Provider Partners Missouri Community Plan (HMO I-SNP) in Lafayette County, Missouri — 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 Missouri Community Plan (HMO I-SNP) (H9191-004) is a $0-premium Medicare Advantage HMO I-SNP from Rifkin Managed Care Holding, LLC available in Lafayette County, Missouri in 2026, with a 4.5-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 Missouri Community Plan (HMO I-SNP)
Contract IDH9191
Plan ID004
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 rating4.5

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 = Lafayette 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 Lafayette County

The CMS CY2026 Landscape file lists 57 Medicare Advantage plans in Lafayette County, Missouri, of which 0 carry a 5.0-star overall rating and 29 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $106.00 per month, and in-network out-of-pocket maximums range from $2800.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Lafayette County, Missouri.

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 — H9191-004.
  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 H9191-004 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H9191-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 9191 are the contract number issued to the organization, and the three-digit 004 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 Missouri Community Plan (HMO I-SNP) an HMO or PPO?

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

Yes — Provider Partners Missouri 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 Missouri Community Plan (HMO I-SNP)?

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

What counties offer Provider Partners Missouri Community Plan (HMO I-SNP) (H9191-004)?

Provider Partners Missouri Community Plan (HMO I-SNP) (H9191-004) is offered in 65 Missouri counties: Audrain County, Barry County, Boone County, Butler County, Caldwell County, Callaway County, Camden County, Cape Girardeau County, Carroll County, Cedar County, Chariton County, Christian County, Clay County, Clinton County, Cole County, Crawford County, Dade County, Dallas County, DeKalb County, Dent County, Douglas County, Franklin County, Greene County, Henry County, Hickory County, Howard County, Iron County, Jackson County, Jasper County, Jefferson County, Laclede County, Lafayette County, Lawrence County, Lincoln County, Livingston County, Madison County, Maries County, McDonald County, Miller County, Mississippi County, Moniteau County, Montgomery County, New Madrid County, Phelps County, Platte County, Polk County, Pulaski County, Ray County, Reynolds County, Ripley County, Saline County, Scott County, St. Charles County, St. Francois County, St. Louis County, St. Louis City County, Stoddard County, Stone County, Taney County, Texas County, Vernon County, Warren County, Washington County, Webster County, and Wright County.

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