Alignment Health Expands Medicare Advantage Coverage to Four New Charlotte-Area Counties for 2027

Q: Which counties will Alignment Health add to its Medicare Advantage coverage in 2027?

Alignment Health Plan will add Cabarrus, Gaston, Mecklenburg and Rowan counties beginning Jan. 1, 2027. The expansion gives more than 295,000 additional Medicare beneficiaries access to its plans.

The expansion will bring Alignment Health Plan's North Carolina service area to 20 counties.

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Rhea-AI Summary

Alignment Health (ALHC) will expand Medicare Advantage coverage into four Charlotte-area counties beginning Jan. 1, 2027, through Alignment Health Plan.

The expansion covers Cabarrus, Gaston, Mecklenburg and Rowan counties, giving more than 295,000 additional Medicare beneficiaries access to its plans. Members in these counties will have in-network access to Novant Health, Tryon Medical Partners and Oak Street Health. Alignment's 2027 North Carolina portfolio includes eight Medicare Advantage plans. Its North Carolina HMO contract has a 4.5-out-of-5-star rating for 2027.

Positive

Minor point. Forward-looking: it has not happened yet and may not happen.Planned coverage expansion into four Charlotte-area counties begins Jan. 1, 2027.

Negative

None.

News Explained

The 2027 Charlotte-area plan options include a $3,000 annual dental allowance and a monthly Medicare Part B premium rebate; all members can access 24/7 concierge support, while other benefits, including medication copays and grocery or in-home allowances, depend on the plan.

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Market Reaction – ALHC

$7.92 – $8.88 Day Range

$1.73B Market Cap

On Oct 13, the day this news came out, the latest delayed price for ALHC is 3.03% above the previous close. Our momentum scanner has recorded 3 alerts for this stock so far that day. The latest delayed price is $8.34.

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Key Figures

New counties: 4 counties Additional beneficiaries: More than 295,000 people North Carolina counties served: 20 counties +5 more

New counties: 4 counties; Charlotte-area coverage beginning Jan. 1, 2027
Additional beneficiaries: More than 295,000 people; Newly included in the service area
North Carolina counties served: 20 counties; Following the expansion
Medicare beneficiaries in North Carolina service area: More than 992,000; Across 20 counties
North Carolina Medicare Advantage plans: 8 plans; 2027 portfolio
Charlotte-region provider network: More than 17,000 PCPs and specialists; Across the listed North Carolina regions
Annual dental allowance: $3,000; Benefit in new Charlotte-region plans
North Carolina HMO contract rating: 4.5 out of 5 stars; 2027 rating

Historical Context

1 past event · Latest: Oct 01

1 event

Oct 01
Coverage expansion

24h Move

-5.2%

Announced a 2027 expansion into 10 new counties and named Charlotte among the new markets.

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Key Terms

medicare advantage, hmo, medicare part b, copays

4 terms

medicare advantage medical

"new Medicare Advantage plan options to more than 295,000 additional"

Medicare Advantage is a type of health insurance plan offered by private companies that covers services traditionally provided by government-run Medicare. Think of it as a bundled package that combines hospital, doctor, and other medical care into one plan, often with added benefits. For investors, it matters because the popularity and profitability of these plans can influence healthcare companies and the broader health insurance industry.

hmo medical

"North Carolina HMO contract is rated 4.5 out of 5 stars"

HMO stands for Health Maintenance Organization, a type of managed health insurance plan that gives members access to a network of doctors and hospitals for a fixed premium and generally requires using in-network providers or referrals for specialists. Investors watch HMO performance because membership levels, cost controls and care network agreements directly affect revenue, profit margins and regulatory exposure—think of it as a subscription service that must balance member satisfaction with cost containment.

medicare part b medical

"a monthly Medicare Part B premium rebate"

Medicare Part B is the U.S. government health insurance program that pays for outpatient care, doctor visits, certain medical tests, and durable medical equipment for enrolled beneficiaries. It matters to investors because Part B sets payment rules and prices that drive revenue for hospitals, clinics, drugmakers and medical device companies, so changes in coverage, reimbursement rates or enrollment levels can directly affect those companies’ earnings—think of it as a large, rules-driven customer that decides how much it will pay.

copays medical

"$0 copays on more than 10,000 prescribed medications"

A copay (or copayment) is a fixed, set-dollar amount that an insured person pays at the time they receive a specific health-care service or prescription—for example $20 for a doctor visit or $10 for a drug—while the health plan covers the remainder. Copays are a form of cost-sharing distinct from premiums, deductibles and coinsurance: they are typically charged per visit or pharmacy fill and can vary by type of service; whether copays count toward a plan's deductible or out-of-pocket maximum depends on the specific insurance contract and applicable regulations.

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10/13/2026 - 08:00 AM EDT

Expansion brings Alignment's coordinated care model, access to Novant Health and Tryon Medical Partners, and new Medicare Advantage plan options to more than 295,000 additional Medicare beneficiaries

CHARLOTTE, N.C., Oct. 13, 2026 (GLOBE NEWSWIRE) -- Alignment Health Plan, an award-winning Medicare Advantage plan from Alignment Health, today announced its expansion into Cabarrus, Gaston, Mecklenburg and Rowan counties beginning Jan. 1, 2027. The expansion gives more than 295,000 additional people with Medicare access to Alignment's care model, which combines local provider partnerships, personalized support and benefits designed to help seniors stay healthy and independent. Members in the new service area will have in-network access to many high-quality physicians and facilities including Novant Health and Tryon Medical Partners.

With the expansion, Alignment Health Plan will serve 20 North Carolina counties that are home to more than 992,000 Medicare beneficiaries, according to the Centers for Medicare & Medicaid Services (CMS) data¹. The Charlotte-area expansion brings Alignment into a market encompassing nearly 300,000 Medicare beneficiaries across Mecklenburg, Cabarrus, Gaston and Rowan counties, three of which have Medicare Advantage penetration rates above the state average.

Alignment's 2027 North Carolina portfolio includes eight Medicare Advantage plans supported by more than 17,000 PCPs and specialists across the Charlotte region, the Triangle, the Triad and western North Carolina. Plans include a variety of plan options designed to meet the diverse needs of Medicare beneficiaries, with offerings that emphasize affordability, personalized care, support for chronic health conditions and coordinated coverage for individuals eligible for both Medicare and Medicaid.

“Every senior deserves healthcare that is personal, compassionate and easy to navigate,” said Dawn Maroney, president of Alignment Health and CEO of Alignment Health Plan. “By expanding into the Charlotte region, we're extending our mission to help more North Carolina seniors live healthier, more independent lives. When seniors have the right care, the right support and someone truly looking out for them, they can focus less on the healthcare system and more on living their lives.”

Trusted Local Care Across North Carolina

Through Alignment's growing provider network, members have access to high-quality primary care, specialty care and hospital services across North Carolina.

Charlotte region: Beginning Jan. 1, members in Cabarrus, Gaston, Mecklenburg and Rowan counties will have in-network access to Novant Health, Tryon Medical Partners, Oak Street Health and many other high-quality physicians and facilities.
Triangle, Triad and western North Carolina: Members continue to have access to UNC Health, Duke Health and WakeMed in the Triangle; Wake Forest Baptist and Novant Health in the Triad; and Mission Health, AdventHealth Hendersonville and Hopscotch Primary Care in western North Carolina.

Plans and Support Built Around Members

Alignment Health's 2027 Medicare Advantage plans are designed to help North Carolina seniors find coverage that fits their health needs, budget and lifestyle. In the Charlotte region, a range of new plans include benefits such as a $3,000 annual dental allowance and a monthly Medicare Part B premium rebate. All members have access to Alignment's 24/7 concierge team, which provides personalized support to help them understand benefits, find the right doctor, coordinate care and get answers when they need them. Depending on the plan, members may also enjoy benefits such as $0 copays on more than 10,000 prescribed medications, over-the-counter and grocery allowances, fitness programs and in-home support.

For 2027, Alignment’s North Carolina HMO contract is rated 4.5 out of 5 stars, reflecting Alignment’s consistent ability to deliver high-quality service and responsive care across communities in the state. Every year, Medicare evaluates plans based on a 5-star rating system designed to help consumers compare quality and performance when choosing coverage.

Medicare’s Annual Enrollment Period runs Oct. 15 through Dec. 7, with coverage taking effect Jan. 1, 2027. To learn more about Alignment Health’s 2027 Medicare Advantage plans in North Carolina, visit alignmenthealthplan.com or call 1-888-979-2247.²

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, AVA^®. 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 www.alignmenthealth.com.

Media Contact:
Jerry Slowey
publicrelations@ahcusa.com

Y0141_27445EN_M

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¹ Centers for Medicare & Medicaid Services Medicare Advantage/Part D Contract and Enrollment Data, September 2026 MA State/County Penetration
² Alignment Health Plan is an HMO, HMO POS, HMO C-SNP, HMO D-SNP and PPO plan with a Medicare contract and a contract with the California, Nevada, North Carolina and Texas Medicaid programs. Enrollment in Alignment Health Plan depends on contract renewal. The benefit information provided is a summary, not a complete description of benefits. For more information, contact the plan. Call 1-888-979-2247 (TTY: 711), 8 a.m. to 8 p.m. Monday through Friday, for more information. Other providers are available in our network.

FAQ

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Which counties will Alignment Health add to its Medicare Advantage coverage in 2027?

Alignment Health Plan will add Cabarrus, Gaston, Mecklenburg and Rowan counties beginning Jan. 1, 2027. The expansion gives more than 295,000 additional Medicare beneficiaries access to its plans.

Alignment Health Expands Medicare Advantage Coverage to Four New Charlotte-Area Counties for 2027