Call 1-855-580-1689 (TTY: 711). On weekends and on state or federal holidays, you may be asked to leave a message. Your call will be returned within the next business day. We need to be able to send you important information in the mail. Provider Network 6 You've got questions and we've got answers. If you experience any problems receiving your mail order prescription, call Member Services at. This way, we can connect you with the right care. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Download the Member Handbook(PDF). Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). This handbook will help you understand your coverage. Su llamada ser devuelta dentro del siguiente da hbil. 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. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . You can also visit the Illinois Client Enrollment Services website. 0000046386 00000 n It looks like your browser does not have JavaScript enabled. 0000040481 00000 n Your call will be returned within the next business day. 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 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. On weekends and on state or federal holidays, you may be asked to leave a message. Its full of tips and resources for pregnant members and new parents. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 1-855-580-1689 (TTY 711) The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Understanding the ins and outs of your health plan can be difficult. You will need Adobe Reader to open PDFs on this site. %%EOF The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. The benefit information is a brief summary, not a complete description of benefits. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). 0000000016 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. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 2023 The call is free. La llamada es gratis. 1-855-580-1689 (TTY 711) Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The call is free. 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. 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. 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). Call Member Services if youd like paper copies of any of these documents. 0000067354 00000 n Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Material ID:H6080_WEBSITE_2023_Accepted_09282022. // ]]>. Meridian is for people eligible for both Medicaid and Medicare. 0000068680 00000 n Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 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. [CDATA[ You can join our Start Smart for Your Baby program. Su llamada ser devuelta dentro del siguiente da hbil. Want a paper copy? %%EOF Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. The benefit information is a brief summary, not a complete description of benefits. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The benefit information is a brief summary, not a complete description of benefits. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Limitations, copays, and restrictions may apply. 0000041668 00000 n 0000000956 00000 n The call is free. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. View your Provider Manual, important plan information and more. All Rights Reserved. You will need Adobe Reader to open PDFs on this site. The COC lays out all the details so that you can stay on top of your coverage. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000025980 00000 n View our Frequently Asked Questions page. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 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. 1-855-580-1689 (TTY 711) 866-606-3700 . Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 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 <. 0000151745 00000 n It will also explain our responsibilities to you, as well as outline the following details: It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. You will need Adobe Reader to open PDFs on this site. Call 1-855-580-1689 (TTY: 711). The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Keep in mind that everything you choose to share is confidential. Meridian With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Please turn on JavaScript and try again. 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). 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. startxref 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. See if you qualify, and explore the HealthChoice Illinois advantage. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. When you go to file, youll want to write when and where the incident took place, and what happened. MeridianHealth is now Meridian! 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! We want you to be happy with your healthcare services. Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Learn more about how being a Meridian provider benefits you. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. You can also visit the Illinois Client Enrollment Services website. The benefit information is a brief summary, not a complete description of benefits. Download the free version of Adobe Reader. 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. On weekends and on state or federal holidays, you may be asked to leave a message. Copays for prescription drugs may vary based on the level of Extra Help you receive. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. For certain kinds of drugs, you can use the plans network mail-order services. Meridian will work with you to make sure you get all of the care you need, when you need it. For more information contact the plan or read the Meridian Member Handbook. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The Health Library is a free resource exclusively for MeridianComplete members and providers. // endobj On weekends and on state or federal holidays, you may be asked to leave a message. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000047422 00000 n For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. La llamada es gratis. For more information contact the plan or read the MeridianComplete Member Handbook. JB Pritzker, Governor Theresa Eagleson, Director. You can get this document in Spanish, or speak with someone about this information in other languages for free. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 0000025639 00000 n Other pharmacies/physicians/providers are available in our network. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. For more information contact the plan or read the Meridian Member Handbook. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! %PDF-1.4 % 0000002220 00000 n You will need Adobe Reader to open PDFs on this site. You are now able to view your health information from a third-party app on a mobile device or PC! 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. An appeal is a way for you to ask for a review of our actions. Copyright 2023 Meridian All Rights Reserved. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. Looking for your plan home page or interested in becoming a member? 0000006553 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. Monday-Friday, 8 a.m. to 8 p.m. CST 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. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. It also explains how to find care and how to earn rewards. Your handbook is full of important information about your health care and Meridian. The right care for you. 0000002041 00000 n Other pharmacies/physicians/providers are available in our network. If you wish to stay on this website, please click Cancel. 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. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. If you wish to stay on this website, please click Cancel. 0000002131 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. Each link will open a new window and is either a PDF or a website. 0000040678 00000 n At the right time and place. Please review the various programs below. 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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Each link will open a new window and is either a PDF or a website. 0000046799 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Be sure to read your Meridian Member Handbook and keep it handy. 0000014634 00000 n If you wish to stay on this website, please click Cancel. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 0000021917 00000 n All Rights Reserved. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Other pharmacies/physicians/providers are available in our network. We will send you a notice before we make a change that affects you. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Usually a mail-order pharmacy order will get to you in no more than 5 days. %PDF-1.7 % For a more comprehensive description of the plan benefits, please refer to your 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. 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 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 Meridian. If we fall short, you can file a grievance or appeal. This is not a complete list. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Want a paper copy? Want a paper copy? It will help you get the care you need. With HealthChoice Illinois, you have a health plan partner to turn to for help. We can connect you with support, services, and even rewards. Open Enrollment 6. 0000010510 00000 n 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! 0000017969 00000 n We want you to be happy with the treatment and services you get from Meridian and our providers. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. Moving? member.ILmeridian.com. You will be able to work with one health plan for all of your health insurance needs. 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 Check out the Interoperability page to learn more. 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)! The Personal Wellness Assessment is a short form about you and your health journey. 0000002177 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. Language Assistance & Notice of Nondiscrimination.
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