Alignment Health Plan Introduces 2025 Medicare Advantage Plans to Address Diverse Care Needs of Seniors, From Cost Concerns to Chronic Conditions
Alignment Health Plan Introduces 2025 Medicare Advantage Plans to Address Diverse Care Needs of Seniors, From Cost Concerns to Chronic Conditions
Medicare beneficiaries encouraged to evaluate their plan benefits during annual enrollment period, Oct. 15-Dec. 7
醫療保險受益人鼓勵在年度選購期間評估其計劃福利，10月15日至12月7日
ORANGE, Calif., Oct. 01, 2024 (GLOBE NEWSWIRE) -- Alignment Health Plan, an award-winning Medicare Advantage (MA) plan from Alignment Health, today announced more than 55 plan benefit options designed to meet seniors' evolving health care needs. For 2025, Alignment is offering more choices for the growing population of seniors who need specialized care and maintaining consistency in the benefits it offers that holistically address seniors' overall health and wellness. The plans will be available to 8.1 million Medicare-eligible adults, who can select from Alignment's portfolio during the Medicare annual enrollment period, which runs Oct. 15 through Dec. 7 for plan benefits starting Jan. 1, 2025.1
2024年10月1日加州橙縣（GLOBE NEWSWIRE）-- Alignment Health Plan是Alignment Health的屢獲殊榮的醫療保險優勢（MA）計劃，今天宣佈推出超過55種旨在滿足老年人不斷變化的醫療保健需求的計劃福利選項。 針對2025年，Alignment爲需要專門護理的日益增長的老年人群提供更多選擇，並保持對全面解決老年人整體健康和健康問題的福利的一致性。 這些計劃將向810萬符合條件的醫療保險成年人提供，他們可以在醫療保險年度選購期間選擇Alignment的組合，該選購期間從10月15日至12月7日，以獲取從2025年1月1日開始的計劃福利。1
"Seniors have an abundance of choices when it comes to health care coverage, and our plans are designed to meet seniors where they are in their health journey," said Dawn Maroney, CEO of Alignment Health Plan and president, markets of the plan's parent company, Alignment Health. "Our plans are as diverse as today's senior needs, and we continue to build on our strong portfolio of rich benefits and services by pioneering products that respond to their health concerns and daily living needs."
Alignment Health Plan和該計劃母公司Alignment Health的市場總裁Dawn Maroney表示：「老年人在選擇醫療保險時有很多選擇，我們的計劃旨在滿足他們在健康旅程中所處的階段。」我們的計劃與當今老年人的需求一樣多樣化，並通過開創性產品（以符合其健康問題和日常生活需求）繼續增加我們豐富福利和服務組合。
More options for lower-income seniors with chronic conditions or disabilities
給收入較低、患有慢性疾病或殘疾的老年人提供更多選項
MA special needs plan (SNP) enrollment has increased as more seniors with low incomes, chronic conditions or disabilities seek coverage for their unique needs. In 2024, SNPs served 6.6 million beneficiaries – more than double the 2.9 million enrollees in 2019, according to KFF.2
隨着越來越多收入低、患有慢性疾病或殘疾的老年人尋求滿足其獨特需求的醫療保險，MA特殊需要計劃（SNP）的入選人數也在增加。 根據KFF的數據，在2024年，SNP爲660萬受益人提供服務-是2019年290萬受益人的兩倍多。2
To address the growing population of seniors with complex health needs, Alignment is offering 18 chronic condition and dual-eligible SNPs in 2025, up 29% from 14 in 2024.
爲了解決日益增長的慢性健康需求複雜的老年人口，Alignment將於2025年推出18項慢性病症和雙重符合資格的SNP，比2024年的14項增加了29%。
Seniors eligible for both Medicare and Medicaid can enroll in dual-eligible special needs plans (D-SNPs), which provide enhanced care coordination and additional benefits beyond what is typically offered by Medicaid or original Medicare alone. New for 2025, Alignment is offering for the first time an HMO point-of-service D-SNP called the Dual Select+ in Texas that will focus on dually eligible beneficiaries who want integrated, comprehensive care, financial support and rich supplemental benefits such as a $125 monthly over-the-counter (OTC) allowance and $0 copay on all covered Part D Drugs.
符合醫療和醫療補助資格的老年人可以參加雙重符合資格特殊需求計劃（D-SNPs），這些計劃提供增強的醫療協調和額外福利，超出了通常由醫療補助金或原始醫療保險單獨提供的範圍。 2025年的新計劃包括Alignment首次推出的在德克薩斯州的HMO點對點D-SNP，名爲Dual Select+，該計劃將重點關注希望獲得綜合護理、財務支持和豐富的補充福利的雙重合格受益人，例如每月125美元的場外交易（OTC）補貼和所有符合第D藥品的免付款。
Alignment is also introducing plans specifically designed for members with lung conditions like asthma or chronic bronchitis, as well as chronic or disabling mental health conditions such as bipolar disorder or major depressive disorder. Chronic condition special needs plans (C-SNPs) are required to offer an extra layer of customized care coordination and support to help members manage their conditions. Alignment's new BreathEasy and Clarity HMO C-SNPs will be available for qualified members in select California counties. Among other features, these $0-premium plans include a $135 monthly allowance for groceries, utilities, and home safety and OTC items.
Alignment還推出了專門爲患有哮喘或慢性支氣管炎等肺部疾病以及患有慢性或致殘精神健康疾病例如躁鬱症或重性抑鬱症的會員設計的計劃。慢性病症特殊需求計劃（C-SNPs）必須提供額外定製護理協調和支持，以幫助會員管理其疾病。Alignment的新型BreathEasy和Clarity HMO C-SNPs將提供給加利福尼亞州部分縣符合條件的會員。除了其他特點，這些0美元保費計劃包括每月135美元的雜貨、水電費、家居安全和場外交易物品津貼。
In 2025, Alignment's other C-SNPs and D-SNPs in Arizona, California, Nevada, North Carolina and Texas will offer its members a $15-$200 monthly "Essentials" allowance, covering groceries, utilities and home safety items.
到2025年，Alignment在亞利桑那州、加利福尼亞州、內華達州、北卡羅來納州和德克薩斯州的其他C-SNPs和D-SNPs將爲其會員提供每月15-200美元的「必需品」津貼，涵蓋雜貨、水電費和家居安全用品。
Ensuring affordable access to necessary medications
確保價格合理的藥物可及
Prioritizing affordable access to necessary medications helps ease the financial burden for seniors and reduces potential barriers to medication adherence, leading to improved health outcomes and reduced costs.
優先考慮價格合理的藥物可及有助於減輕老年人的經濟負擔，減少可能存在的藥物依從性障礙，帶來更好的健康結果並減少成本。
Starting Jan. 1, 2025, under new federal law, Medicare enrollees will see their annual out-of-pocket drug costs capped at $2,000. This change makes medications more affordable for all beneficiaries.
從2025年1月1日開始，在新的聯邦法律下，醫療保健參保人員的年度藥品費用將被限制在2000美元。這一變化使所有受益人的藥品更加實惠。
In 2025, Alignment will continue offering $0 copay for more than 10,000 Part D generic prescription drugs for conditions like high blood pressure, diabetes and cholesterol. Beneficiaries enrolled in one of Alignment's value-based insurance design (VBID) plans and qualify for Medicare's Low-Income Subsidy (LIS) program will have $0 copay on all covered Part D drugs to promote broad access to essential medications at no cost.
2025年，Alignment將繼續爲超過10,000種第D部分的常見處方藥提供零元自付，用於高血壓、糖尿病和膽固醇等疾病。符合Alignment價值爲基礎的保險設計（VBID）計劃條件並符合Medicare的低收入補助計劃（LIS）資格的受益人將在所有涵蓋的第D部分藥品上享有零元自付，以促進廣泛獲得免費的基本藥物。
Convenience and comprehensive access to care at no additional cost
方便而全面的醫療保健免費獲取
All Alignment members benefit from the company's unique ACCESS On-Demand Concierge program at no additional cost. The comprehensive program provides 24/7 access to:
所有Alignment會員都可以免費受益於公司獨特的ACCESS按需禮賓計劃。這一全面計劃提供24/7的接入：
- A dedicated concierge team to help members navigate their services and benefits, answer health-related questions, schedule medical appointments and arrange transportation
- Its Virtual Care Center (VCC), which connects members to Alignment clinicians day or night for urgent medical needs, care coordination, medical assistance and health education needs
- Its ACCESS On-Demand Concierge "black card," which can be used to earn rewards for completing healthy behaviors and be used at more than 65,000 participating retailers to purchase eligible groceries and OTC items. Members of select plans may use the card for additional benefits, including utilities, home safety items, and dental, vision, hearing, chiropractic, acupuncture and podiatry services.
- 專門的禮賓團隊可幫助會員使用他們的服務和福利，解答與健康相關的問題，安排醫療預約和安排運輸
- 其虛擬護理中心（Virtual Care Center，VCC），可讓會員日間或夜間與Alignment醫生建立聯繫，滿足急診醫療需求，協調護理，提供醫療幫助和健康教育需求
- 其ACCESS按需禮賓「黑卡」，可用於完成健康行爲並在超過65,000家合作零售商處購買符合條件的雜貨和OTC商品。某些計劃的會員還可以使用該卡享受額外福利，包括水電費、家居安全用品，以及牙科、視力、聽力、脊椎、鍼灸和足病醫療服務。
In 2025, Alignment will continue to offer popular benefits for select plans such as non-medical transportation, virtual or in-person fitness classes, meals, pest control, pet care, in-home support and caregiver reimbursements. Benefits vary by plan.
到2025年，Alignment將繼續爲部分計劃提供受歡迎的福利，如非醫療運輸、虛擬或面對面健身課程、餐飲、害蟲控制、寵物護理、在家支持和護理補貼。福利根據計劃而異。
For more information about the company's product offerings, benefits and services, visit .
有關公司的產品供應、福利和服務的更多信息，請訪問 。
About Alignment Health
Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. A consumer brand name of Alignment Healthcare (NASDAQ: ALHC), Alignment Health's mission-focused team makes high-quality, low-cost care a reality for its Medicare Advantage members every day. Based in California, the company partners with nationally recognized and trusted local providers to deliver coordinated care, powered by its customized care model, 24/7 concierge care team and purpose-built technology, AVAR. As it expands its offerings and grows its national footprint, Alignment upholds its core values of leading with a serving heart and putting the senior first. For more information, visit .
關於雅培醫療保健
Alignment Health正在倡導一條新的老年護理道路，賦予會員健康老齡化和過上最充實的生活。作爲Alignment Healthcare（納斯達克：ALHC）的消費者品牌，Alignment Health的使命爲中心的團隊讓高質量、低成本的護理成爲其每天提供給醫療保險優勢計劃會員的現實。總部位於加利福尼亞州，該公司與享有國家認可和信賴的當地服務提供商合作，提供由其定製的護理模式、24/7禮賓護理團隊和專爲其打造的AVAR技術驅動的協調護理。在擴展其產品供應和擴大其全國範圍的同時，Alignment秉承以服務之心爲先導，把老年人放在首位的核心價值觀。有關更多信息，請訪問 。
Media Contact
Priya Shah
mPR, Inc. for Alignment Health
alignment@mpublicrelations.com
媒體聯繫人
Priya Shah
針對雅培醫療保健公司的mPR, Inc.
alignment@mpublicrelations.com
Y0141_25391EN_M
Y0141_25391EN_M
1 Centers for Medicare & Medicaid Services Medicare Advantage/Part D Contract and Enrollment Data, September 2024 MA State/County Penetration
2 KFF Medicare Advantage in 2024: Enrollment Update and Key Trends
1 美國醫療保險局醫療保險信託和登記數據，2024年9月MA州/縣滲透率
2 KFF 2024年醫療保險信託：登記更新和主要趨勢
譯文內容由第三人軟體翻譯。
