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PPHP: A Special Needs Plan for the Most Vulnerable

Provider Partners Health Plan (PPHP) is a Medicare Advantage plan designed to improve care for Medicare’s beneficiaries who reside in long-term care facilities. PPHP is sponsored by a group of highly experienced leaders that work with physicians, hospitals and other providers to improve care and outcomes for our members.

PPHP replaces traditional Medicare coverage with an all-in-one plan that covers:

  • Inpatient care (Part A)
  • Outpatient and primary care (Part B)
  • Prescription drugs (Part D)
  • Other specialized, coordinated wellness services

Coordinated Long-Term Care in Maryland and Pennsylvania

PPHP offers our Special Needs Plans in both Maryland and Pennsylvania. Individuals residing in Maryland must live in one of our contracted high-quality facilities in Baltimore City or in one of nine counties – Baltimore, Harford, Carroll, Howard, Frederick, Anne Arundel, Washington, Allegany or Garrett.

Individuals residing in Pennsylvania must live in one of eleven Pennsylvania counties – Armstrong, Bucks, Butler, Lawrence, Philadelphia, Montgomery, Westmoreland, Chester, Delaware, Lancaster, Mercer.

Provider Partners Health Plans is a HMO SNP with a Medicare contract.  Enrollment in Provider Partners Health plan depends on contract renewal.

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