199 0 obj <>stream We can connect you with support, services, and even rewards. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000002177 00000 n 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. 0000067553 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. 2369 0 obj <> endobj Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000041668 00000 n This is not a complete list. Youll tell us about any health conditions, recent hospital visits, medications, and more. When you go to file, youll want to write when and where the incident took place, and what happened. Call Member Services if youd like paper copies of any of these documents. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Your call will be returned within the next business day. 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! 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. For more information contact the plan or read the MeridianComplete Member Handbook. You can make an appeal if you disagree with our verdict. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Other pharmacies/physicians/providers are available in our network. 0000006553 00000 n The call is free. 0000010510 00000 n It will also explain our responsibilities to you, as well as outline the following details: You can also visit the Illinois Client Enrollment Services website. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. For example, we may not approve your providers request for a certain drug. Your call will be returned within the next business day. Download the Member Handbook(PDF). You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. At the right time and place. // . You can get this document for free in other formats, such as large print, braille, or audio. The call is free. 0000000016 00000 n Copays for prescription drugs may vary based on the level of Extra Help you receive. Su llamada ser devuelta dentro del siguiente da hbil. 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. Member ID Cards 5. If we fall short, you can file a grievance or appeal. Other pharmacies/physicians/providers are available in our network. Other pharmacies/physicians/providers are available in our network. Want a paper copy? Looking for your plan home page or interested in becoming a member? 0000068680 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Please turn on JavaScript and try again. 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. 0000001774 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 0000041209 00000 n 0 JB Pritzker, Governor Theresa Eagleson, Director. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. You will need Adobe Reader to open PDFs on this site. 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. Llame al. 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. %PDF-1.7 % providerhelp.IL@mhplan.com. %%EOF This is not a complete list. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all This handbook will help you understand your coverage. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Provider Network 6 0000046966 00000 n La llamada es gratis. A certificate of coverage (COC) tells you what to expect from your healthcare plan. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Other pharmacies/physicians/providers are available in our network. 1-855-580-1689 (TTY 711) It looks like your browser does not have JavaScript enabled. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. startxref 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 Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Download the Member Handbook (PDF). 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. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. The Personal Wellness Assessment is a short form about you and your health journey. Find a doctor, explore coverage, review documents and much more. 2500 0 obj <>stream 3. We will send you a notice before we make a change that affects you. You will be able to work with one health plan for all of your health insurance needs. Meridian We want you to be happy with the treatment and services you get from Meridian and our providers. Each link will open a new window and is either a PDF or a website. 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 will need Adobe Reader to open PDFs on this site. More information is in your Member Handbook(PDF). For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Copyright 2023 Meridian All Rights Reserved. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 2023 Limitations, copays, and restrictions may apply. 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. Want a paper copy? On weekends and on state or federal holidays, you may be asked to leave a message. Meridian Member Services . We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000017969 00000 n Keep in mind that everything you choose to share is confidential. You will need Adobe Reader to open PDFs on this site. 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. 0000068208 00000 n 0 For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. Click the link below to view or save a copy. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Su llamada ser devuelta dentro del siguiente da hbil. Material ID:H6080_WEBSITE_2023_Accepted_09282022. member.ILmeridian.com. Monday-Friday, 8 a.m. to 8 p.m. CST Call 1-855-580-1689 (TTY: 711). We need to be able to send you important information in the mail. Meridian covers all counties in Illinois. Download the Member Handbook (PDF). Moving? It also explains how to find care and how to earn rewards. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Meridian The call is free. Catching a Breath Complex Case Management Flu Outreach Opioids Check out the Interoperability page to learn more. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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 On weekends and on state or federal holidays, (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 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. Each link will open a new window and is either a PDF or a website. 0000002041 00000 n 0000014634 00000 n Understanding the ins and outs of your health plan can be difficult. Want a paper copy? %PDF-1.4 % Meridian is for people eligible for both Medicaid and Medicare. 0000041585 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. 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.mi@mhplan.com. Please visit our new website to see up to date information about your plan. 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.
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