You will need Adobe Reader to open PDFs on this site. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all We want you to be happy with your healthcare services. This is not a complete list. The call is free. This handbook will help you understand your coverage. For more information contact the plan or read the Meridian Member Handbook. The call is free. A certificate of coverage (COC) tells you what to expect from your healthcare plan. If your address changes, let us know. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. All Rights Reserved. 0000002131 00000 n hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ It looks like your browser does not have JavaScript enabled. Download the Member Handbook (PDF). Be sure to read your Meridian Member Handbook and keep it handy. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. For more information contact the plan or read the Meridian Member Handbook. Provider Network 6 You can get this document in Spanish, or speak with someone about this information in other languages for free. The benefit information is a brief summary, not a complete description of benefits. If you wish to stay on this website, please click Cancel. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Meridian is for people eligible for both Medicaid and Medicare. Su llamada ser devuelta dentro del siguiente da hbil. Please turn on JavaScript and try again. The call is free. Other pharmacies/physicians/providers are available in our network. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 0000072727 00000 n 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. 0000010510 00000 n 1-855-580-1689 (TTY 711) 0000068680 00000 n v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 0000025980 00000 n 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. Want a paper copy? Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. 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. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Your call will be returned within the next business day. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. The Health Library is a free resource exclusively for MeridianComplete members and providers. Monday-Friday, 8 a.m. to 5 p.m. CST If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. Copyright 2023 Meridian All Rights Reserved. View your Provider Manual, important plan information and more. Other pharmacies/physicians/providers are available in our network. 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. 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) HealthChoice Illinois is the smart way most Medicaid members get quality care. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Meridian Member Services . You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. We want you to be happy with the treatment and services you get from Meridian and our providers. Material ID:H6080_WEBSITE_2023_Accepted_09282022. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 0000041668 00000 n 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 MeridianComplete members, except in emergency situations. 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. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000017969 00000 n 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. 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 a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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 will be able to work with one health plan for all of your health insurance needs. Visit your Member Portal or call Member Services. Your call will be returned within the next business day. 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. 0000021917 00000 n For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Report an address update to HFS online. On weekends and on state or federal holidays, It will help you get the care you need. 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. 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. 0000001774 00000 n [CDATA[ For more information contact the plan or read the Meridian Member Handbook. 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Limitations, copays, and restrictions may apply. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. You are now able to view your health information from a third-party app on a mobile device or PC! Call 1-855-580-1689 (TTY: 711). You will need Adobe Reader to open PDFs on this site. If you wish to stay on this website, please click Cancel. 2023 You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. A grievance is a complaint about a provider or about the quality of care or services you received. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. This is not a complete list. 0000046386 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. On weekends and on state or federal holidays, you may be asked to leave a message. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. The call is free. You can get this document for free in other formats, such as large print, braille, or audio. Find a doctor, explore coverage, review documents and much more. %%EOF 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. Please review the various programs below. Download the Member Handbook(PDF). You've got questions and we've got answers. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. La llamada es gratis. Each link will open a new window and is either a PDF or a website. More information is in your Member Handbook(PDF). 0000025639 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. 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. 1-855-580-1689 (TTY 711) // stream +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 Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian will work with you to make sure you get all of the care you need, when you need it. Just call Member Services with your new address. Copays for prescription drugs may vary based on the level of Extra Help you receive. Want a paper copy? 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. 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.