Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Provider Partners Health Plan of Pennsylvania, Inc (H4093)
H4093Contract
A company of Rifkin Managed Care Holding, LLC, sold as Provider Partners Health Plans
3 plans in 2027 (3 in 2026) · 875 members in September 2026
Provider Partners Health Plan of Pennsylvania, Inc is the Rifkin Managed Care Holding, LLC company that holds Medicare contract H4093, sold as Provider Partners Health Plans. In 2027 it offers 3 plans (3 in 2026); 2 of its 2026 plans are not offered in 2027. 875 people were in its plans in September 2026.
What plans does H4093 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Provider Partners Pennsylvania Advantage PlanH4093-001 | HMO I-SNP | $12.80 | $9,850 | 18 counties | renews |
| Provider Partners Pennsylvania Community PlanH4093-009 | HMO I-SNP | $0 | $2,600 | 18 counties | new plan |
| Provider Partners Pennsylvania Essential PlanH4093-010 | HMO I-SNP | $12.80 | $9,850 | 18 counties | new plan |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which of its plans end?
| 2026 plan | Members, Sept. 2026 | Counties in 2026 |
|---|---|---|
| Provider Partners Pennsylvania Community PlanH4093-004 | 66 | 18 |
| Provider Partners Pennsylvania Essential PlanH4093-008 | fewer than 11 | 18 |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
How did CMS rate it for 2026?
The overall rating is 5 of 5 (health plan not rated, drug plan 4.5 of 5). Of its 14 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Complaints about the Drug Plan | 3 |
| Medication Adherence for Cholesterol (Statins) | 3 |
| MTM Program Completion Rate for CMR | 3 |
| Controlling High Blood Pressure | 4 |
| Highest-rated measures | Stars |
|---|---|
| Medication Adherence for Hypertension (RAS antagonists) | 5 |
| Getting Needed Prescription Drugs | 5 |
| Getting Appointments and Care Quickly | 5 |
| Kidney Health Evaluation for Patients with Diabetes | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Provider Partners Health Plans plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter