Just call Member Services with your new address. On weekends and on state or federal holidays, you may be asked to leave a message. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. Please review the various programs below. Each link will open a new window and is either a PDF or a website. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 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. 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 have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Its full of tips and resources for pregnant members and new parents. 0000002041 00000 n The Health Library is a free resource exclusively for MeridianComplete members and providers. Find a doctor, explore coverage, review documents and much more. 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. 0 View our Frequently Asked Questions page. // ]]>. La llamada es gratis. 2023 Member Handbooks and Forms You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Each link will open a new window and is either a PDF or a website. If you wish to stay on this website, please click Cancel. We want you to be happy with the treatment and services you get from Meridian and our providers. Please contact the plan for more details. 0000006553 00000 n Want a paper copy? If your pregnancy is at high risk, we may call you. 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 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 certificate of coverage (COC) tells you what to expect from your healthcare plan. Member ID Cards 5. 0000046576 00000 n Language Assistance & Notice of Nondiscrimination. Other pharmacies/physicians/providers are available in our network. 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. Download the Member Handbook(PDF). You will need Adobe Reader to open PDFs on this site. Your call will be returned within the next business day. On weekends and on state or federal holidays, Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Please turn on JavaScript and try again. You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. PDF 2021 Member Handbook - Meridian Medicare Medicaid 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. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 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 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. If you wish to stay on this website, please click Cancel. Check out the Interoperability page to learn more. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. When you go to file, youll want to write when and where the incident took place, and what happened. You can join our Start Smart for Your Baby program. Open Enrollment 6. Your handbook is full of important information about your health care and Meridian. 0000041209 00000 n Click the link below to view or save a copy. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Youll tell us about any health conditions, recent hospital visits, medications, and more. 0000046799 00000 n Report an address update to HFS online. Member Handbook | Meridian Complete of Illinois Want a paper copy? You can get this document for free in other formats, such as large print, braille, or audio. 0000002131 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. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. This is not a complete list. A grievance is a complaint about a provider or about the quality of care or services you received. 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. You will need Adobe Reader to open PDFs on this site. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" The call is free. 0000014634 00000 n 0000067553 00000 n The call is free. 0000068680 00000 n Don't forget to call your local HFS oce and Meridian Member Services with your new address. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 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. It looks like your browser does not have JavaScript enabled. At the right time and place. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000002177 00000 n For Members | Meridian It will also explain our responsibilities to you, as well as outline the following details: For more information contact the plan or read the Meridian Member Handbook. 0000040678 00000 n Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 167 33 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. 866-606-3700 . Making healthcare decisions can be tough--who to see for care, what to ask, when to go. We will send you a notice before we make a change that affects you. 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 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. Your call will be returned within the next business day. 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. This way, we can connect you with the right care. trailer It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. You will need Adobe Reader to open PDFs on this site. If you experience any problems receiving your mail order prescription, call Member Services at. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. An appeal is a way for you to ask for a review of our actions. 0000000016 00000 n You will be able to work with one health plan for all of your health insurance needs. Meridian covers all counties in Illinois. For example, we may not approve your providers request for a certain drug. 1-855-580-1689 (TTY 711) It also explains how to find care and how to earn rewards. You will need Adobe Reader to open PDFs on this site. 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. +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 we fall short, you can file a grievance or appeal. 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 1-855-323-4578 (TTY 711) or visit mmp.mimeridian.com to access our online searchable directory. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 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 want you to be happy with your healthcare services. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000047422 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. You've got questions and we've got answers. If you wish to stay on this website, please click Cancel. member.ILmeridian.com. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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! 0000072727 00000 n The COC lays out all the details so that you can stay on top of your coverage. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 0000046966 00000 n 0000021917 00000 n With HealthChoice Illinois, you have a health plan partner to turn to for help. Meridian Medicare Medicaid Plan // PDF here's your member handbook. We need to be able to send you important information in the mail. 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. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. This handbook will help you understand your coverage. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Meridian will work with you to make sure you get all of the care you need, when you need it. Download the Member Handbook (PDF). La llamada es gratis. 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 MeridianComplete members, except in emergency situations. Call Member Services if youd like paper copies of any of these documents. [CDATA[ The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. 0000025980 00000 n 199 0 obj <>stream Su llamada ser devuelta dentro del siguiente da hbil. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! %PDF-1.4 % %%EOF Provider Network 6 More information is in your Member Handbook(PDF). The Personal Wellness Assessment is a short form about you and your health journey. xref Download the Member Handbook (PDF). 0000000956 00000 n All Rights Reserved. Your call will be returned within the next business day. On weekends and on state or federal holidays, you may be asked to leave a message. 0000017969 00000 n For more information contact the plan or read the Meridian Member Handbook. 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. Monday-Friday, 8 a.m. to 8 p.m. CST Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. You can get this document for free in other formats, such as large print, braille, or audio. Meridian The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. %PDF-1.7 % ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. 0000001774 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000046386 00000 n This is not a complete list. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Meridian Member Services . Making healthcare decisions can be tough--who to see for care, what to ask, when to go. The call is free. 167 0 obj <> endobj Copays for prescription drugs may vary based on the level of Extra Help you receive. The call is free. 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. Other pharmacies/physicians/providers are available in our network. 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. It also explains how to find care and how to earn rewards. This is not a complete list. 0 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. 0000080946 00000 n It will also explain our responsibilities to you, as well as outline the following details: We can connect you with support, services, and even rewards. View your Provider Manual, important plan information and more. 1-855-580-1689 (TTY 711) Keep in mind that everything you choose to share is confidential. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Learn more about how being a Meridian provider benefits you. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Catching a Breath Complex Case Management Flu Outreach Opioids Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to 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. You will need Adobe Reader to open PDFs on this site. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Su llamada ser devuelta dentro del siguiente da hbil. 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. 2369 0 obj <> endobj Be sure to read your Meridian Member Handbook and keep it handy. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. It also explains how to find care and how to earn rewards. Want a paper copy? Material ID:H6080_WEBSITE_2023_Accepted_09282022. Limitations, copays, and restrictions may apply. Usually a mail-order pharmacy order will get to you in no more than 5 days. The call is free. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. See if you qualify, and explore the HealthChoice Illinois advantage. For more information contact the plan or read the Meridian Member Handbook. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. providerhelp.IL@mhplan.com. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 0000001708 00000 n PDF Welcome to MeridianHealth Intro to Plan Each link will open a new window and is either a PDF or a website. Documents and Forms - Meridian Medicare Medicaid Plan Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you wish to stay on this website, please click Cancel. You can make an appeal if you disagree with our verdict. 0000151745 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. PDF <DATE> Program called HealthChoice Illinois . We have been working hard All Rights Reserved. Understanding the ins and outs of your health plan can be difficult. 0000025639 00000 n 0000068208 00000 n Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. 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. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 This is not a complete list. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Monday-Friday, 8 a.m. to 8 p.m. CST With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Please visit our new website to see up to date information about your plan. Call 1-855-580-1689 (TTY: 711). If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 3. 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. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 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. 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.
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