• Translate
  • Search Our Site
  • Text Size
    • A
    • A
    • A
    • Careers
      • Search for Jobs
      • Employee Benefits
    • Blog
    • Facebook
    • Twitter
    • LinkedIn
    • Google Plus
    • Instagram
    • Pinterest
    • Contact Us

      • General Contact Information

        Mailing Information:
        Passport Health Plan
        5100 Commerce Crossings Drive
        Louisville, KY 40229

        Email
        You can contact us using our email form.

        Main Office Number

        (502) 585-7900

        Compliance Team

        1-855-512-8500 email here

      • Member Contact Information

        Member Services
        1-844-859-6152
        Available from April 1 to September 30,
        Mon - Fri, 8 a.m. to 8 p.m. (EST/CST)
        from October 1 to March 31
        7 days a week, 8 a.m. to 8 p.m. (EST/CST)

        If You Are Interested in this Plan:
        Call Toll-Free 1-844-643-2780
        Available from April 1 to September 30,
        Mon - Fri, 8 a.m. to 8 p.m. (EST/CST)
        from October 1 to March 31
        7 days a week, 8 a.m. to 8 p.m. (EST/CST)

        TTY/TDD
        711


      • Provider Contact Information



        Provider Services
        1-844-859-6152
        Available from April 1 to September 30,
        Mon - Fri, 8 a.m. to 8 p.m. (EST/CST)
        from October 1 to March 31
        7 days a week, 8 a.m. to 8 p.m. (EST/CST)

Passport has customer service representatives ready to serve you. You can call us:

Member Services: 1-844-859-6152 | TTY/TDD 711

April 1 - September 30 | Mon - Fri | 8am - 8pm EST/CST and October 1 - March 31 | 7 days a week | 8am - 8pm EST/CST

If You Are Interested In This Plan, Call Toll-Free 1-844-643-2780 | TTY/TDD 711

April 1 - September 30 | Mon - Fri | 8am - 8pm EST/CST and October 1 - March 31 | 7 days a week | 8am - 8pm EST/CST

Menu

Skip to content
  • Members
      • How to Join
      • Find A Doctor
      • Find A Medicine
      • Notice of Privacy Practices
      • Notice of Non-Discrimination and Multi-Language Insert
      • Forms
      • Star Ratings
      • Member Rights and Responsibilities
      • Service Area
      • What We Cover
      • Costs
      • Eligibility
      • Provider/Pharmacy Directory (PDF)
      • Evidence of Coverage
      • Annual Notice of Changes
      • Summary of Benefits
      • Appeals & Grievances Policy
      • Appointment of Representative
      • Out of Network Rules
      • Health Survey
      • Best Available Evidence Policy (BAE)
      • Member Newsletter/ Updates

    • General Contact Information

      Mailing Information
      Passport Health Plan
      5100 Commerce Crossings Drive
      Louisville, KY 40229

      Email
      You can contact us using our email form.

      Main Office Number

      1-502-585-7900

      Compliance Team

      1-855-512-8500
      Email Compliance Team

      To report Fraud, Waste, or Abuse
      click here

    • Member Contact Information

      Member Services
      1-844-859-6152
      Available from April 1 - September 30,
      Mon - Fri, 8 a.m. to 8 p.m. (EST/CST)
      from October 1 to March 31
      7 days a week, 8 a.m. to 8 p.m. (EST/CST)

      TTY/TDD
      711

      If you are not a member of this plan, call toll-free 1-844-643-2780
      Available from April 1 - September 30,
      Mon - Fri, 8 a.m. to 8 p.m. (EST/CST)
      from October 1 to March 31
      7 days a week, 8 a.m. to 8 p.m. (EST/CST)

      TTY/TDD
      711

  • Providers
      • Join Our Network
      • Provider Portal
      • Forms & Claims Information
      • Provider Manual
      • Provider Communications
      • New Claims System Effective 07/01/18
      • Provider Relations
      • Behavioral Health
      • Vision
      • Dental
      • Provider Orientation and Training
      • Quality Improvement/HEDIS

      Main Office Number

      1-502-585-7900

      Compliance Team

      1-855-512-8500
      Email Compliance Team

    • Provider Contact Information

      Provider Services
      1-844-859-6152
      Available from April 1 - September 30,
      Mon - Fri, 8 a.m. to 8 p.m. (EST/CST)
      from October 1 to March 31
      7 days a week, 8 a.m. to 8 p.m. (EST/CST)

  • Pharmacy
      • Drug Formulary (Drug List)
      • Search for a Pharmacy
      • Provider/Pharmacy Directory (PDF)
      • Notices to Pharmacies
      • Notices to Providers
      • Pharmacy Forms
      • Medication Therapy Management
      • Drug Transition Policy
      • Part D Exceptions, Appeals, and Grievances
      • Member Reimbursement Forms
      • Quality Assurance Policy and Procedures
      • Prior Authorizations

    • Provider Contact Information

      Provider Services
      1-844-859-6152
      Available from April 1 - September 30,
      Mon - Fri, 8 a.m. to 8 p.m. (EST/CST)
      from October 1 to March 31
      7 days a week, 8 a.m. to 8 p.m. (EST/CST)

  • Advocates
  • News & Events
  • About Us
  • Translate
    • Careers
      • Search for Jobs
      • Employee Benefits
    • Contact Us

      General Contact Information

      Mailing Information
      Passport Health Plan
      5100 Commerce Crossings Drive
      Louisville, KY 40229

      Email
      You can contact us using our secure email form.

      Main Office Number

      (502) 585-7900

      Compliance Team

      1-855-512-8500 email here

      Main Office Number

      1-502-585-7900

      Compliance Team

      1-855-512-8500
      passportlistens@getintouch.com

      Member Contact Information

      Member Services
      1-800-578-0603
      Available Monday through Friday,
      between 7 a.m. and 7 p.m. (ET)
      TDD/TTY
      1-800-691-5566
      For information about
      Transportation,
      Call Toll-Free
      1-888-941-7433 (Voice and TTY)

      Provider Contact Information

      Provider Services
      1-800-578-0775
      Available Monday through Friday, between 8 a.m. and 6 p.m. (ET)

      Provider Relations Specialists
      Provider Claims Services Unit (PCSU)
      1-800-578-0775, Select Option 2, then Option 1
      Available Monday through Friday, between 8 a.m. and 6 p.m. (ET)

      Utilization Management
      Attn: Appeals Department
      5100 Commerce Crossings Dr.
      Louisville, KY 40229
      1-877-903-0082

      Case Management
      Attn: Case Management
      5100 Commerce Crossings Dr.
      Louisville, KY 40229
      1-877-903-0082

      Electronic Claims Submission
      Emdeon (formely WebMD)
      1-800-845-6592
      Passport Health Plan
      electronic payer
      identification number is
      61129.

      Claims Submission
      Passport Health Plan
      P.O. Box 7114
      London, KY 40742

      Family Planning Claims Submission
      AmeriHealth Family Planning
      Attn: Claims
      P.O. Box 42476
      1901 Market Street, 29th Floor
      Philadelphia, PA 19101-2476

      Vision Claim Submission
      Block Vision
      120 West Fayette Street,
      Suite 700
      Baltimore, MD 21201

      Submission of Medical Records
      (when requested from
      claims processing)
      Passport Health Plan
      200 Stevens Drive
      Philadelphia, PA 19114

    • Blog
    • Facebook
    • Twitter
    • LinkedIn
    • Google Plus
    • Instagram
    • Pinterest
Passport has customer service representatives ready to serve you. You can call us:

Member Services: 1-844-859-6152 | TTY/TDD 711

April 1 - September 30 | Mon - Fri | 8am - 8pm EST/CST and October 1 - March 31 | 7 days a week | 8am - 8pm EST/CST

If You Are Interested In This Plan, Call Toll-Free 1-844-643-2780 | TTY/TDD 711

April 1 - September 30 | Mon - Fri | 8am - 8pm EST/CST and October 1 - March 31 | 7 days a week | 8am - 8pm EST/CST
  • Members
    • How to Join
    • Find a Doctor
    • Find A Medicine
    • What We Cover
    • Health and Wellness Programs
    • Find Us in the Community
  • Providers
    • eNews
    • Provider Portal
    • Behavioral Health
    • Provider Relations
    • Provider Orientation and Training
  • Pharmacy
    • Drug Formulary
    • Pharmacy Communications
    • Pharmacy Directory
    • Prior Authorizations
  • Advocates
  • News & Events
    • Careers
  • About Us
  • Pharmacy
    • Pharmacy Directory
    • Pharmacy Directory
    • Medication Therapy Management
    • Prescription Drug Transition Policy
    • Coverage Determination and Redetermination

Prior Authorizations

  • 2019 Step Therapy Criteria
  • 2019 Prior Authorization Criteria

 

 

 

Last Modified: July 30, 2019

  • Our Event & Social Ticker

Passport’s Facebook Post

Passport’s Twitter Feed

Tweets by @PassportHealthP

ASK FOR PASSPORT AND JOIN THE PASSPORT FAMILY.

NONDISCRIMINATION NOTICE

ASK FOR PASSPORT AND JOIN THE PASSPORT FAMILY.

NONDISCRIMINATION NOTICE

Passport’s Facebook Post

Passport’s Twitter Feed

Tweets by @PassportHealthP

WE´RE IN
YOUR COMMUNITY

FIND OUT WHEN & WHERE

  • AHIP

5100 Commerce Crossings Drive
Louisville, Kentucky 40229

Member: 1-844-859-6152 Provider: 1-844-859-6152

Passport Advantage (HMO SNP) complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-859-6152 (TTY: 711). 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-844-859-6152 (TTY: 711).

Marketing and Design provided by Proof Marketing Group
  • CMS Approved 1/22/19
  • Compliance Department
  • Medicare.gov
  • Terms of Use
  • Privacy Policy