher cost. The official plan documents control.

How should I verify my doctors and hospitals?

Check the current Alignment provider directory for the exact plan, medical group, and location, then confirm participation with the provider before enrolling.

Where can I confirm prescription and pharmacy coverage?

Review the plan’s current formulary and pharmacy directory for your exact prescriptions, dosages, and preferred pharmacy. Coverage and cost sharing can differ by plan.

Are these benefit highlights enough to enroll?

No. These documents are a starting point. Review the official Summary of Benefits, Evidence of Coverage, provider directory, formulary, eligibility rules, and current availability for your address.

What is an Alignment Part B premium reduction?

For an eligible member enrolled in the exact plan, the Medicare Advantage plan applies its listed reduction toward the monthly Medicare Part B premium. It is not a separate cash benefit, and the amount, availability, and processing timing must be confirmed for the plan and member.

Should I choose a Medicare Advantage plan only for its Part B rebate?

No. Compare the rebate together with provider access, prescriptions, pharmacies, plan premium, copays, coinsurance, maximum out-of-pocket limit, benefits, and plan rules. A larger rebate can still be a poor fit if the rest of the coverage does not meet your needs.

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Ready to compare Alignment plans in your county?

Share the basics and a licensed Skyline Benefit advisor can help you verify Alignment availability, networks, prescriptions, costs, and plan rules.

  • Alignment plan availability for your home ZIP code
  • Doctors, medical groups, hospitals, and referrals
  • Part B premium reductions, prescriptions, costs, and official documents
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Skyline Benefit is an independent insurance agency and is not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Currently we represent 11 organizations which offer 58 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.