Medicare Advantage · HMO
Provider Partners Health Plans
Plan year 2026

Provider Partners Indiana Community Plan (HMO I-SNP) H4444-002

Monthly premium
$0
+ your Part B premium
Max out-of-pocket
$3,750
in-network annual cap
Primary care
$10
per visit copay
Specialist
20%
per visit
Eligibility required for this I-SNP
The plan must verify that, for 90 days or longer, you have needed or are expected to need the level of care provided in a qualifying institution. Some plans also serve people who need an equivalent institutional level of care while living in the community. Review the official plan documents for the residence, care-level, and enrollment requirements.
Medical coverage is different from long-term room and board

An I-SNP coordinates Medicare-covered care for members who meet its institutional eligibility rules. That eligibility does not mean Medicare pays for long-term custodial care or an ongoing nursing-home stay. Medicare may cover short-term skilled nursing care when its coverage requirements are met; Medicaid, long-term-care insurance, or personal funds may cover other long-term-care costs.

Research nearby nursing homes
The nursing-home finder shows CMS facility information. It does not confirm that a facility participates in this plan. Confirm participation with both the facility and the plan before enrolling.
Extra benefits for members who qualify
  • Food and produce benefit
  • General supports for living
These benefits are not available to every member. Even if you have a listed chronic condition, the plan must confirm that you meet its coverage criteria. See the Evidence of Coverage for complete rules.

Your costs at a glanceIn-network, for the 2026 plan year

Rx deductible
$615
Outpatient surgery
20%
Emergency room
20% (max $100/visit)
Urgent care
20% (max $45/visit)

What's included, and what it's actually worth6 benefits included. Tap any card for the detail

Dental

$3,000/yr preventive dental allowance
Details$3,000/yr preventive dental allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Hearing

$2,000hearing aid allowance per 2 years
Hearing aid allowance$2,000 hearing aid allowance per 2 years
This is a supplemental benefit with plan-specific limits. See plan documents for details.

OTC allowance

$100/quarter OTC allowance
Prepaid card$100/quarter OTC allowance

Vision

$300/yr eyewear allowance
Eyewear allowance$300/yr eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$10 copay
In-network$10 copay per visit
Doctor Visits: Specialist20%
In-network20% per visit
Outpatient Surgery20%
In-network20% per procedure
TransportationNon-emergency transportation benefit
DetailsNon-emergency transportation benefit
MealsMeal benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Your plan's drug tiers30-day retail · after any applicable deductible

Tier 1
25%
Preferred Generic

Our take

Where this plan shines

This plan has a $0 monthly premium.
This plan’s out-of-pocket maximum ($3,750) is among the lowest available.

Things to know before you enroll

Network restriction — you’ll need to use in-network providers except in emergencies.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Provider Partners Indiana Community Plan (HMO I-SNP)

What does Provider Partners Indiana Community Plan (HMO I-SNP) cover?

Provider Partners Indiana Community Plan (HMO I-SNP) is an Institutional Special Needs Plan, a Medicare Advantage plan for people whose qualifying institutional level of care the plan verifies. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 1 formulary tiers. Published supplemental benefits include dental ($3,000/yr preventive dental allowance), vision ($300/yr eyewear allowance), hearing ($2,000 hearing aid allowance per 2 years), and over-the-counter (OTC) ($100/quarter OTC allowance). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Provider Partners Indiana Community Plan (HMO I-SNP) cost in 2026?

The published 2026 monthly plan premium for Provider Partners Indiana Community Plan (HMO I-SNP) is $0. The standard Part B premium is $202.90/month in 2026 for most people; assistance may pay it for some members. The listed Part D deductible is $615. The in-network medical out-of-pocket maximum is $3,750; it does not include Part D drug spending. Published visit costs include primary care $10 and specialist visits 20%. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Provider Partners Indiana Community Plan (HMO I-SNP)?

CMS lists Provider Partners Indiana Community Plan (HMO I-SNP) as a HMO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

Who is eligible for Provider Partners Indiana Community Plan (HMO I-SNP)?

Provider Partners Indiana Community Plan (HMO I-SNP) is listed in the current plan record as a I-SNP. The plan must verify that, for 90 days or longer, you have needed or are expected to need the level of care provided in a qualifying institution. Some plans also serve people who need an equivalent institutional level of care while living in the community. Review the official plan documents for the residence, care-level, and enrollment requirements.

Learn about Special Needs Plans

What does Provider Partners Indiana Community Plan (HMO I-SNP) cover for people who need institutional care?

Provider Partners Indiana Community Plan (HMO I-SNP) is identified in the current plan record as an Institutional Special Needs Plan. The record identifies Part D prescription drug coverage. It also lists dental ($3,000/yr preventive dental allowance), vision ($300/yr eyewear allowance), hearing ($2,000 hearing aid allowance per 2 years), over-the-counter (OTC) ($100/quarter OTC allowance), and transportation (Non-emergency transportation benefit). The page data does not describe facility-specific therapy, nursing, or care-coordination arrangements. Confirm covered services, participating facilities, benefit limits, and coordination responsibilities in the official plan documents before enrolling.

When can I enroll in Provider Partners Indiana Community Plan (HMO I-SNP)?

Provider Partners Indiana Community Plan (HMO I-SNP) is a 2026 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. Because this is a I-SNP, the plan must also verify its eligibility requirements. A qualifying circumstance may create a Special Enrollment Period, but eligibility alone does not guarantee a year-round right to enroll. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2026 Institutional Special Needs Plan directory. This plan is offered in Indiana. Plan availability can vary by county.

Helpful next steps

Provider Partners Indiana Community Plan H4444-002 (HMO I-SNP) — 2026