Provider Partners Health Plans

Plan year 2027 · Source: CMS · Checked October 30, 2026

What this company offers

Provider Partners Health Plans filed 14 Medicare Advantage plans with Medicare for 2027. Its plans are sold in six states: Illinois, Indiana, Missouri, North Carolina, Pennsylvania, and Texas. Its parent company in Medicare's file is Rifkin Managed Care Holding, LLC. The exact plans on offer change from one county to the next, so your county decides which of them are open to you. Many of its plan names carry the state they serve, and the same kind of plan under a state name in one state is a different plan from the one with another state's name.

The company sells these kinds of plans:

• HMO plans (14)

It sells no PPO or HMO-POS plans under this name. Its HMO plans keep care inside the network, and you choose a main doctor.

Every one of its 14 plans is a special needs plan. All 14 are institutional plans, a kind made for people who live in a nursing home or a like setting, or who need that level of care at home. These plans are not open to everyone — you must meet the plan's rules for who may join. Every one of its plans includes prescription drug coverage.

What its plans cost

Of its 14 plans, 4 charge no monthly premium at all, although you still pay your Part B premium each month, just as you would with any Medicare Advantage plan. Plan premiums across the company run from $0 to $18.40 a month. That range comes from all 14 plans, and every plan carries a combined premium in the file.

A $0 premium does not mean $0 care. Each plan has its own copays. Each plan also has its own yearly limit on what you pay out of pocket for covered care. Those numbers change from plan to plan. The plan pages in this section show the exact numbers for each plan, straight from Medicare's own files.

Star ratings

Medicare rates each contract from 1 to 5 stars, and this company's rated contracts carry from 3.5 to 4.0 stars for 2027. Some of its contracts in North Carolina are listed in Medicare's file as not having enough data to be rated, so those plans carry no star rating on their pages. The rating belongs to the contract and not to the brand as a whole, so check the star rating on the plan page and not just the company name.

How to shop this company

Start with your county, because Medicare Advantage plans are sold by county. Then check three things before you decide: you meet the plan's rules for who may join, your doctors are in the plan's network, and your drugs are on the plan's drug list. Because all of its plans are institutional plans, check the joining rules first — if you do not live in the kind of setting the plan serves, its plans will not be open to you.

Some care needs approval before the plan will pay for it, so read how approval for home health works in a Medicare Advantage plan before you count on care at home. If you ever need hospice care, Medicare covers hospice under Part A in every plan — see what Medicare hospice covers, in the hospice guide.

This page is a guide, not a sales tool, and Care and Living Guide does not sell or enroll anyone in a plan. When you are ready to sign up, use Medicare.gov, call 1-800-MEDICARE, or talk with a licensed insurance agent.

More detail about this company

Provider Partners Health Plans sells Medicare Advantage plans under its parent, Rifkin Managed Care Holding, LLC, and Medicare's 2027 file lists 14 of its plans sold in Illinois, Indiana, Missouri, North Carolina, Pennsylvania and Texas. 14 of those plans include prescription drug coverage, and 14 are special needs plans. Medicare's file does not give the year this company first sold Medicare plans, so this page states no start year rather than guessing one.

For help with a plan from this company, start with Medicare.gov: its Plan Finder lists this company's plans for your ZIP code, and each plan's page there links to the plan's own Summary of Benefits and to the company's official Medicare pages, which carry its member phone number and hours. You can also call 1-800-MEDICARE at any hour. This page does not copy a phone number from an ad or a sales page.

Who this company may fit: it sells special needs plans, so it may fit people who qualify for one of those plans.

You can join most Medicare Advantage plans for 2027 during the yearly enrollment period, October 15 to December 7, 2026. If you already have a Medicare Advantage plan, you can switch plans or go back to Original Medicare from January 1 to March 31. A move or another big life change can open a special window of its own. To join, use Medicare.gov, call 1-800-MEDICARE, or talk with a licensed insurance agent. Care and Living Guide does not sell or enroll anyone in a plan.

Detail sources for this section, checked October 30, 2026: Medicare.gov (Plan Finder and enrollment guidance) and SSA.gov (enrollment periods). Those sources add context only. Every figure on this page still comes from CMS.

Care and Living Guide is not connected with or endorsed by the U.S. government or the federal Medicare program. For official information visit Medicare.gov or call 1-800-MEDICARE.