Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Provider Partners Missouri Essential Plan, 2027
H9191Contract007Plan
HMO I-SNP · special needs plan, institutional · 58 counties in Missouri
Run by Provider Partners Health Plan of Missouri, Inc. (contract H9191), sold as Provider Partners Health Plans, owned by Rifkin Managed Care Holding, LLC
Provider Partners Missouri Essential Plan (H9191-007) costs $14.50 a month in 2027, with an in-network out-of-pocket limit of $9,850. It is a new plan for 2027.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | not offered | $14.50 | new for 2027 |
| In-network out-of-pocket limit | not filed | $9,850 | new for 2027 |
| Drug deductible | not filed | $700 | new for 2027 |
| Primary care visit | not offered | 20% of the cost | changed |
| Specialist visit | not offered | 20% of the cost | changed |
| Emergency room | not offered | 20% of the cost | changed |
| Hospital stay, in network | not offered | not filed | changed |
| Skilled nursing facility, in network | not offered | not filed | changed |
| Ground ambulance, in network | not offered | 20% of the cost | changed |
| Eyewear, yearly limit | not offered | $500 a year | ▲added |
| Hearing aids, yearly limit for both ears | not offered | $1,000 a year | ▲added |
| Over-the-counter items, yearly | not offered | $680 a year | ▲added |
| 4 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Medical deductible, in network | none | none | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Counties served | not offered | 58 | new for 2027 |
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 benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
How does it compare with plans sold where it is?
In the counties it serves, 9 institutional special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 6 the same. On the premium, 5 plans have a lower premium, 3 a higher one.
Out-of-pocket limits of the 9 institutional special needs plans
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 58 counties: $14.50 a month and $9,850.
Missouri
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H9191-007
- Legal name of the contract
- Provider Partners Health Plan of Missouri, Inc.
- Sold as
- Provider Partners Health Plans
- Parent company
- Rifkin Managed Care Holding, LLC
- Plan type
- HMO I-SNP
- 2026 star rating of the contract
- 4.5 of 5 overall; health plan 4.5 of 5, drug plan 4.5 of 5
- Plan website, as filed with CMS
- pphealthplan.com
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in St. Louis, MOWhere most of its members live; premiums and limits side by side
- Every Provider Partners Health Plans plan for 2027Its contracts, counties and plans that end
- The other 2 plans of contract H9191Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.