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Members and Providers Inquiries: 800-405-9681

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 would be discussed during the sales presentation.  After that, the agent will go through the elements of the plan with specific focus on eligibility, service area, covered services and cost sharing.

Individuals who want to enroll after the presentation must complete an Enrollment Form and return it to the agent for processing.

Once the enrollment form is processed, the new member will receive a welcome packet with confirmation notice and the plan’s ID card along with information on how to access our formulary, provider directory and pharmacy directory.

Coverage is generally effective the first of the following month.

  • Illinois: Enrollment completed any time in 2020 will be effective the 1st of the following month.
  • Maryland: Enrollment completed any time in 2020 will be effective the 1st of the following month.
  • Ohio: Enrollment completed any time in 2020 will be effective the 1st of the following month.
  • Pennsylvania: Enrollment completed any time in 2020 will be effective the 1st of the following month.

 

Contact our Member Services number at 1-800-405-9681 for additional information. (TTY users should call 711). We are open 8:00 A.M. to 8:00 P.M., seven days a week from October 1 through March 31; 8:00 A.M. to 8:00 P.M. Monday to Friday from April 1 through September 30.

Page Last Updated:  10/14/2019

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

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