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Community Partnership | Align Senior Care

Community Partners.

More than a health plan—it is peace of mind.

Want to learn more?

    Who We Are

    Experience matters – AllyAlign Health (AAH) began in 2013 by launching provider focused strategies to access the Medicare premium dollar through joint venture partnerships. This patient centered, coordinated, preventive primary care model now operates over 20 plans in 22 states in partnership with senior housing operators, serving at least 14k members in over 554 communities.

    Align Senior Care is AAH’s wholly owned Medicare Advantage Special Needs Plan (SNP). We offer an integrated model of care with proven success to our community partners. Through Align Senior Care, communities can experience measurable rewards with no risk or
    investment.

    We Make a Meaningful Impact on Seniors’ Lives

    Built with purpose and driven by passion; we transform healthcare for seniors by improving their quality of life and bringing peace of mind to their families and caregivers. We give members the comfort of knowing they have a personal care team dedicated to their complete health. We accelerate innovative solutions for problems like unnecessary hospitalizations in a way that everyone wins—hospital systems, providers, and communities; and especially, residents and their families.

    We Offer Medicare Strategies for Senior Living Providers

    Align Senior Care provides a coordinated care option to seniors residing in assisted living or long-term care settings, and/or those living with dementia. Through our SNP (Special Needs Plan) model, CMS empowers Align Senior Care to offer benefits and services beyond Original Medicare to meet the complex needs of these patients. In partnership with communities, we’ve proven to be successful in reducing healthcare costs, improving outcomes, and quality of life.

    Contact a Representative

    Danielle Kuhns

    Danielle Kuhns

    Michigan

    I see the value we bring to senior living communities and their residents. The benefits we offer truly change the perspective that the greater community has of senior living communities and how their loved ones are cared for. We create a better quality of life for each and every member in our plan.

    Jeff O'Berry

    Jeff O'Berry

    Virginia, Texas, Massachusetts

    I have a fundamental belief in the importance of value-based care AND the need to align key providers for the good of those they serve. I love witnessing the value we bring residents and families, and the success of our communities.

    Ken Artigas

    Florida

    Working with nursing homes for the past 20 years has shown me that our senior population is in need of high quality healthcare and compassionate care givers. It gives me great satisfaction to help provide seniors with the preventative care they want and need.
    Steve McHenry

    Steve McHenry

    California

    I have always pursued roles that impact others, especially in the way Align Senior Care impacts our members’ quality of life in their later years. Seeing my grandparents live into their 90’s, I truly enjoy seeing our senior residents thrive with advanced healthcare options that were not available in the past.

    The Value We Bring

    Align Senior Care solves the challenges seniors face in gaining access to healthcare benefits. We provide additional clinical support and full service primary care clinics to continuing care retirement communities, assisted living communities, long-term care communities and skilled nursing facilities. Through these partnerships, communities can expect valuable clinical, financial, and operational returns.

    For Communities

    For Physicians

    For Hospital Systems

    For Members

    Plan Benefits

    Members have access to all the benefits of Original Medicare plus additional benefits such as Medicare Parts C & D which include ancillary services such as dental, vision, home health care, chiropractic care, and prescription benefits.

    Click "View Plans" to see your state specific plan.

    “He experienced an added layer of clinical oversight by having a Plan Physician and Nurse Practitioner rounding in the facility weekly. His overall experience in long term care has improved because the Plan providers take a holistic approach to his delivery of care.”

    – Current Plan Member’s Daughter

    Frequently Asked Questions (FAQs)

    What is Medicare Advantage?

    Medicare Advantage, or Medicare Part C, is a Medicare-contracted plan provided by private insurance companies that offers original Medicare benefits as well as additional benefits that Medicare does not cover.

    Align Senior Care offers two types of Medicare Advantage Special Needs Plans – Special Needs Plan members are still in the Medicare Program (which means they do NOT lose their Medicare coverage)

    What’s Included for Residents with Align Senior Care’s Plan?

    A Special Needs Plan member gets complete Medicare Part A and Part B coverage through the plan as well as Part D prescription drug coverage, PLUS our added benefits. Benefits differ by state but can include the following: Concierge style on-site primary care, Dental, Vision, Podiatry, Over the Counter drug allowance,
    Chiropractic care, Personal Care services, direct admittance to skilled care.

    What does it cost my community?

    Absolutely Nothing! Align Senior Care assumes all up-front costs to initiate the plan as well as all the risk. Your community simply reaps the benefits, clinically, financially, and operationally.

    What does it cost my Residents?

    Residents usually see dramatic savings. Benefits differ by state; however, we keep premiums low and there is no co-pay for most services. (See benefits by state)

    Who is Eligible?

    Members must already have Medicare parts A & B to join Align Senior Care. *For I-SNP benefits, residents must require assistance with 3 or more ADL’s. *For C-SNP benefits, residents must have a clinical diagnosis of dementia (any stage)

    Do my residents need to wait for an Open Enrollment Period?

    Members can join at any time of the year for an effective date of the first of the upcoming month. A Special Needs Plan member can change plans or return to original Medicare at any time of the year

    How do I initiate the plan in my community?

    Contact your state specific representative for a personal implementation plan based on the needs of your community. That’s it! We’ll handle all the heavy lifting and provide you with a clear path to success.

    Additional Resources

    Compliance Hotline: (844) 317-9059

    Claims/Provider Services: (844) 305-3879, opt. 4

    Utilization Management: (844) 305-3879, opt. 3