Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Member Handbooks and Forms PDF <DATE> Program called HealthChoice Illinois . We have been working hard Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000047422 00000 n
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If your pregnancy is at high risk, we may call you. Meridian is for people eligible for both Medicaid and Medicare. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Documents and Forms - Meridian Medicare Medicaid Plan <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>>
You can join our Start Smart for Your Baby program. The call is free. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Report an address update to HFS online. 0000001708 00000 n
If you wish to stay on this website, please click Cancel. MeridianHealth is now Meridian! endstream
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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. If we fall short, you can file a grievance or appeal. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. 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. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Each link will open a new window and is either a PDF or a website. Each link will open a new window and is either a PDF or a website. If you experience any problems receiving your mail order prescription, call Member Services at. 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. For more information contact the plan or read the MeridianComplete Member Handbook. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. The call is free. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! At the right time and place. %%EOF
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Provider Network 6 https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 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. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 0000014634 00000 n
Material ID:H6080_WEBSITE_2023_Accepted_09282022. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. The call is free. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your call will be returned within the next business day. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 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.
You will need Adobe Reader to open PDFs on this site. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 3. An appeal is a way for you to ask for a review of our actions. ILLINOIS MEMBER HANDBOOK ILLINOIS MEMBER HANDBOOK EFFECTIVE DATE: July 1, 2021 MEMBER SERVICES: 866-821-2308 TTY/TDD: 711 ilmeridian.com ILLINOIS MLTSS 1 Welcome to MeridianHealth Managed Long Term Services and Supports (MLTSS) Welcome to MeridianHealth (Meridian)! 0000151745 00000 n
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The benefit information is a brief summary, not a complete description of benefits. Click the link below to view or save a copy. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. We want you to be happy with your healthcare services. providerhelp.IL@mhplan.com. 1-855-580-1689 (TTY 711) JB Pritzker, Governor Theresa Eagleson, Director. On weekends and on state or federal holidays, The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. PDF Welcome to MeridianHealth Intro to Plan Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. The COC lays out all the details so that you can stay on top of your coverage. Download the Member Handbook (PDF). This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Understanding the ins and outs of your health plan can be difficult. Please turn on JavaScript and try again. We can connect you with support, services, and even rewards. PDF here's your member handbook. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Your call will be returned within the next business day. 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 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. La llamada es gratis. This is not a complete list. 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. You can also visit the Illinois Client Enrollment Services website. 0000067354 00000 n
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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. On weekends and on state or federal holidays, you may be asked to leave a message. 1-855-580-1689 (TTY 711) View your Provider Manual, important plan information and more. You will need Adobe Reader to open PDFs on this site. Please visit our new website to see up to date information about your plan. It will also explain our responsibilities to you, as well as outline the following details: It also explains how to find care and how to earn rewards. 2390 0 obj
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With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. On weekends and on state or federal holidays, you may be asked to leave a message. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. 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. La llamada es gratis. member.ILmeridian.com. Providers - MeridianComplete This is not a complete list. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. If you wish to stay on this website, please click Cancel. Please contact the plan for more details. Call Member Services if youd like paper copies of any of these documents. You can get this document for free in other formats, such as large print, braille, or audio. Member Handbook | Meridian Health Plan of Illinois 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. 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. 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! The call is free. fm.formularynavigator.com,medicare.entrykeyid.com,member.membersecurelogin.com,mmp.ilmeridian.com,findaprovider.mmp.ilmeridian.com,provider.mmp.mimeridian.com, Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, 2022 Annual Notice of Changes - English (PDF), 2022 Notificacion Anual de Cambios - Spanish (PDF), 2023 Annual Notice of Changes - English (PDF), 2023 Notificacion Anual de Cambios - Spanish (PDF), 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. Visit your Member Portal or call Member Services. You can make an appeal if you disagree with our verdict. On weekends and on state or federal holidays, you may be asked to leave a message. The Health Library is a free resource exclusively for MeridianComplete members and providers. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Meridian
You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. It also explains how to find care and how to earn rewards. It looks like your browser does not have JavaScript enabled. 0000068680 00000 n
Limitations, copays, and restrictions may apply. Material ID:H6080_WEBSITE_2023_Accepted_09282022. You are now able to view your health information from a third-party app on a mobile device or PC! ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to 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) Member Handbook - Meridian Medicare Medicaid Plan Other pharmacies/physicians/providers are available in our network. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources.
Member Handbook | Meridian Complete of Illinois Each link will open a new window and is either a PDF or a website. Call 1-855-580-1689 (TTY: 711). For more information contact the plan or read the Meridian Member Handbook. If you wish to stay on this website, please click Cancel. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 2369 0 obj
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A grievance is a complaint about a provider or about the quality of care or services you received. Monday-Friday, 8 a.m. to 8 p.m. CST Want a paper copy? The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with 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. Provider Manual | Meridian Health Plan of Illinois All Rights Reserved. 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. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. This is not a complete list. This is not a complete list. %PDF-1.7
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The call is free. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. The right care for you. Download the Member Handbook (PDF). Language Assistance & Notice of Nondiscrimination. Want a paper copy? 0000002220 00000 n
The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Just call Member Services with your new address. 2023
You will need Adobe Reader to open PDFs on this site. 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. Call 1-855-580-1689 (TTY: 711). 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. View our Frequently Asked Questions page. 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. Add a New Provider or Term an Existing Provider, Make a Change to an IRS Number or NPI Number, IMPORTANT NOTICE TO PROVIDERS REGARDING THE PURCHASE, BILLING AND ADMINISTRATION OF J CODE DRUGS IN THE OFFICE AND OUTPATIENT FACILITY SETTING, MeridianHealth Provider Information Regarding System Updates Effective July 1, 2021, Meridian Clinical Policy Readmission Review, Meridian of Illinois Announces Provider Relations Team Reorganization, Meridian of Illinois Partners with Jeremiah Development for LOVE Rockford Event, UPDATE PRACTICE INFORMATION USING THE MERIDIAN PROVIDER UPDATES TOOL, SUPPORT & RESOURCES FOR THOSE IMPACTED BY THE HIGHLAND PARK TRAGEDY ON JULY 4, Personal Wellness Assessment: English (PDF), Personal Wellness Assessment: Spanish (PDF), Member Notification of Pregnancy form(PDF), Meridian Managed Long Term Services & Supports Plan, Or if you receive the form by mail, complete it and send it back to us in the perpaid envelope. For certain kinds of drugs, you can use the plans network mail-order services. Your handbook is full of important information about your health care and Meridian. When you go to file, youll want to write when and where the incident took place, and what happened. If you wish to stay on this website, please click Cancel. 0000041585 00000 n
PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan 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. More information is in your Member Handbook(PDF). For Members | Meridian You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Llame al. This handbook will help you understand your coverage. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 0000080946 00000 n
ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x
Y;EgPCSSphf>op!mOQtkC v^K#x" For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. It also explains how to find care and how to earn rewards. We want you to be happy with the treatment and services you get from Meridian and our providers. Copyright 2023 Meridian All Rights Reserved. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It will help you get the care you need. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 0000002041 00000 n
Download the free version of Adobe Reader. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0
2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. On weekends and on state or federal holidays, you may be asked to leave a message. If your address changes, let us know. Your call will be returned within the next business day. Member ID Cards 5. The benefit information is a brief summary, not a complete description of benefits. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian covers all counties in Illinois. The call is free. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Your call will be returned within the next business day. [CDATA[ Your call will be returned within the next business day. %%EOF
We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Want a paper copy? Meridian will work with you to make sure you get all of the care you need, when you need it. You can also visit the Illinois Client Enrollment Services website. All Rights Reserved. 0000046966 00000 n
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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. Su llamada ser devuelta dentro del siguiente da hbil. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. You will need Adobe Reader to open PDFs on this site. A certificate of coverage (COC) tells you what to expect from your healthcare plan. For more information contact the plan or read the Meridian Member Handbook. 1-855-580-1689 (TTY 711)
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