0000025980 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 0000000016 00000 n 0000068208 00000 n You will be able to work with one health plan for all of your health insurance needs. Please review the various programs below. More information is in your Member Handbook(PDF). 199 0 obj <>stream It will also explain our responsibilities to you, as well as outline the following details: This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000046966 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 1-855-580-1689 (TTY 711) The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You are now able to view your health information from a third-party app on a mobile device or PC! The Personal Wellness Assessment is a short form about you and your health journey. You will need Adobe Reader to open PDFs on this site. 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. 0000001708 00000 n Its full of tips and resources for pregnant members and new parents. 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! You can also visit the Illinois Client Enrollment Services website. Llame al. 0000010510 00000 n v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 0000002220 00000 n Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. We want you to be happy with the treatment and services you get from Meridian and our providers. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 0000001774 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. 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. Learn more about how being a Meridian provider benefits you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 0000021917 00000 n This way, we can connect you with the right care. View our Frequently Asked Questions page. Other pharmacies/physicians/providers are available in our network. 0000014634 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. 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. Each link will open a new window and is either a PDF or a website. 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. 0000041585 00000 n 2500 0 obj <>stream 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. 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.mi@mhplan.com. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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. 2023 Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. The call is free. Meridian covers all counties in Illinois. 0000002074 00000 n 0000040481 00000 n It will also explain our responsibilities to you, as well as outline the following details: 0000151745 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation It will help you get the care you need. 866-606-3700 . We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000000956 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Report an address update to HFS online. 0000080946 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), Mondaythrough Friday from 8 a.m. to 7 p.m. %%EOF If your address changes, let us know. Member ID Cards 5. Want a paper copy? 0000046576 00000 n The call is free. This is not a complete list. You can get this document for free in other formats, such as large print, braille, or audio. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Meridian 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. 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 we fall short, you can file a grievance or appeal. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. MeridianHealth is now Meridian! View your Provider Manual, important plan information and more. The call is free. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ You will need Adobe Reader to open PDFs on this site. If your pregnancy is at high risk, we may call you. 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 <. 1-855-580-1689 (TTY 711) For more information contact the plan or read the Meridian Member Handbook. xref HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Download the Member Handbook(PDF). 0000002177 00000 n The right care for you. // /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 The call is free. Looking for your plan home page or interested in becoming a member? h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. endstream endobj startxref For more information contact the plan or read the Meridian Member Handbook. 167 33 Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. JB Pritzker, Governor Theresa Eagleson, Director. trailer 0000046799 00000 n Usually a mail-order pharmacy order will get to you in no more than 5 days. 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. 0000006553 00000 n 0000067553 00000 n With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Monday-Friday, 8 a.m. to 8 p.m. CST La llamada es gratis. 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. It will also explain our responsibilities to you, as well as outline the following details: This is not a complete list. 0000068680 00000 n La llamada es gratis. You can get this document for free in other formats, such as large print, braille, or audio. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. La llamada es gratis. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. The benefit information is a brief summary, not a complete description of benefits. The Health Library is a free resource exclusively for MeridianComplete members and providers. [CDATA[ If you have any questions, call Meridian Member Services toll-free at 866-606-3700. +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 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 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2022 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), 2020 MeridianComplete Authorization Lookup (PDF), Behavioral Health Discharge Transition of Care Form (PDF), HealthHelp and eviCore Provider Notification (PDF), Primary Care Provider Reassignment Form (PDF), Annual Care for Older Adults (COA) Form (PDF), Breast Cancer Screening Exclusion Form (PDF), Colorectal Cancer Screening Exclusion Form (PDF), Timely Submission of Encounter Data by Medicare-Medicaid Plans (MMPs) to CMS (PDF), Prohibition Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (PDF), Part D Coverage Determination Request Form (PDF), Part D Redetermination Request Form (PDF), Hospice Information for Medicare Part D plans (PDF), 2021 IL Prior Authorization Fax Submission Forms - Inpatient (PDF), 2021 IL Prior Authorization Fax Submission Forms - Outpatient (PDF), Partnership for Quality (P4Q Program) (PDF), Language Assistance & Notice of Nondiscrimination. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Check out the Interoperability page to learn more. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Understanding the ins and outs of your health plan can be difficult. Meridian is for people eligible for both Medicaid and Medicare. 0000040678 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). You've got questions and we've got answers. 0000047422 00000 n Find a doctor, explore coverage, review documents and much more. providerhelp.IL@mhplan.com. You can get this document in Spanish, or speak with someone about this information in other languages for free. Copays for prescription drugs may vary based on the level of Extra Help you receive. %PDF-1.4 % 0000041668 00000 n If you wish to stay on this website, please click Cancel. 0000002041 00000 n Youll tell us about any health conditions, recent hospital visits, medications, and more. Your call will be returned within the next business day. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Keep in mind that everything you choose to share is confidential. 0000017969 00000 n startxref 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. You will need Adobe Reader to open PDFs on this site. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Other pharmacies/physicians/providers are available in our network. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. All Rights Reserved. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Su llamada ser devuelta dentro del siguiente da hbil. It also explains how to find care and how to earn rewards. This handbook will help you understand your coverage. On weekends and on state or federal holidays, you may be asked to leave a message. If you wish to stay on this website, please click Cancel. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 0 Each link will open a new window and is either a PDF or a website. You will need Adobe Reader to open PDFs on this site. Please turn on JavaScript and try again. On weekends and on state or federal holidays, Material ID:H6080_WEBSITE_2023_Accepted_09282022. %%EOF The benefit information is a brief summary, not a complete description of benefits. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 3. With HealthChoice Illinois, you have a health plan partner to turn to for help. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Visit your Member Portal or call Member Services. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. // ]]>. Download the Member Handbook (PDF). 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. 0 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. The COC lays out all the details so that you can stay on top of your coverage. Meridian 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Su llamada ser devuelta dentro del siguiente da hbil. It also explains how to find care and how to earn rewards. 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. You can make an appeal if you disagree with our verdict. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. Provider Network 6 0000025639 00000 n Each link will open a new window and is either a PDF or a website. Download the Member Handbook (PDF). 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. 2369 0 obj <> endobj For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 167 0 obj <> endobj 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. For certain kinds of drugs, you can use the plans network mail-order services. An appeal is a way for you to ask for a review of our actions. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Call 1-855-580-1689 (TTY: 711). If you wish to stay on this website, please click Cancel.
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