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 For example, we may not approve your providers request for a certain drug. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Provider Network 6 %%EOF Meridian 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. Member Handbooks and Forms PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans 0000046799 00000 n Download the Member Handbook(PDF). Visit your Member Portal or call Member Services. 0 All Rights Reserved. For more information contact the plan or read the Meridian Member Handbook. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Providers - MeridianComplete Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Want a paper copy? Other pharmacies/physicians/providers are available in our network. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 0000006553 00000 n 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. Monday-Friday, 8 a.m. to 8 p.m. CST If you wish to stay on this website, please click Cancel. 1-855-580-1689 (TTY 711) We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 2500 0 obj <>stream Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ endstream endobj startxref 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 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. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 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 get this document for free in other formats, such as large print, braille, or audio. 0000017969 00000 n 3. Language Assistance & Notice of Nondiscrimination. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Moving? You can also visit the Illinois Client Enrollment Services website. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Su llamada ser devuelta dentro del siguiente da hbil. MeridianHealth is now Meridian! Meridian This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Download the Member Handbook (PDF). You can join our Start Smart for Your Baby program. 199 0 obj <>stream HealthChoice Illinois is the smart way most Medicaid members get quality care. Please visit our new website to see up to date information about your plan. 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 wish to stay on this website, please click Cancel. Youll tell us about any health conditions, recent hospital visits, medications, and more. If you experience any problems receiving your mail order prescription, call Member Services at. Please turn on JavaScript and try again. The call is free. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Provider Manual | Meridian Health Plan of Illinois Want a paper copy? The call is free. 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. 0000025639 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Check out the Interoperability page to learn more. 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. Su llamada ser devuelta dentro del siguiente da hbil. La llamada es gratis. %PDF-1.4 % 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. Member ID Cards 5. This handbook will help you understand your coverage. Your call will be returned within the next business day. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. JB Pritzker, Governor Theresa Eagleson, Director. 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Each link will open a new window and is either a PDF or a website. The call is free. Understanding the ins and outs of your health plan can be difficult. Usually a mail-order pharmacy order will get to you in no more than 5 days. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. At the right time and place. 1-855-580-1689 (TTY 711) Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). If you wish to stay on this website, please click Cancel. 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. Keep in mind that everything you choose to share is confidential. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 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. 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. 1-855-580-1689 (TTY 711) Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. We want you to be happy with the treatment and services you get from Meridian and our providers. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. We need to be able to send you important information in the mail. On weekends and on state or federal holidays, you may be asked to leave a message. member.ILmeridian.com. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000002074 00000 n Click the link below to view or save a copy. 0000046576 00000 n Open Enrollment 6. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 0000021917 00000 n 0000041209 00000 n 0000002220 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. You can get this document for free in other formats, such as large print, braille, or audio. 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. The benefit information is a brief summary, not a complete description of benefits. You are now able to view your health information from a third-party app on a mobile device or PC! We can connect you with support, services, and even rewards. 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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 0000067354 00000 n 0000002177 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000000956 00000 n Call 1-855-580-1689 (TTY: 711). 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! PDF <DATE> Program called HealthChoice Illinois . We have been working hard This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. PDF Welcome to MeridianHealth Intro to Plan With HealthChoice Illinois, you have a health plan partner to turn to for help. It will help you get the care you need. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); // ]]>. 0000001774 00000 n 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. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. PDF here's your member handbook. xref Copyright 2023 Meridian All Rights Reserved. Monday-Friday, 8 a.m. to 5 p.m. CST 0000068680 00000 n Just call Member Services with your new address. Please contact the plan for more details. Download the free version of Adobe Reader. Other pharmacies/physicians/providers are available in our network. This is not a complete list. Please review the various programs below. 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) You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Llame al. Each link will open a new window and is either a PDF or a website. This is not a complete list. On weekends and on state or federal holidays, you may be asked to leave a message. 0000080946 00000 n If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Call 1-855-580-1689 (TTY: 711). Your handbook is full of important information about your health care and Meridian. 866-606-3700 . For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. View our Frequently Asked Questions page. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. The call is free. You can also visit the Illinois Client Enrollment Services website. 0000041585 00000 n Looking for your plan home page or interested in becoming a member? providerhelp.IL@mhplan.com. We want you to be happy with your healthcare services. Your call will be returned within the next business day. All Rights Reserved. 0000067553 00000 n 0000151745 00000 n You will be able to work with one health plan for all of your health insurance needs. Its full of tips and resources for pregnant members and new parents. +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 A certificate of coverage (COC) tells you what to expect from your healthcare plan. On weekends and on state or federal holidays, Your call will be returned within the next business day. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 2369 0 obj <> endobj The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. It also explains how to find care and how to earn rewards. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. If we fall short, you can file a grievance or appeal. MeridianComplete 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. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 0000001708 00000 n 0000040678 00000 n // Member Handbook | Meridian Complete of Illinois 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. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. For more information contact the plan or read the Meridian Member Handbook. You've got questions and we've got answers. It looks like your browser does not have JavaScript enabled. 0000010510 00000 n Your call will be returned within the next business day. Be sure to read your Meridian Member Handbook and keep it handy. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. Member Handbook | Meridian Health Plan of Illinois On weekends and on state or federal holidays, you may be asked to leave a message. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0 The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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. It will also explain our responsibilities to you, as well as outline the following details: The Personal Wellness Assessment is a short form about you and your health journey. 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. HealthChoice Illinois | HFS 0000072727 00000 n Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to 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), Monday through Friday from 8 a.m. to 7 p.m. Su llamada ser devuelta dentro del siguiente da hbil. We will send you a notice before we make a change that affects you. Each link will open a new window and is either a PDF or a website. 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. The Health Library is a free resource exclusively for MeridianComplete members and providers. If your address changes, let us know. 0000047422 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000041668 00000 n If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). trailer The COC lays out all the details so that you can stay on top of your coverage. 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. This is not a complete list. 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. Member Handbook - Meridian Medicare Medicaid Plan We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 Meridian Medicare Medicaid Plan The benefit information is a brief summary, not a complete description of benefits. It also explains how to find care and how to earn rewards. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan Want a paper copy? The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 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. This way, we can connect you with the right care. 0000046966 00000 n 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 <. Documents and Forms - Meridian Medicare Medicaid Plan Meridian covers all counties in Illinois. startxref You will need Adobe Reader to open PDFs on this site. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation La llamada es gratis. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000046386 00000 n 0000025980 00000 n Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Monday-Friday, 8 a.m. to 8 p.m. CST Making healthcare decisions can be tough--who to see for care, what to ask, when to go.

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