Its full of tips and resources for pregnant members and new parents. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Meridian will work with you to make sure you get all of the care you need, when you need it. 1-855-580-1689 (TTY 711) Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. If your address changes, let us know. Meridian member.ILmeridian.com. Limitations, copays, and restrictions may apply. For example, we may not approve your providers request for a certain drug. 0000040678 00000 n Click the link below to view or save a copy. Provider Network 6 0000014634 00000 n Please visit our new website to see up to date information about your plan. Please contact the plan for more details. Call Member Services if youd like paper copies of any of these documents. On weekends and on state or federal holidays, you may be asked to leave a message. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Other pharmacies/physicians/providers are available in our network. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. La llamada es gratis. If you wish to stay on this website, please click Cancel. Please turn on JavaScript and try again. 1-855-580-1689 (TTY 711) 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. %%EOF 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. Download the Member Handbook(PDF). Catching a Breath Complex Case Management Flu Outreach Opioids Call 1-855-580-1689 (TTY: 711). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000046576 00000 n The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 2500 0 obj <>stream Your call will be returned within the next business day. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. We can connect you with support, services, and even rewards. xref ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This way, we can connect you with the right care. 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. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Each link will open a new window and is either a PDF or a website. 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 also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. All Rights Reserved. Monday-Friday, 8 a.m. to 5 p.m. CST Usually a mail-order pharmacy order will get to you in no more than 5 days. 3. You will need Adobe Reader to open PDFs on this site. You can get this document in Spanish, or speak with someone about this information in other languages for free. 0000010510 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 call is free. This is not a complete list. If you wish to stay on this website, please click Cancel. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Want a paper copy? We will send you a notice before we make a change that affects you. The Health Library is a free resource exclusively for MeridianComplete members and providers. Meridian covers all counties in Illinois. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 2023 The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Your call will be returned within the next business day. When you go to file, youll want to write when and where the incident took place, and what happened. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You will need Adobe Reader to open PDFs on this site. 167 33 Other pharmacies/physicians/providers are available in our network. 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Just call Member Services with your new address. The call is free. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Download the Member Handbook (PDF). You can get this document for free in other formats, such as large print, braille, or audio. 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. 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. 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. Each link will open a new window and is either a PDF or a website. 0000046966 00000 n +t x1Rdt!v8,1{1"sAS*.~Y|U:d\e6qXaI1,JSh\0y7x'zz|:nY\bnLM H\Bd ;,|Xt$Au*5Ndt:|_bLR[QcO?#VJ2VH n6 (_`/}^v}~/ OZ1?.9H Pl;-wrZi}wSzpibGlU}~/r B5[AuJL~2P1W^ j}Y@5( ?d 0 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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)! 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. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Member ID Cards 5. Copays for prescription drugs may vary based on the level of Extra Help you receive. HealthChoice Illinois is the smart way most Medicaid members get quality care. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 167 0 obj <> endobj See if you qualify, and explore the HealthChoice Illinois advantage. 0 providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 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. 0000002131 00000 n HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Your call will be returned within the next business day. 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. On weekends and on state or federal holidays, you may be asked to leave a message. You can get this document for free in other formats, such as large print, braille, or audio. 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 0000040481 00000 n 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. For more information contact the plan or read the MeridianComplete Member Handbook. You are now able to view your health information from a third-party app on a mobile device or PC! You will need Adobe Reader to open PDFs on this site. 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. You've got questions and we've got answers. More information is in your Member Handbook(PDF). 0000025980 00000 n On weekends and on state or federal holidays, You can also visit the Illinois Client Enrollment Services website. This is not a complete list. The COC lays out all the details so that you can stay on top of your coverage. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Find a doctor, explore coverage, review documents and much more. 0000046386 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Your call will be returned within the next business day. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 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. 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 benefit information is a brief summary, not a complete description of benefits. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Download the Member Handbook (PDF). At the right time and place. Su llamada ser devuelta dentro del siguiente da hbil. The call is free. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 866-606-3700 . v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 0000001708 00000 n On this page, youll learn more about your Member Handbook and some important forms that can help you understand your plan and get the care you need. Language Assistance & Notice of Nondiscrimination. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The benefit information is a brief summary, not a complete description of benefits. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. You can get this document for free in other formats, such as large print, braille, or audio. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 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. Other pharmacies/physicians/providers are available in our network. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 0000080946 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Looking for your plan home page or interested in becoming a member? You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000046799 00000 n 199 0 obj <>stream With HealthChoice Illinois, you have a health plan partner to turn to for help. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Please review the various programs below. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. [CDATA[ It will also explain our responsibilities to you, as well as outline the following details: For more information contact the plan or read the Meridian Member Handbook. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. // $ $= @+D C[} "Fod(AE+ 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000068680 00000 n 0000017969 00000 n If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Meridian The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 0000002177 00000 n Llame al. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). For more information contact the plan or read the Meridian Member Handbook. The benefit information is a brief summary, not a complete description of benefits. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! We want you to be happy with your healthcare services. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. providerhelp.IL@mhplan.com. 0000000956 00000 n trailer 0000072727 00000 n Material ID:H6080_WEBSITE_2023_Accepted_09282022. You can join our Start Smart for Your Baby program. On weekends and on state or federal holidays, you may be asked to leave a message. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000041668 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.mi@mhplan.com. 1-855-580-1689 (TTY 711) https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. 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) 0000001774 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. We want you to be happy with the treatment and services you get from Meridian and our providers. Su llamada ser devuelta dentro del siguiente da hbil. 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. 0000002220 00000 n Check out the Interoperability page to learn more. If you wish to stay on this website, please click Cancel. 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. Meridian is for people eligible for both Medicaid and Medicare. Open Enrollment 6. 0000068208 00000 n Your call will be returned within the next business day. You will need Adobe Reader to open PDFs on this site. Download the free version of Adobe Reader. 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. This handbook will help you understand your coverage. The right care for you. 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. 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. 2369 0 obj <> endobj 0000002041 00000 n Want a paper copy? 0000067553 00000 n 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. 0000041209 00000 n All Rights Reserved. 0000041585 00000 n Learn more about how being a Meridian provider benefits you. Each link will open a new window and is either a PDF or a website. Be sure to read your Meridian Member Handbook and keep it handy. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! The call is free. endstream endobj startxref Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Don't forget to call your local HFS oce and Meridian Member Services with your new address. For more information contact the plan or read the Meridian Member Handbook. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Each link will open a new window and is either a PDF or a website. View your Provider Manual, important plan information and more.
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