Alignment Health Sutter Advantage +More (HMO) in Santa Cruz County, California — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Alignment Health Sutter Advantage +More (HMO) (H3815-021) is a $59-premium Medicare Advantage HMO from Alignment Healthcare USA, LLC available in Santa Cruz County, California in 2026, with a 4.0-star overall rating, a $4,900 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationAlignment Healthcare USA, LLC
Plan nameAlignment Health Sutter Advantage +More (HMO)
Contract IDH3815
Plan ID021
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typeHMO
SNPNo
Monthly consolidated premium$59.00
Part C premium$0.00
Part D basic premium$13.70
Part D total premium$59.00
Annual Part D deductible$0.00
Maximum out-of-pocket (in-network)$4900.00
Overall star rating4.0

How this plan is structured

  • $59 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $4,900 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Santa Cruz County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Santa Cruz County

The CMS CY2026 Landscape file lists 8 Medicare Advantage plans in Santa Cruz County, California, of which 0 carry a 5.0-star overall rating and 4 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $88.00 per month, and in-network out-of-pocket maximums range from $296.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Santa Cruz County, California.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3815-021.
  2. Call the plan (Alignment Healthcare USA, LLC) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3815-021 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3815-021, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3815 are the contract number issued to the organization, and the three-digit 021 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Alignment Health Sutter Advantage +More (HMO) an HMO or PPO?

Alignment Health Sutter Advantage +More (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Alignment Health Sutter Advantage +More (HMO) include prescription drug coverage?

Yes — Alignment Health Sutter Advantage +More (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $0.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Alignment Health Sutter Advantage +More (HMO)?

The 2026 in-network maximum out-of-pocket limit for Alignment Health Sutter Advantage +More (HMO) is $4900.00, per the CMS CY2026 Landscape file.

What counties offer Alignment Health Sutter Advantage +More (HMO) (H3815-021)?

Alignment Health Sutter Advantage +More (HMO) (H3815-021) is offered in one California county: Santa Cruz County.

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