The call is free. 0000000956 00000 n 0000002074 00000 n You can get this document for free in other formats, such as large print, braille, or audio. 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. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 0 The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. %%EOF 0000001708 00000 n PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan You will need Adobe Reader to open PDFs on this site. You can make an appeal if you disagree with our verdict. 0000041209 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. The right care for you. 0000000016 00000 n ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. You will need Adobe Reader to open PDFs on this site. 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. 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. Your handbook is full of important information about your health care and Meridian. Your call will be returned within the next business day. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 0000014634 00000 n JB Pritzker, Governor Theresa Eagleson, Director. You can also visit the Illinois Client Enrollment Services website. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You can also visit the Illinois Client Enrollment Services website. xref Member Handbook | Meridian Health Plan of Illinois 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. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Please review the various programs below. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). All Rights Reserved. View our Frequently Asked Questions page. A grievance is a complaint about a provider or about the quality of care or services you received. startxref It outlines services and benefits that areand are notcovered. More information is in your Member Handbook(PDF). Usually a mail-order pharmacy order will get to you in no more than 5 days. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It will also explain our responsibilities to you, as well as outline the following details: 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. Want a paper copy? <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> You will need Adobe Reader to open PDFs on this site. Limitations, copays, and restrictions may apply. Member ID Cards 5. 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. Download the Member Handbook (PDF). Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Other pharmacies/physicians/providers are available in our network. It also explains how to find care and how to earn rewards. 0000025980 00000 n Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Youll tell us about any health conditions, recent hospital visits, medications, and more. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. The Health Library is a free resource exclusively for MeridianComplete members and providers. HealthChoice Illinois | HFS The call is free. Member Handbook | Meridian Complete of Illinois 1-855-580-1689 (TTY 711) Check out the Interoperability page to learn more. Monday-Friday, 8 a.m. to 8 p.m. CST La llamada es gratis. 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) The List of Covered Drugs and/or pharmacy and provider networks may change throughout the 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 asMeridian Medicare-Medicaid Plan's (MMP) contract with you. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. The call is free. Learn more about how being a Meridian provider benefits you. 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. Your call will be returned within the next business day. 0000151745 00000 n Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all We want you to be happy with the treatment and services you get from Meridian and our providers. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. // 866-606-3700 . Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 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 handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000041585 00000 n Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. HealthChoice Illinois is the smart way most Medicaid members get quality care. Visit your Member Portal or call Member Services. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Open Enrollment 6. We can connect you with support, services, and even rewards. PDF Welcome to MeridianHealth Intro to Plan 0000002220 00000 n %PDF-1.4 % 0000006553 00000 n 0000002041 00000 n 0000067354 00000 n Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. La llamada es gratis. 0000072727 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Be sure to read your Meridian Member Handbook and keep it handy. providerhelp.IL@mhplan.com. The call is free. Catching a Breath Complex Case Management Flu Outreach Opioids Call 1-855-580-1689 (TTY: 711). Download the free version of Adobe Reader. Member Handbooks and Forms 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Its full of tips and resources for pregnant members and new parents. 0000047422 00000 n Please turn on JavaScript and try again. Documents and Forms - Meridian Medicare Medicaid Plan You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The benefit information is a brief summary, not a complete description of benefits. 0000010510 00000 n Su llamada ser devuelta dentro del siguiente da hbil. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . On weekends and on state or federal holidays, With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 167 0 obj <> endobj 0000046799 00000 n PDF <DATE> Program called HealthChoice Illinois . We have been working hard 0 2500 0 obj <>stream Language Assistance & Notice of Nondiscrimination. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Material ID:H6080_WEBSITE_2023_Accepted_09282022. An appeal is a way for you to ask for a review of our actions. 199 0 obj <>stream For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. You are now able to view your health information from a third-party app on a mobile device or PC! Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. If we fall short, you can file a grievance or appeal. 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. Copays for prescription drugs may vary based on the level of Extra Help you receive. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If your address changes, let us know. 0000067553 00000 n Call 1-855-580-1689 (TTY: 711). It will also explain our responsibilities to you, as well as outline the following details: For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Provider Manual | Meridian Health Plan of Illinois 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 <. 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. You can join our Start Smart for Your Baby program. Call 1-855-580-1689 (TTY: 711). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. With HealthChoice Illinois, you have a health plan partner to turn to for help. Meridian 0000001774 00000 n Meridian is for people eligible for both Medicaid and Medicare. We will send you a notice before we make a change that affects you. If you wish to stay on this website, please click Cancel. This way, we can connect you with the right care. 0000041668 00000 n If you wish to stay on this website, please click Cancel. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. On weekends and on state or federal holidays, you may be asked to leave a message. Looking for your plan home page or interested in becoming a member? Report an address update to HFS online. For certain kinds of drugs, you can use the plans network mail-order services. Other pharmacies/physicians/providers are available in our network. 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. 3. Find a doctor, explore coverage, review documents and much more. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 0000025639 00000 n For Members | Meridian You can get this document in Spanish, or speak with someone about this information in other languages for free. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000002177 00000 n It looks like your browser does not have JavaScript enabled. // ]]>. Meridian Member Services . Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Call Member Services if youd like paper copies of any of these documents. Moving? A certificate of coverage (COC) tells you what to expect from your healthcare plan. If you wish to stay on this website, please click Cancel. On weekends and on state or federal holidays, you may be asked to leave a message. 0000040481 00000 n View your Provider Manual, important plan information and more. Your call will be returned within the next business day. %%EOF The Personal Wellness Assessment is a short form about you and your health journey. For more information contact the plan or read the MeridianComplete Member Handbook. Other pharmacies/physicians/providers are available in our network. This is not a complete list. Your call will be returned within the next business day. The benefit information is a brief summary, not a complete description of benefits. When you go to file, youll want to write when and where the incident took place, and what happened. You will need Adobe Reader to open PDFs on this site. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 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. 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. All Rights Reserved. It also explains how to find care and how to earn rewards. You will be able to work with one health plan for all of your health insurance needs. Each link will open a new window and is either a PDF or a website. 0000068208 00000 n 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 example, we may not approve your providers request for a certain drug. Su llamada ser devuelta dentro del siguiente da hbil. 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. 167 33 0000040678 00000 n We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 0000017969 00000 n The COC lays out all the details so that you can stay on top of your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Please contact the plan for more details. Monday-Friday, 8 a.m. to 5 p.m. CST On weekends and on state or federal holidays, you may be asked to leave a message.
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