Our Enrollment Process

Provider Partners Health Plan is an insurance product sold through licensed and appointed agents.  The agent will complete a “Scope of Appointment” form and detail what would be discussed during the sales presentation.  After that, the agent will go through the elements of the plan with specific focus on eligibility, service area, covered services and cost sharing.

Individuals who want to enroll after the presentation must complete an Enrollment Form and return it to the agent for processing.

Once the enrollment form is processed, the new member will receive a welcome packet with confirmation notice and the plan’s ID card along with information on how to access our formulary, provider directory and pharmacy directory.

Coverage is generally effective the first of the following month.

  • Maryland: Enrollment completed any time in 2018 will be effective the 1st of the following month.
  • Pennsylvania: Enrollment completed any time in 2018 will be effective the 1st of the following month.

Download Provider Partners Maryland HMO SNP Enrollment form
Download Provider Partners Pennsylvania HMO SNP Enrollment form

Contact our Member Services number at 1-800-405-9681 for additional information. (TTY users should call 711). Calls to this number are free. Hours are from 8 a.m. to 8 p.m., seven (7) days a week from October 1st to March 31st. Hours are 8 a.m. to 8 p.m., Monday through Friday and 8 a.m. to 7 p.m., Saturday and Sunday from April 1st to September 30th.  Messaging service used weekends, after hours, and on federal holidays.

Provider Partners Health Plan of Illinois is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Illinois Health Plan depends on contract renewal.
H8067_002_PPHPWEB CMS Pending

Provider Partners Health Plan of Maryland is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Maryland Health Plan depends on contract renewal.
H8067_001_PPHPWEB CMS Pending

Provider Partners Health Plan of Ohio is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Ohio Health Plan depends on contract renewal.
H7119_001_PPHPWEB CMS Pending

Provider Partners Health Plan of Pennsylvania is a Health Plan with a Medicare Contract. Enrollment in Provider Partners of Pennsylvania Health Plan depends on contract renewal.
H4093_001_PPHPWEB CMS Pending

Last updated 11/01/2018

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