trailer It also explains how to find care and how to earn rewards. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. 0000040481 00000 n This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 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. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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. It outlines services and benefits that areand are notcovered. Your call will be returned within the next business day. Your call will be returned within the next business day. 0000000956 00000 n You can make an appeal if you disagree with our verdict. This is not a complete list. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 0000047422 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. Open Enrollment 6. Please contact the plan for more details. 0000072727 00000 n 1-855-580-1689 (TTY 711) ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 0000014634 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. Your call will be returned within the next business day. It also explains how to find care and how to earn rewards. Call 1-855-580-1689 (TTY: 711). Meridian is for people eligible for both Medicaid and Medicare. Check out the Interoperability page to learn more. 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. endstream endobj startxref The COC lays out all the details so that you can stay on top of your coverage. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 1-855-580-1689 (TTY 711) Your call will be returned within the next business day. We want you to be happy with your healthcare services. %%EOF 0000002220 00000 n It will also explain our responsibilities to you, as well as outline the following details: All Rights Reserved. Su llamada ser devuelta dentro del siguiente da hbil. If you experience any problems receiving your mail order prescription, call Member Services at. You can get this document for free in other formats, such as large print, braille, or audio. 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. Call 1-855-580-1689 (TTY: 711). 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 With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Looking for your plan home page or interested in becoming a member? 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. 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. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Monday-Friday, 8 a.m. to 8 p.m. CST Copyright 2023 Meridian All Rights Reserved. 2500 0 obj <>stream Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 0000041585 00000 n 0000068208 00000 n Material ID:H6080_WEBSITE_2023_Accepted_09282022. 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. Learn more about how being a Meridian provider benefits you. For example, we may not approve your providers request for a certain drug. 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. Each link will open a new window and is either a PDF or a website. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. xref The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The call is free. Other pharmacies/physicians/providers are available in our network. 866-606-3700 . La llamada es gratis. MeridianHealth is now Meridian! 1-855-580-1689 (TTY 711) The right care for you. You can also visit the Illinois Client Enrollment Services website. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. When you go to file, youll want to write when and where the incident took place, and what happened. 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) The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 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. 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 handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Personal Wellness Assessment is a short form about you and your health journey. 0000017969 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. For more information contact the plan or read the Meridian Member Handbook. 0 It explains the medical, dental, vision, and pharmacy services that are covered by your plan. We will send you a notice before we make a change that affects you. You will need Adobe Reader to open PDFs on this site. The benefit information is a brief summary, not a complete description of benefits. Usually a mail-order pharmacy order will get to you in no more than 5 days. Want a paper copy? It will also explain our responsibilities to you, as well as outline the following details: The benefit information is a brief summary, not a complete description of benefits. 2023 hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. member.ILmeridian.com. 0000046799 00000 n This is not a complete list. For more information contact the plan or read the MeridianComplete Member Handbook. For more information contact the plan or read the Meridian Member Handbook. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. You can also visit the Illinois Client Enrollment Services website. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . 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. View our Frequently Asked Questions page. Member ID Cards 5. JB Pritzker, Governor Theresa Eagleson, Director. 0000006553 00000 n Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. If your pregnancy is at high risk, we may call you. Your handbook is full of important information about your health care and Meridian. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. 0000046576 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 0 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. Call Member Services if youd like paper copies of any of these documents. You can get this document for free in other formats, such as large print, braille, or audio. View your Provider Manual, important plan information and more. You will be able to work with one health plan for all of your health insurance needs. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Each link will open a new window and is either a PDF or a website. 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. We can connect you with support, services, and even rewards. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. This way, we can connect you with the right care. If your address changes, let us know. 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. You will need Adobe Reader to open PDFs on this site. Be sure to read your Meridian Member Handbook and keep it handy. +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 0000025639 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Language Assistance & Notice of Nondiscrimination. 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. 0000002041 00000 n 0000068680 00000 n Report an address update to HFS online. The call is free. Meridian Call 1-855-580-1689 (TTY: 711). With HealthChoice Illinois, you have a health plan partner to turn to for help. [CDATA[ 0000041209 00000 n You've got questions and we've got answers. 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. 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. Download the Member Handbook(PDF). Catching a Breath Complex Case Management Flu Outreach Opioids Limitations, copays, and restrictions may apply. 0000151745 00000 n startxref This is not a complete list. On weekends and on state or federal holidays, An appeal is a way for you to ask for a review of our actions. 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. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 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. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); This handbook will help you understand your coverage. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Click the link below to view or save a copy. 0000080946 00000 n Each link will open a new window and is either a PDF or a website. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! It will help you get the care you need. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you.

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