How to Enroll

Our Enrollment Process

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

If you want to enroll after the presentation, you will complete an Enrollment Form and return it to the agent for processing.

Once the enrollment form is processed, you will receive a welcome packet with a confirmation notice stating your effective date of enrollment and your plan ID card along with information on how to access your Evidence of Coverage, formulary, provider directory, and pharmacy directory.

Downloadable Enrollment Forms:

• Provider Partners Advantage Enrollment Form
• Provider Partners Advantage Enrollment Form (Spanish)
• Provider Partners Kentucky Advantage Enrollment Form
• Provider Partners Community Enrollment Form
• Provider Partners Essential Enrollment Form

These enrollment forms are available for download. Once completed and signed, please mail or fax to the contact information below.

Provider Partners Correspondence
PO Box 21063
Eagan, MN 55121

Fax Number: 1-844-632-2216

If you have additional questions, contact our Member Services.

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