On weekends and on state or federal holidays, you may be asked to leave a message. You can get this document for free in other formats, such as large print, braille, or audio. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. 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. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000021917 00000 n 0000041585 00000 n Each link will open a new window and is either a PDF or a website. Call 1-855-580-1689 (TTY: 711). You can get this document for free in other formats, such as large print, braille, or audio. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan Each link will open a new window and is either a PDF or a website. Your call will be returned within the next business day. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Copays for prescription drugs may vary based on the level of Extra Help you receive. Check out the Interoperability page to learn more. 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. 2369 0 obj <> endobj // This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. For more information contact the plan or read the Meridian Member Handbook. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. At the right time and place. This is not a complete list. Meridian Material ID:H6080_WEBSITE_2023_Accepted_09282022. Meridian will work with you to make sure you get all of the care you need, when you need it. 0000080946 00000 n We want you to be happy with your healthcare services. The benefit information is a brief summary, not a complete description of benefits. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with 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. Download the Member Handbook (PDF). Su llamada ser devuelta dentro del siguiente da hbil. 0 If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 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 call is free. [CDATA[ Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. We can connect you with support, services, and even rewards. You will need Adobe Reader to open PDFs on this site. We want you to be happy with the treatment and services you get from Meridian and our providers. On weekends and on state or federal holidays, you may be asked to leave a message. 0000046386 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. Your call will be returned within the next business day. Meridian covers all counties in Illinois. All Rights Reserved. 0000002131 00000 n The call is free. Call Member Services if youd like paper copies of any of these documents. 167 33 With HealthChoice Illinois, you have a health plan partner to turn to for help. Member Handbooks and Forms 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 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. 0 With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Language Assistance & Notice of Nondiscrimination. trailer Youll tell us about any health conditions, recent hospital visits, medications, and more. 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. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. 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. This is not a complete list. Your call will be returned within the next business day. 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. Limitations, copays, and restrictions may apply. %%EOF 0000010510 00000 n 2023 There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You can make an appeal if you disagree with our verdict. It will help you get the care you need. member.ILmeridian.com. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 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. If you wish to stay on this website, please click Cancel. Each link will open a new window and is either a PDF or a website. Other pharmacies/physicians/providers are available in our network. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000025980 00000 n If we fall short, you can file a grievance or appeal. Other pharmacies/physicians/providers are available in our network. Be sure to read your Meridian Member Handbook and keep it handy. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. You can get this document for free in other formats, such as large print, braille, or audio. Provider Network 6 This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" The call is free. JB Pritzker, Governor Theresa Eagleson, Director. 0000002074 00000 n 0000000016 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. Member Handbook | Meridian Complete of Illinois The benefit information is a brief summary, not a complete description of benefits. Meridian is for people eligible for both Medicaid and Medicare. For more information contact the plan or read the Meridian Member Handbook. View your Provider Manual, important plan information and more. Providers - MeridianComplete Please contact the plan for more details. Download the free version of Adobe Reader. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The Personal Wellness Assessment is a short form about you and your health journey. We need to be able to send you important information in the mail. The right care for you. // ]]>. %PDF-1.4 % For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 0000041668 00000 n With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 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. %%EOF Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000068208 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000002220 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For Members | Meridian Want a paper copy? 866-606-3700 . 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 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. For more information contact the plan or read the MeridianComplete Member Handbook. Member ID Cards 5. Su llamada ser devuelta dentro del siguiente da hbil. 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've got questions and we've got answers. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 0000002177 00000 n MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. You can join our Start Smart for Your Baby program. View our Frequently Asked Questions page. Keep in mind that everything you choose to share is confidential. On weekends and on state or federal holidays, you may be asked to leave a message. 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. This is not a complete list. Learn more about how being a Meridian provider benefits you. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. The call is free. Report an address update to HFS online. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 2500 0 obj <>stream 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 <. Call 1-855-580-1689 (TTY: 711). Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. 0000014634 00000 n Provider Manual | Meridian Health Plan of Illinois You are now able to view your health information from a third-party app on a mobile device or PC! The call is free. Download the Member Handbook (PDF). Don't forget to call your local HFS oce and Meridian Member Services with your new address. Please turn on JavaScript and try again. Documents and Forms - Meridian Medicare Medicaid Plan Want a paper copy? 0000068680 00000 n Visit your Member Portal or call Member Services. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! It also explains how to find care and how to earn rewards. You can also visit the Illinois Client Enrollment Services website. It also explains how to find care and how to earn rewards. 0000000956 00000 n Find a doctor, explore coverage, review documents and much more. Member Handbook - Meridian Medicare Medicaid Plan Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 0000067354 00000 n La llamada es gratis. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 0000001774 00000 n Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 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 benefit information is a brief summary, not a complete description of benefits. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. See if you qualify, and explore the HealthChoice Illinois advantage. 1-855-580-1689 (TTY 711) You will be able to work with one health plan for all of your health insurance needs. Meridian Other pharmacies/physicians/providers are available in our network. Member Handbook | Meridian Health Plan of Illinois It explains the medical, dental, vision, and pharmacy services that are covered by your plan. endstream endobj startxref The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 199 0 obj <>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. This is not a complete list. 0000046966 00000 n 0000040678 00000 n Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 167 0 obj <> endobj Catching a Breath Complex Case Management Flu Outreach Opioids The benefit information is a brief summary, not a complete description of benefits. Your call will be returned within the next business day. It also explains how to find care and how to earn rewards. Looking for your plan home page or interested in becoming a member? For a more comprehensive description of the plan benefits, please refer to your Member Handbook. providerhelp.IL@mhplan.com. 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: The Health Library is a free resource exclusively for MeridianComplete members and providers. +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 If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. 0000072727 00000 n If your pregnancy is at high risk, we may call you. Call 1-855-580-1689 (TTY: 711). window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Click the link below to view or save a copy. 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. It outlines services and benefits that areand are notcovered. 1-855-580-1689 (TTY 711) 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. 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 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. All Rights Reserved. Your call will be returned within the next business day. 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. A grievance is a complaint about a provider or about the quality of care or services you received. 2023 PDF <DATE> Program called HealthChoice Illinois . We have been working hard 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. La llamada es gratis. 1-855-580-1689 (TTY 711) For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Download the Member Handbook(PDF). 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. On weekends and on state or federal holidays, you may be asked to leave a message. 0000002041 00000 n You will need Adobe Reader to open PDFs on this site. This way, we can connect you with the right care. 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. 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 call is free. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Your call will be returned within the next business day. Please review the various programs below. 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. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Usually a mail-order pharmacy order will get to you in no more than 5 days. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. Copyright 2023 Meridian All Rights Reserved. When you go to file, youll want to write when and where the incident took place, and what happened. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 3. We will send you a notice before we make a change that affects you. You can also visit the Illinois Client Enrollment Services website. 0000025639 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. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 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. 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.
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