Skip to main content

Members and Providers Inquiries: 800-405-9681 (TTY 711)

PPHP: A Special Needs Plan for the Most Vulnerable

Provider Partners Health Plans (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 ten counties – Baltimore, Harford, Carroll, Howard, Frederick, Anne Arundel, Washington, Allegany, Garrett, or Dorchester.

Individuals residing in Pennsylvania must live in one of fourteen Pennsylvania counties – Armstrong, Bucks, Butler, Lawrence, Philadelphia, Montgomery, Westmoreland, Chester, Delaware, Lancaster, Mercer, Beaver, Fayette, or Washington.

Individuals residing in Illinois must live in one of four Illinois counties – Cook, McHenry, Will, or Winnebago.

Individuals residing in Ohio must live in one of six Ohio counties – Cuyahoga, Fairfield, Hocking, Lake, Stark, or Summit.

Provider Partners Illinois Advantage is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Illinois Advantage depends on contract renewal. H3800_PPHPWEB_2020

Provider Partners Maryland Advantage is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Maryland Advantage depends on contract renewal. H8067_PPHPWEB_2020

Provider Partners Health Plans of Ohio is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Health Plans of Ohio depends on contract renewal. H7119_PPHPWEB_2020

Provider Partners Pennsylvania Advantage is an HMO-SNP with a Medicare contract. Enrollment in Provider Partners Pennsylvania Advantage depends on contract renewal. H4093_PPHPWEB_2020

English | Spanish