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Provider Partners Missouri Community Plan (HMO I-SNP)

Health Insurance Company: Provider Partners Health Plans

Medicare Advantage Plan Details

Institutional Special Needs Plans (I-SNP)

Provider Partners Health Plans
$0 /mo
monthly premium
Provider Partners Missouri Community Plan (HMO I-SNP)
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
3.5
out of 5 stars

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$3750
Rx Drug Coverage
Yes
Rx Deductible
$590
Primary Doctor Office Visit
$0 copay
Specialist Office Visit
20% coinsurance per visit

Additional Benefits

Dental Coverage
Yes
Vision Coverage
Yes
Mental Health Coverage
Yes
Transportation for non-emergency
No
Fitness Benefits
No
Worldwide emergency
No
Telehealth
Yes
Part B Give Back
No

Doctor & Hospital Coverage

Primary Doctor Office Visit
$0 copay
Specialist Office Visit
20% coinsurance per visit
Periodic Exam Coverage
$0 copay

Emergency Room

20% coinsurance per visit (always covered)

Ambulance Coverage

20% coinsurance

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: 20% coinsurance
Medicare-covered lab services: 20% coinsurance
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): 20% coinsurance
Medicare-covered x-ray services: 20% coinsurance

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: 20% coinsurance per visit

Hospitalization Coverage

Inpatient hospital-acute:
Coming soon
Inpatient hospital psychiatric:
Coming soon

Rehabilitation Coverage

Occupational therapy services:
$0 copay
Physical therapy and speech and language therapy services:
$0 copay

Urgent Care Coverage

20% coinsurance per visit (always covered)

Skilled Nursing Facility (SNF)

Coming soon

Mental Health Coverage

Medicare-covered individual sessions: 20% coinsurance
Medicare-covered group sessions: 20% coinsurance

Dental, Vision, Hearing Benefits

Dental Services

Oral exams:
In-network: $0 copay
Out-of-network: $0 copay
Prophylaxis (cleaning):
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays:
In-network: $0 copay
Out-of-network: $0 copay

Vision Benefits

Eye exams:
Routine eye exams: $0 copay
Eyewear:
Contact Lenses: $0 copay
Eyeglasses: Not covered

Hearing Benefits

Hearing exams:
Routine hearing exams: 20% coinsurance

More Additional Benefits

Annual physical exams
Yes
Chiropractic Coverage
No
Acupuncture
No
Massage Therapy
No
Health Education
No
Counseling Services
No
Support for Caregivers of Enrollees
No
Personal Emergency Response System (PERS)
No
In-home support services
No
Home and bathroom safety devices
No
Meals for short duration
No

Plan Links

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Where This Plan is Available

Additional Plan Info

Plan Year:
2025
Insurance Company Website:
Provider Partners Health Plans

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint