Senior Care (HMO I-SNP) in Knox County, Tennessee — 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
Senior Care (HMO I-SNP) (H4172-003) is a $0-premium Medicare Advantage HMO I-SNP from Missouri Healthcare Advisors, LLC available in Knox County, Tennessee in 2026, with a 5.0-star overall rating, a $5,000 in-network out-of-pocket maximum, and a $250 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Missouri Healthcare Advisors, LLC |
|---|---|
| Plan name | Senior Care (HMO I-SNP) |
| Contract ID | H4172 |
| Plan ID | 003 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO I-SNP |
| SNP | Yes — 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 | $250.00 |
| Maximum out-of-pocket (in-network) | $5000.00 |
| Overall star rating | 5.0 |
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.
- $5,000 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 = Knox 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 Knox County
The CMS CY2026 Landscape file lists 59 Medicare Advantage plans in Knox County, Tennessee, of which 2 carry a 5.0-star overall rating and 27 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $147.00 per month, and in-network out-of-pocket maximums range from $1900.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Knox County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| NHC Advantage (HMO I-SNP) | Missouri Healthcare Advisors, LLC | $31.00 | $8100.00 |
For the full county plan directory, see all Medicare plans in Knox County, Tennessee.
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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H4172-003.
- Call the plan (Missouri Healthcare Advisors, LLC) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H4172-003 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4172-003, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4172 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 Senior Care (HMO I-SNP) an HMO or PPO?
Senior Care (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 Senior Care (HMO I-SNP) include prescription drug coverage?
Yes — Senior Care (HMO I-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $250.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Senior Care (HMO I-SNP)?
The 2026 in-network maximum out-of-pocket limit for Senior Care (HMO I-SNP) is $5000.00, per the CMS CY2026 Landscape file.
What counties offer Senior Care (HMO I-SNP) (H4172-003)?
Senior Care (HMO I-SNP) (H4172-003) is offered in 39 Tennessee counties: Anderson County, Bledsoe County, Cheatham County, Coffee County, Davidson County, DeKalb County, Dickson County, Fayette County, Gibson County, Giles County, Hamilton County, Hancock County, Hickman County, Houston County, Humphreys County, Knox County, Lawrence County, Lewis County, Marion County, Marshall County, Maury County, McMinn County, Moore County, Morgan County, Perry County, Polk County, Putnam County, Robertson County, Rutherford County, Sequatchie County, Smith County, Sullivan County, Sumner County, Van Buren County, Warren County, Washington County, White County, Williamson County, and Wilson County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.