Important Member Documents
As a valued member of Provider Partners Health Plans in North Carolina, you can access your important documents at any time by clicking on the links below.
Member Materials
- 2026 Annual Notice of Change
- 2026 Essential Plan Summary of Benefits
- 2026 Evidence of Coverage
- 2026 Star Ratings
- 2026 LIS Summary
- 2026 LIS Summary (Spanish)
- Appointment of Representative Form CMS-1696
- Member Reimbursement Form Part C
- Member Reimbursement Form Part D
- Participating Providers
- Participating Pharmacies
- Appeals, Organizational Determinations, Coverage Determinations, Grievances
- Over The Counter (OTC) Catalog – coming soon
Pharmacy resources
Enrollment
Page Last Updated: 10/01/2025