Provider Partners North Carolina Essential Plan (HMO I-SNP) is a Medicare Advantage Special Needs Plan by Provider Partners Health Plans.
This page features plan details for 2026 Provider Partners North Carolina Essential Plan (HMO I-SNP) H4439 – 003 – 0 available in .
IMPORTANT: This page features the 2026 version of this plan. See the 2025 version using the link below:
IMPORTANT: This page has been updated with plan and premium data for 2026. Data may be incomplete or inaccurate until Annual Enrollment begins on October 15th.
Provider Partners North Carolina Essential Plan (HMO I-SNP) is offered in the following locations.
Provider Partners North Carolina Essential Plan (HMO I-SNP) offers the following coverage and cost-sharing.
| Special Needs Plan Type: | Institutional |
| Conditions Covered: | Not ApplicableNot Applicable |
| Insurer: | Provider Partners Health Plans |
| Health Plan Deductible: | |
| MOOP: | $9,250.00 |
| Drugs Covered: | Yes |
Ready to sign up for Provider Partners North Carolina Essential Plan (HMO I-SNP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
| Part B | Part C | Part D | Part B Give Back | Total |
|---|---|---|---|---|
| $206.50 | $0.00 | $36.20 | $ | $ |
Provider Partners North Carolina Essential Plan (HMO I-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $615.00 |
| Drug Out-Of-Pocket maximum: | $2100.00 |
| Drug Benefit Type: | Defined Standard |
The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.
The table below shows how the LIS impacts the Part D premium of this plan.
| Part D | LIS Full |
|---|---|
| $36.20 | $0.00 |
After you pay your $615.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2100.00. Once you reach that amount, you will enter the next coverage phase.
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2100.00, you pay nothing for Medicare Part D covered drugs.
Ready to sign up for Provider Partners North Carolina Essential Plan (HMO I-SNP) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST