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 site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. This is not a complete list. It will help you get the care you need. You can join our Start Smart for Your Baby program. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. trailer 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. 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000021917 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. Call 1-855-580-1689 (TTY: 711). There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! The call is free. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. It explains the medical, dental, vision, and pharmacy services that are covered by 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. 0000010510 00000 n Material ID:H6080_WEBSITE_2023_Accepted_09282022. Check out the Interoperability page to learn more. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. At the right time and place. 2023 Meridian is for people eligible for both Medicaid and Medicare. Learn more about how being a Meridian provider benefits you. Limitations, copays, and restrictions may apply. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Your call will be returned within the next business day. 2369 0 obj <> endobj 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. Just call Member Services with your new address. Member ID Cards 5. xref Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You can get this document for free in other formats, such as large print, braille, or audio. 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. Understanding the ins and outs of your health plan can be difficult. Other pharmacies/physicians/providers are available in our network. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. All Rights Reserved. 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. 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. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. We need to be able to send you important information in the mail. 0 Su llamada ser devuelta dentro del siguiente da hbil. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. With HealthChoice Illinois, you have a health plan partner to turn to for help. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 0000046799 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. 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. 0000067553 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Keep in mind that everything you choose to share is confidential. 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. We want you to be happy with the treatment and services you get from Meridian and our providers. If you wish to stay on this website, please click Cancel. You are now able to view your health information from a third-party app on a mobile device or PC! Copyright 2023 Meridian All Rights Reserved. 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. Download the Member Handbook (PDF). 1-855-580-1689 (TTY 711) The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Be sure to read your Meridian Member Handbook and keep it handy. If you wish to stay on this website, please click Cancel. The Health Library is a free resource exclusively for MeridianComplete members and providers. The benefit information is a brief summary, not a complete description of benefits. providerhelp.IL@mhplan.com. Monday-Friday, 8 a.m. to 5 p.m. CST You can get this document for free in other formats, such as large print, braille, or audio. 0000002074 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. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. For more information contact the plan or read the Meridian Member Handbook. The call is free. If you wish to stay on this website, please click Cancel. It will also explain our responsibilities to you, as well as outline the following details: This is not a complete list. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). If we fall short, you can file a grievance or appeal. endstream endobj startxref Su llamada ser devuelta dentro del siguiente da hbil. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. If your address changes, let us know. Meridian Member Services . We can connect you with support, services, and even rewards. Please visit our new website to see up to date information about your plan. 3. 0000072727 00000 n 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. On weekends and on state or federal holidays, you may be asked to leave a message. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all The call is free. Looking for your plan home page or interested in becoming a member? Call 1-855-580-1689 (TTY: 711). 0000014634 00000 n 0000001774 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 0000151745 00000 n You will need Adobe Reader to open PDFs on this site. You can get this document for free in other formats, such as large print, braille, or audio. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Su llamada ser devuelta dentro del siguiente da hbil. You will need Adobe Reader to open PDFs on this site. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Click the link below to view or save a copy. Want a paper copy? On weekends and on state or federal holidays, 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. 0000046386 00000 n If you experience any problems receiving your mail order prescription, call Member Services at. La llamada es gratis. 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. // ]/Prev 539953>> 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. Catching a Breath Complex Case Management Flu Outreach Opioids Don't forget to call your local HFS oce and Meridian Member Services with your new address. Download the Member Handbook (PDF). View your Provider Manual, important plan information and more. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Copays for prescription drugs may vary based on the level of Extra Help you receive. 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 <. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000046966 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 0000068208 00000 n 0000080946 00000 n 0000067354 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. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 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 are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 1-855-580-1689 (TTY 711) The COC lays out all the details so that you can stay on top of your coverage. This is not a complete list. 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. %%EOF 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 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Want a paper copy? The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. On weekends and on state or federal holidays, you may be asked to leave a message. 0000046576 00000 n See if you qualify, and explore the HealthChoice Illinois advantage. 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! A grievance is a complaint about a provider or about the quality of care or services you received. A certificate of coverage (COC) tells you what to expect from your healthcare plan. 0000002177 00000 n %PDF-1.7 % 2023 The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. 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. 0000025639 00000 n 0000006553 00000 n ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Meridian You will need Adobe Reader to open PDFs on this site. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. You will need Adobe Reader to open PDFs on this site. [CDATA[ For more information contact the plan or read the Meridian Member Handbook. Meridian Please contact the plan for more details. // ]]>. 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. 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. 167 0 obj <> endobj Other pharmacies/physicians/providers are available in our network. Usually a mail-order pharmacy order will get to you in no more than 5 days. On weekends and on state or federal holidays, you may be asked to leave a message. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! startxref You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Visit your Member Portal or call Member Services. 0000040481 00000 n The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. 0000041209 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). It looks like your browser does not have JavaScript enabled. 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. 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. View our Frequently Asked Questions page. 167 33 The benefit information is a brief summary, not a complete description of benefits. Call Member Services if youd like paper copies of any of these documents. 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 Personal Wellness Assessment is a short form about you and your health journey. This handbook will help you understand your coverage. %%EOF The benefit information is a brief summary, not a complete description of benefits. 0 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. The call is free. Monday-Friday, 8 a.m. to 8 p.m. CST HealthChoice Illinois is the smart way most Medicaid members get quality care. Each link will open a new window and is either a PDF or a website. For example, we may not approve your providers request for a certain drug. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Your call will be returned within the next business day. Monday-Friday, 8 a.m. to 8 p.m. CST When you go to file, youll want to write when and where the incident took place, and what happened. Report an address update to HFS online. This way, we can connect you with the right care. Your handbook is full of important information about your health care and Meridian. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. MeridianHealth is now Meridian! 0000017969 00000 n Making healthcare decisions can be tough--who to see for care, what to ask, when to go. The call is free. Your call will be returned within the next business day. 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. You can get this document in Spanish, or speak with someone about this information in other languages for free. Please review the various programs below. La llamada es gratis. 0000040678 00000 n It outlines services and benefits that areand are notcovered. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. You can make an appeal if you disagree with our verdict. You can also visit the Illinois Client Enrollment Services website. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. For more information contact the plan or read the Meridian Member Handbook. If you wish to stay on this website, please click Cancel. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 0000002131 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more.

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