Provider Partners Maryland Community Plan (HMO I-SNP) in Worcester County, Maryland — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Provider Partners Maryland Community Plan (HMO I-SNP) (H8067-003) is a $0-premium Medicare Advantage HMO I-SNP from Rifkin Managed Care Holding, LLC available in Worcester County, Maryland in 2026, with a -star overall rating, a $3,750 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationRifkin Managed Care Holding, LLC
Plan nameProvider Partners Maryland Community Plan (HMO I-SNP)
Contract IDH8067
Plan ID003
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO I-SNP
SNPYes — Institutional
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$0.00
Part D total premium$0.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$3750.00
Overall star rating

How this plan is structured

  • $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO I-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $3,750 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Worcester County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Worcester County

The CMS CY2026 Landscape file lists 25 Medicare Advantage plans in Worcester County, Maryland, of which 0 carry a 5.0-star overall rating and 10 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $155.00 per month, and in-network out-of-pocket maximums range from $3750.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Worcester County, Maryland.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H8067-003.
  2. Call the plan (Rifkin Managed Care Holding, LLC) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H8067-003 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H8067-003, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 8067 are the contract number issued to the organization, and the three-digit 003 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Provider Partners Maryland Community Plan (HMO I-SNP) an HMO or PPO?

Provider Partners Maryland Community Plan (HMO I-SNP) is an HMO I-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Provider Partners Maryland Community Plan (HMO I-SNP) include prescription drug coverage?

Yes — Provider Partners Maryland Community Plan (HMO I-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Provider Partners Maryland Community Plan (HMO I-SNP)?

The 2026 in-network maximum out-of-pocket limit for Provider Partners Maryland Community Plan (HMO I-SNP) is $3750.00, per the CMS CY2026 Landscape file.

What counties offer Provider Partners Maryland Community Plan (HMO I-SNP) (H8067-003)?

Provider Partners Maryland Community Plan (HMO I-SNP) (H8067-003) is offered in 18 Maryland counties: Allegany County, Anne Arundel County, Baltimore County, Baltimore City County, Caroline County, Carroll County, Dorchester County, Frederick County, Garrett County, Harford County, Howard County, Kent County, Queen Anne's County, Somerset County, Talbot County, Washington County, Wicomico County, and Worcester County.

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