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Prospective Members, Enrolled Members

and Provider Inquiries: 800-405-9681 (TTY 711)

COVID-19 UPDATE: Providers, please read this letter from our Chief Medical Officer on our updates for providing services to those in Nursing Facilities.

Provider Partners Health Plans (PPHP) welcomes providers in our service areas that are committed to quality, compassionate patient care for patients enrolled in our I-SNP (Institutional Special Needs Plan).

In Illinois in 2021, PPHP covers care in four Illinois counties – Cook, McHenry, Will, and Winnebago counties.

In Maryland in 2021, PPHP covers care in eleven Maryland counties – Allegany, Anne Arundel, Baltimore, Baltimore City, Carroll, Dorchester, Frederick, Garrett, Harford, Howard, and Washington counties.

In Missouri in 2021, PPHP covers care in forty Missouri counties – Audrain, Barry, Boone, Butler, Caldwell, Callaway, Chariton, Christian, Clay, Clinton, Dade, Dallas, Douglas, Greene, Henry, Hickory, Howard, Jackson, Jefferson, Laclede, Lafayette, Lawrence, Lincoln, Madison, Maries, McDonald, Miller, Moniteau, Montgomery, Ray, Reynolds, Saline, St. Charles, Stoddard, Stone, Taney, Warren, Washington, Webster, and Wright counties.

In Ohio in 2021, PPHP covers care in six Ohio counties – Cuyahoga, Fairfield, Hocking, Lake, Stark, and Summit counties.

In Pennsylvania in 2021, PPHP covers care in sixteen Pennsylvania counties – Allegheny, Armstrong, Beaver, Bucks, Butler, Chester, Delaware, Fayette, Greene, Lancaster, Lawrence, Mercer, Montgomery, Philadelphia, Washington, and Westmoreland counties.

At least one of your practice locations must be within our service area for you to become a participating provider.

Woman speaking to elderly woman and holding her hand

Learn more about Medicare Advantage Plans, Special Needs Plans (SNP), Institutional Special Needs Plans (I-SNP) and PPHP benefits and expectations:

Page Last Updated:  10/1/2020

Provider Partner Health Plans are HMO-SNPs with Medicare contracts. Enrollment in Provider Partner Health Plans depends on contract renewal. Y0135_PPHPWEB_2021