For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. %PDF-1.7 % 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. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 0000021917 00000 n You've got questions and we've got answers. For more information contact the plan or read the Meridian Member Handbook. Meridian will work with you to make sure you get all of the care you need, when you need it. Copays for prescription drugs may vary based on the level of Extra Help you receive. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. You can get this document for free in other formats, such as large print, braille, or audio. 0000046966 00000 n Your call will be returned within the next business day. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. You will need Adobe Reader to open PDFs on this site. You can get this document in Spanish, or speak with someone about this information in other languages for free. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. Provider Network 6 3. 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! Your call will be returned within the next business day. 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. Monday-Friday, 8 a.m. to 8 p.m. CST Open Enrollment 6. Find a doctor, explore coverage, review documents and much more. 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) We can connect you with support, services, and even rewards. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Monday-Friday, 8 a.m. to 5 p.m. CST The call is free. %PDF-1.4 % If you wish to stay on this website, please click Cancel. Meridian covers all counties in Illinois. 0000040678 00000 n Looking for your plan home page or interested in becoming a member? endstream endobj startxref 0000068680 00000 n Meridian 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. 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. MeridianHealth is now Meridian! 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. You can also visit the Illinois Client Enrollment Services website. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Your call will be returned within the next business day. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The Health Library is a free resource exclusively for MeridianComplete members and providers. 0000002041 00000 n 167 33 167 0 obj <> endobj window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Language Assistance & Notice of Nondiscrimination. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You will need Adobe Reader to open PDFs on this site. We need to be able to send you important information in the mail. 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. The call is free. Visit your Member Portal or call Member Services. On weekends and on state or federal holidays, you may be asked to leave a message. 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. The benefit information is a brief summary, not a complete description of benefits. The call is free. Su llamada ser devuelta dentro del siguiente da hbil. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. On weekends and on state or federal holidays, you may be asked to leave a message. ILLINOIS MEMBER HANDBOOK ILLINOIS MEMBER HANDBOOK EFFECTIVE DATE: July 1, 2021 MEMBER SERVICES: 866-821-2308 TTY/TDD: 711 ilmeridian.com ILLINOIS MLTSS 1 Welcome to MeridianHealth Managed Long Term Services and Supports (MLTSS) Welcome to MeridianHealth (Meridian)! 0 Member ID Cards 5. On weekends and on state or federal holidays, you may be asked to leave a message. [CDATA[ If your pregnancy is at high risk, we may call you. Check out the Interoperability page to learn more. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Download the Member Handbook(PDF). With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. We will send you a notice before we make a change that affects you. This is not a complete list. xref All Rights Reserved. Keep in mind that everything you choose to share is confidential. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. If you experience any problems receiving your mail order prescription, call Member Services at. It also explains how to find care and how to earn rewards. 0000046576 00000 n Please review the various programs below. providerhelp.IL@mhplan.com. Moving? 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. 0000041585 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.il@mhplan.com. 199 0 obj <>stream You can also visit the Illinois Client Enrollment Services website. 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 Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. A certificate of coverage (COC) tells you what to expect from your healthcare plan. At the right time and place. 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. It will also explain our responsibilities to you, as well as outline the following details: 0000041209 00000 n Please visit our new website to see up to date information about your plan. Each link will open a new window and is either a PDF or a website. Other pharmacies/physicians/providers are available in our network. 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. It outlines services and benefits that areand are notcovered. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. 0000001708 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Other pharmacies/physicians/providers are available in our network. View our Frequently Asked Questions page. 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. Catching a Breath Complex Case Management Flu Outreach Opioids 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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx 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. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. If you wish to stay on this website, please click Cancel. // ]]>. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Call 1-855-580-1689 (TTY: 711). Making healthcare decisions can be tough--who to see for care, what to ask, when to go. startxref 2023 Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Click the link below to view or save a copy. It looks like your browser does not have JavaScript enabled. You can get this document for free in other formats, such as large print, braille, or audio. For more information contact the plan or read the MeridianComplete Member Handbook. 0000025980 00000 n ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Copyright 2023 Meridian All Rights Reserved. 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. 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 are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. Other pharmacies/physicians/providers are available in our network. Be sure to read your Meridian Member Handbook and keep it handy. 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 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. Understanding the ins and outs of your health plan can be difficult. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Download the Member Handbook (PDF). This is not a complete list. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This handbook will help you understand your coverage. 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 <. 0000067354 00000 n You can join our Start Smart for Your Baby program. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Each link will open a new window and is either a PDF or a website. Monday-Friday, 8 a.m. to 8 p.m. CST Llame al. Each link will open a new window and is either a PDF or a website. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 2500 0 obj <>stream This is not a complete list. La llamada es gratis. 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 The call is free. member.ILmeridian.com. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 1-855-580-1689 (TTY 711) It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It also explains how to find care and how to earn rewards. 866-606-3700 . Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 0000067553 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. The Personal Wellness Assessment is a short form about you and your health journey. 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. trailer The right care for you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Meridian is for people eligible for both Medicaid and Medicare. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000041668 00000 n For more information contact the plan or read the Meridian Member Handbook. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 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. 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. 0000006553 00000 n You can get this document for free in other formats, such as large print, braille, or audio. The COC lays out all the details so that you can stay on top of your coverage. 0000151745 00000 n The benefit information is a brief summary, not a complete description of benefits. You will need Adobe Reader to open PDFs on this site. 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. 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. It will help you get the care you need. All Rights Reserved. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 0000046799 00000 n It will also explain our responsibilities to you, as well as outline the following details: 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. On weekends and on state or federal holidays, 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. 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. 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. Want a paper copy? +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
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