Provider Partners Pennsylvania Community Plan (HMO I-SNP)
Provider Partners Health Plans, HMO I-SNP. No monthly premium, and your spending is capped at 2,600 a year in network.
What happens to this plan in 2026
Renewal Plan with SAE
Renewing for 2026, and expanding into more counties.
From the CMS 2026 plan crosswalk, published at the start of October. Every plan’s fate for the coming year is in it.
What CMS publishes about it
| Insurer | Provider Partners Health Plans (part of Rifkin Managed Care Holding, LLC) |
|---|---|
| Plan type | HMO I-SNP |
| Contract and plan id | H4093-004 |
| Monthly premium | $0 |
| Of which drug coverage | $0.00 |
| Most you can pay in a year | $2,600 |
| Drug coverage | Yes — Basic |
| Annual drug deductible | $615 |
| Overall star rating | 5.0/5 |
| Part D stars | 4.5/5 |
| Special Needs Plan | Institutional |
| Counties it is sold in | 18 |
| Contract year | 2026 |
How many people chose it
34 people were enrolled across 2 counties in September 2026. CMS suppresses any county count of ten or fewer, so the real total is a little higher than this.
How CMS rates it, domain by domain
Each domain is rated 1 to 5. 6 of 9 domains carry no rating — CMS either did not require this contract to report them or had too little data.
Where it is sold
Pennsylvania
Allegheny · Armstrong · Beaver · Bucks · Butler · Cambria · Chester · Crawford · Delaware · Fayette · Greene · Lancaster · Lawrence · Mercer · Montgomery · Philadelphia · Somerset · Westmoreland
Get told when this changes
Its premium, out-of-pocket maximum, star rating or sanction status changing — and whether it is ending next year.
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Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. Plan renewals and terminations are from the 2026 plan crosswalk. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.