0000025639 00000 n Your call will be returned within the next business day. View your Provider Manual, important plan information and more. The call is free. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If you wish to stay on this website, please click Cancel. It explains the medical, dental, vision, and pharmacy services that are covered by 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. Meridian will work with you to make sure you get all of the care you need, when you need it. Want a paper copy? Its full of tips and resources for pregnant members and new parents. 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 file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. 0000068208 00000 n Your call will be returned within the next business day. This handbook will help you understand your coverage. 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. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ Usually a mail-order pharmacy order will get to you in no more than 5 days. 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. 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. xref The call is free. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Be sure to read your Meridian Member Handbook and keep it handy. Your call will be returned within the next business day. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000002041 00000 n If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). Other pharmacies/physicians/providers are available in our network. %%EOF The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. It also explains how to find care and how to earn rewards. Please review the various programs below. Download the Member Handbook (PDF). If you have any questions, call Meridian Member Services toll-free at 866-606-3700. Meridian covers all counties in Illinois. If you experience any problems receiving your mail order prescription, call Member Services at. Other pharmacies/physicians/providers are available in our network. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 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. You can get this document in Spanish, or speak with someone about this information in other languages for free. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. It will also explain our responsibilities to you, as well as outline the following details: Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. It will help you get the care you need. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. endstream endobj startxref For more information contact the plan or read the Meridian Member Handbook. The Health Library is a free resource exclusively for MeridianComplete members and providers. 0000046799 00000 n This is not a complete list. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. On weekends and on state or federal holidays, you may be asked to leave a message. If you wish to stay on this website, please click Cancel. If your pregnancy is at high risk, we may call you. Each link will open a new window and is either a PDF or a website. 0 member.ILmeridian.com. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Language Assistance & Notice of Nondiscrimination. A certificate of coverage (COC) tells you what to expect from your healthcare plan. 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. 1-855-580-1689 (TTY 711) 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. Your call will be returned within the next business day. It looks like your browser does not have JavaScript enabled. [CDATA[ Call Member Services if youd like paper copies of any of these documents. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The COC lays out all the details so that you can stay on top of your coverage. Su llamada ser devuelta dentro del siguiente da hbil. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. An appeal is a way for you to ask for a review of our actions. 2023 Catching a Breath Complex Case Management Flu Outreach Opioids 0000046576 00000 n Material ID:H6080_WEBSITE_2023_Accepted_09282022. For more information contact the plan or read the Meridian Member Handbook. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 0000001708 00000 n 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. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 0000080946 00000 n With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Report an address update to HFS online. Download the Member Handbook (PDF). Monday-Friday, 8 a.m. to 5 p.m. CST Please contact the plan for more details. 0000041209 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. 199 0 obj <>stream The Member Handbook, along with your enrollment form, serves as MeridianCompletes 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. More information is in your Member Handbook(PDF). 0000068680 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Don't forget to call your local HFS oce and Meridian Member Services with your new address. Copays for prescription drugs may vary based on the level of Extra Help you receive. 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. Member ID Cards 5. La llamada es gratis. 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. It also explains how to find care and how to earn rewards. Each link will open a new window and is either a PDF or a website. 0000000956 00000 n It will also explain our responsibilities to you, as well as outline the following details: 0000067354 00000 n If you wish to stay on this website, please click Cancel. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. On weekends and on state or federal holidays, 0000010510 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. La llamada es gratis. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. 0000000016 00000 n Each link will open a new window and is either a PDF or a website. 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. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> We want you to be happy with the treatment and services you get from Meridian and our providers. The right care for you. You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. The call is free. The call is free. If your address changes, let us know. All Rights Reserved. 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! 0000041668 00000 n Your call will be returned within the next business day. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Monday-Friday, 8 a.m. to 8 p.m. CST 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. 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. 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. Learn more about how being a Meridian provider benefits you. Check out the Interoperability page to learn more. 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. 2500 0 obj <>stream Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. Meridian is for people eligible for both Medicaid and Medicare. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. The benefit information is a brief summary, not a complete description of benefits. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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)! You can also visit the Illinois Client Enrollment Services website. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! On weekends and on state or federal holidays, you may be asked to leave a message. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You will need Adobe Reader to open PDFs on this site. 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. 0000017969 00000 n The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Copyright 2023 Meridian All Rights Reserved. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. This is not a complete list. We can connect you with support, services, and even rewards. The call is free. 0 On weekends and on state or federal holidays, you may be asked to leave a message. 1-855-580-1689 (TTY 711) 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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. +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 You've got questions and we've got answers. 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 handbook is full of important information about your health care and Meridian. You will need Adobe Reader to open PDFs on this site. 0000014634 00000 n Looking for your plan home page or interested in becoming a member? Youll tell us about any health conditions, recent hospital visits, medications, and more. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Please turn on JavaScript and try again. Limitations, copays, and restrictions may apply. The benefit information is a brief summary, not a complete description of benefits. Meridian With HealthChoice Illinois, you have a health plan partner to turn to for help. A grievance is a complaint about a provider or about the quality of care or services you received. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Each link will open a new window and is either a PDF or a website. 0000046966 00000 n For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. See if you qualify, and explore the HealthChoice Illinois advantage. 2369 0 obj <> endobj MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); If you wish to stay on this website, please click Cancel. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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 %PDF-1.4 % 866-606-3700 . providerhelp.IL@mhplan.com. // ]]>. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 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. The benefit information is a brief summary, not a complete description of benefits. For example, we may not approve your providers request for a certain drug. 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 <. Call 1-855-580-1689 (TTY: 711). 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. All Rights Reserved. Just call Member Services with your new address. startxref
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