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Alignment Health the ONE + Walgreens (HMO-POS)

Texas Medicare Advantage Plan (2025 Plan)

Monthly Premium

Your Cost
$0
by Alignment Health Plan

Additional Coverage

HearingVisionDental

Overall Government Star Rating

(coming soon)

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Plan Overview

Plan Name
Alignment Health the ONE + Walgreens (HMO-POS)
Insurance Carrier
Alignment Health Plan
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
Network Type
HMO

Alignment Health the ONE + Walgreens (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Texas and offered by the health insurance company Alignment Health Plan. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.

Cost Summary

Monthly Premium
$0
Annual Deductible
$0
Max Out-of-Pocket
$2,950
Primary doctor visit
$0 copay
Specialist visit
$15 copay per visit
ER visit
$100 copay per visit (always covered)
Ambulance
$200 copay

Alignment Health the ONE + Walgreens (HMO-POS) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $2,950 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Alignment Health the ONE + Walgreens (HMO-POS) are defined below.

Additional Benefits and Coverage

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

Alignment Health the ONE + Walgreens (HMO-POS) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Alignment Health the ONE + Walgreens (HMO-POS) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. Alignment Health the ONE + Walgreens (HMO-POS) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Limited coverage
Home and bathroom safety devices
Not covered
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Plan Benefits and Coverage Details

Monthly Premium
$0
Health Portion of Premium
$0
Drug Portion of Premium
$0
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
$2,950 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes
Doctor Lookup Link
http://www.alignmenthealthplan.com
Plan Link
http://www.alignmenthealthplan.com

Medical Benefits

Doctor Services

Primary doctor visit
In-network: $0 copay
Specialist visit
In-network: $15 copay per visit
Out-of-network: $15 copay per visit

Tests, labs, & imaging

Diagnostic tests & procedures
In-network: $0 copay
Lab services
In-network: $0 copay
Diagnostic radiology services (like MRI)
In-network: $0 copay
Outpatient x-rays
In-network: $0 copay
Emergency care
$100 copay per visit (always covered)
Urgent care
$0 copay

Hospital Services

Inpatient hospital coverage
In-network: $0 per day for days 1 through 2
$120 per day for days 3 through 7
$0 per day for days 8 through 90
Out-of-network: $100 per day for days 1 through 2
$250 per day for days 3 through 7
$0 per day for days 8 through 90
Outpatient hospital coverage
In-network: $0 copay

Skilled nursing facility

Skilled nursing facility
In-network: $20 per day for days 1 through 20
$100 per day for days 21 through 100
Out-of-network: Not Applicable

Preventive services

Preventive services
In-network: $0 copay

Ambulance

Ground ambulance
In-network: $200 copay

Therapy services

Occupational therapy visit
In-network: $0 copay
Physical therapy & speech & language therapy visit
In-network: $0 copay

Mental health services

Outpatient group therapy with a psychiatrist
In-network: $20 copay
Outpatient individual therapy with a psychiatrist
In-network: $20 copay
Outpatient group therapy visit
In-network: $5 copay
Outpatient individual therapy visit
In-network: $5 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
In-network: 0-20% coinsurance per item
Prosthetics (like braces, artificial limbs)
In-network: 20% coinsurance per item
Diabetes supplies
In-network: $0 copay

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseCatastrophic coverage phase
Preferred Generic$0.00 copay$0 copay
Generic$0.00 copay$0 copay
Preferred Brand$45.00 copay$0 copay
Non-Preferred Drug$100.00 copay$0 copay
Specialty Tier33% coinsurance$0 copay

Part B Drugs

Chemotherapy drugs
In-network: 0-20% coinsurance
Other Part B drugs
In-network: 0-20% coinsurance

Extra Benefits

Hearing

Hearing exam
In-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Hearing aids - All types
In-network: $195-1,750 copay

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, removable
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, fixed
In-network: $0 copay
Out-of-network: $0 copay
Maxillofacial prosthetics
Not covered
Implant services
Not covered
Oral and maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay
Orthodontics
Not covered
Adjunctive general services
Not covered

Vision

Routine eye exam
In-network: $0 copay
Contact lenses
In-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Eyeglass frames (only)
In-network: $0 copay
Eyeglass lenses (only)
In-network: $0 copay
Upgrades
Not covered

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