Do I Qualify to Become a Member of Provider Partners Health PlanS?
To learn if you (or your loved one) are likely to qualify for the services offered by Provider Partners Health Plans, please answer the following questions. Our staff is happy to help you determine your eligibility. Just contact our Member Services number.
800-405-9681 | TTY 711
Hours of Operation:
October 1- March 31
8 AM – 8 PM Daily
April 1 – September 30
8 AM – 8 PM M-F
Who’s eligible?
You are eligible for membership in our plan as long as you:
- Have Medicare Part A and Part B
- Live in a Provider Partners Health Plans participating facility for at least 90 days
– OR –
- Live in our service area and are certified by the state as needing nursing home–level care
- In Illinois, Provider Partners Health Plans covers care in 8 Illinois counties – Cook, DuPage, Kane, Lake, McHenry, Ogle, Will, and Winnebago.
- In Indiana, Provider Partners Health Plans covers care in 49 Indiana counties – Allen, Boone, Brown, Cass, Clark, Daviess, Decatur, DeKalb, Delaware, Elkhart, Fayette, Floyd, Gibson, Hamilton, Hancock, Hendricks, Henry, Howard, Jackson, Jefferson, Johnson, Kosciusko, LaPorte, Lawrence, Madison, Marion, Marshall, Miami, Monroe, Montgomery, Morgan, Noble, Orange, Pike, Porter, Putnam, Randolph, Scott, Shelby, St. Joseph, Tippecanoe, Vanderburgh, Warrick, Washington, Wells, White, and Whitley.
- In Kentucky, Provider Partners Health Plans covers care in 11 Kentucky counties – Breckinridge, Bullitt, Henry, Jefferson, Nelson, Oldham, Robertson, Shelby, Spencer, Trimble, and Washington.
- In Maryland, Provider Partners Health Plans covers care in 18 Maryland counties – Allegany, Anne Arundel, Baltimore, Baltimore City, Caroline, Carroll, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Queen Anne’s, Somerset, Talbot, Washington, Wicomico, and Worcester.
In Missouri, Provider Partners Health Plans covers care in 65 Missouri counties – Audrain, Barry, Boone, Butler, Caldwell, Callaway, Camden, Cape Girardeau, Carroll, Cedar, Chariton, Christian, Clay, Clinton, Cole, Crawford, Dade, Dallas, DeKalb, Dent, Douglas, Franklin, Greene, Henry, Hickory, Howard, Iron, Jackson, Jasper, Jefferson, Laclede, Lafayette, Lawrence, Lincoln, Livingston, McDonald, Madison, Maries, Miller, Mississippi, Moniteau, Montgomery, New Madrid, Phelps, Platte, Polk, Pulaski, Ray, Reynolds, Ripley, St. Charles, St. Francois, St. Louis, St. Louis City, Saline, Scott, Stoddard, Stone, Taney, Texas, Vernon, Warren, Washington, Webster, and Wright.
- In North Carolina, Provider Partners Health Plans covers care in 14 North Carolina counties – Cabarrus, Catawba, Davidson, Davie, Forsyth, Gaston, Guilford, Lincoln, Mecklenburg, Mitchell, New Hanover, Pender, Union, and Wilkes.
- In Pennsylvania, Provider Partners Health Plans covers care in 18 Pennsylvania counties – Allegheny, Armstrong, Beaver, Bucks, Butler, Cambria, Chester, Crawford, Delaware, Fayette, Greene, Lancaster, Lawrence, Mercer, Montgomery, Philadelphia, Somerset, and Westmoreland.
- In Texas, Provider Partners Health Plans covers care in 83 Texas counties – Anderson, Angelina, Bandera, Bexar, Brazos, Brown, Burleson, Burnet, Caldwell, Cass, Chambers, Cherokee, Comanche, Collin, Concho, Cooke, Crane, Dallas, Delta, Denton, Ector, El Paso, Falls, Fannin, Fort Bend, Freestone, Garza, Goliad, Gregg, Grimes, Guadalupe, Hamilton, Harris, Harrison, Henderson, Hood, Hopkins, Howard, Hutchinson, Jefferson, Jim Wells, Jasper, Karnes, Kaufman, Lavaca, Limestone, Lubbock, Madison, Maverick, McLennan, Medina, Midland, Milam, Moore, Nacogdoches, Navarro, Orange, Palo Pinto, Parker, Potter, Randall, Red River, Refugio, Robertson, Rockwall, Runnels, San Saba, Shelby, Smith, Somervell, Tarrant, Titus, Tom Green, Tyler, Upshur, Uvalde, Van Zandt, Victoria, Waller, Washington, Williamson, Wise, and Young.
Page Last Updated: 10/8/2025