The benefit information is a brief summary, not a complete description of benefits. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Meridian is for people eligible for both Medicaid and Medicare. Moving? MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 0000002131 00000 n We will send you a notice before we make a change that affects you. Copyright 2023 Meridian All Rights Reserved. 0000072727 00000 n An appeal is a way for you to ask for a review of our actions. 0000068680 00000 n If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.il@mhplan.com. A grievance is a complaint about a provider or about the quality of care or services you received. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If theres a question you cant find the answer to on our website, call us at 1-855-323-4578(TTY 711), Monday - Friday from 8 a.m. - 8 p.m. EST. For more information contact the plan or read the Meridian Member Handbook. You will need Adobe Reader to open PDFs on this site. We also have an optional automatic mail-order delivery program under which we will automatically fill all new prescriptions your health care provider sends to us, as well as refills for prescriptions that have already been filled but are running out. You can get this document for free in other formats, such as large print, braille, or audio. 167 33 If we fall short, you can file a grievance or appeal. 1-855-580-1689 (TTY 711) On weekends and on state or federal holidays, you may be asked to leave a message. You will need Adobe Reader to open PDFs on this site. With HealthChoice Illinois, you have a health plan partner to turn to for help. You can make an appeal if you disagree with our verdict. startxref hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ endstream endobj 2370 0 obj <>/Metadata 260 0 R/Names 2392 0 R/OpenAction 2371 0 R/Outlines 2412 0 R/PageLayout/SinglePage/PageMode/UseOutlines/Pages 2360 0 R/StructTreeRoot 410 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2371 0 obj <> endobj 2372 0 obj <. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Monday-Friday, 8 a.m. to 8 p.m. CST Your call will be returned within the next business day. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Download the Member Handbook (PDF). 0000021917 00000 n The call is free. 0000068208 00000 n You can enroll in Meridian by contacting Client Enrollment Services for the Illinois Department of Healthcare and Family Services at 1-877-912-8880 (TTY 1-866-565-8576), Monday through Friday from 8 a.m. to 7 p.m. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. 0000000956 00000 n 0000017969 00000 n Please turn on JavaScript and try again. See if you qualify, and explore the HealthChoice Illinois advantage. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000041209 00000 n Download the free version of Adobe Reader. 0000040678 00000 n 0000041668 00000 n Just call Member Services with your new address. This is not a complete list. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Su llamada ser devuelta dentro del siguiente da hbil. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Monday-Friday, 8 a.m. to 8 p.m. CST It also explains how to find care and how to earn rewards. 0000080946 00000 n If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. The right care for you. Language Assistance & Notice of Nondiscrimination, What is covered, including health care services, behavioral health coverage, prescription drug coverage, How to get the care you need, including the rules you must follow, Your rights and responsibilities as a member of our plan. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. For more information contact the plan or read the Meridian Member Handbook. You are now able to view your health information from a third-party app on a mobile device or PC! If you need help finding a network provider and/or pharmacy, please call 1-855-323-4578 (TTY 711) or visit mmp.mimeridian.com to access our online searchable directory. It will help you get the care you need. You will need Adobe Reader to open PDFs on this site. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 1-855-580-1689 (TTY 711) Monday-Friday, 8 a.m. to 5 p.m. CST You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Usually a mail-order pharmacy order will get to you in no more than 5 days. You will be able to work with one health plan for all of your health insurance needs. Other pharmacies/physicians/providers are available in our network. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. The Personal Wellness Assessment is a short form about you and your health journey. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. Your handbook is full of important information about your health care and Meridian. The Health Library is a free resource exclusively for MeridianComplete members and providers. La llamada es gratis. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. At the right time and place. You can enroll in Meridian by contacting Client Enrollment Services for the Illinois Department of Healthcare and Family Services at 1-877-912-8880 (TTY 1-866-565-8576), Mondaythrough Friday from 8 a.m. to 7 p.m. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. MeridianHealth is now Meridian! La llamada es gratis. 3. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Provider Network 6 If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. 0000067354 00000 n La llamada es gratis. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Want a paper copy? Your call will be returned within the next business day. 0 If you need help finding a network provider and/or pharmacy, please call 1-855-323-4578 (TTY 711) or visit mmp.mimeridian.com to access our online searchable directory. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000025639 00000 n This is not a complete list. [CDATA[ It outlines services and benefits that areand are notcovered. 0000014634 00000 n The benefit information is a brief summary, not a complete description of benefits. endstream endobj startxref ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000046799 00000 n Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000002177 00000 n Visit your Member Portal or call Member Services. 0000041585 00000 n Material ID:H6080_WEBSITE_2023_Accepted_09282022. 2390 0 obj <>/Filter/FlateDecode/ID[]/Index[2369 132]/Info 2368 0 R/Length 109/Prev 879097/Root 2370 0 R/Size 2501/Type/XRef/W[1 2 1]>>stream 0000001774 00000 n Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. Check out the, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Illinois Client Enrollment Services website, Language Assistance & Notice of Nondiscrimination. 199 0 obj <>stream xref v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" HealthChoice Illinois is the smart way most Medicaid members get quality care. It also explains how to find care and how to earn rewards. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. All Rights Reserved. Please review the various programs below. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). %PDF-1.4 % 0000151745 00000 n Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. // ]]>. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000006553 00000 n You can also visit the Illinois Client Enrollment Services website. You can get this document for free in other formats, such as large print, braille, or audio. Call 1-855-580-1689 (TTY: 711). Be sure to read your Meridian Member Handbook and keep it handy. On weekends and on state or federal holidays, Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. member.ILmeridian.com. 0 Call Member Services if youd like paper copies of any of these documents. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000002041 00000 n Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. If you wish to stay on this website, please click Cancel. JB Pritzker, Governor Theresa Eagleson, Director. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The call is free. If you wish to stay on this website, please click Cancel. For other questions about Meridian, please contact Member Services at 1-855-580-1689 (TTY 711), Mondaythrough Friday from 8 a.m. to 8 p.m.On weekends and on state or federal holidays, you may be asked to leave a message. Learn more about how being a Meridian provider benefits you. Member Request for Reimbursement (PDF) Mandatory Training Attestation (PDF) Mandatory Training Attestation (PDF) Preventive Care (HEDIS) (PDF) Annual Care for Older Adults (COA) Form (PDF) Breast Cancer Screening Exclusion Form (PDF) Colorectal Cancer Screening Exclusion Form (PDF) Diabetes Exclusion Form (PDF) Su llamada ser devuelta dentro del siguiente da hbil. Meridian will work with you to make sure you get all of the care you need, when you need it. // endobj ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. You can get this document for free in other formats, such as large print, braille, or audio. 0000010510 00000 n %%EOF trailer It will also explain our responsibilities to you, as well as outline the following details: The call is free. 1-855-580-1689 (TTY 711) Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Want a paper copy? View our Frequently Asked Questions page. When you go to file, youll want to write when and where the incident took place, and what happened. 0000047422 00000 n Please note that once you have left our website, you may be able to access portions of the contracted company's website that are not related to your plan. It will also explain our responsibilities to you, as well as outline the following details: The Annual Notice of Changes (ANOC) is a brief summary of benefits and benefit changes that occurred from one year to the next. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, You are now able to view your health information from a third-party app on a mobile device or PC! Each link will open a new window and is either a PDF or a website. Meridian Medicare-Medicaid Plan (MMP) is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. It also explains how to find care and how to earn rewards. 0000067553 00000 n If your pregnancy is at high risk, we may call you. You will need Adobe Reader to open PDFs on this site. We can connect you with support, services, and even rewards. Meridian covers all counties in Illinois. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Other pharmacies/physicians/providers are available in our network. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Your call will be returned within the next business day. Los representantes estn disponibles para ayudarle de lunes a viernes de 8 a.m. a 8 p.m. Los fines de semana y los das feriados estatales o federales, es posible que se le solicite que deje un mensaje. Please call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Want a paper copy? Download the Member Handbook (PDF). We need to be able to send you important information in the mail. 0000001708 00000 n Su llamada ser devuelta dentro del siguiente da hbil. Other pharmacies/physicians/providers are available in our network. On weekends and on state or federal holidays, you may be asked to leave a message. If you would like a Provider/Pharmacy Directory mailed to you, you may call the number above, request one at the website link provided above, or email memberservices.il@mhplan.com. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000040481 00000 n Each link will open a new window and is either a PDF or a website. 0000002074 00000 n Language Assistance & Notice of Nondiscrimination. This handbook will help you understand your coverage. Copays for prescription drugs may vary based on the level of Extra Help you receive. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the MeridianComplete Member Handbook. If you experience any problems receiving your mail order prescription, call Member Services at. Check out the Interoperability page to learn more.

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