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 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! 0000040481 00000 n Member ID Cards 5. We want you to be happy with the treatment and services you get from Meridian and our providers. 0000002074 00000 n 0000000016 00000 n Please turn on JavaScript and try again. 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. All Rights Reserved. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. Other pharmacies/physicians/providers are available in our network. You can also visit the Illinois Client Enrollment Services website. All Rights Reserved. Looking for your plan home page or interested in becoming a member? Meridian Member Services . 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. Call 1-855-580-1689 (TTY: 711). You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. It looks like your browser does not have JavaScript enabled. 2369 0 obj <> endobj 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. You can also visit the Illinois Client Enrollment Services website. 0000080946 00000 n If your address changes, let us know. We want you to be happy with your healthcare services. Su llamada ser devuelta dentro del siguiente da hbil. 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. Be sure to read your Meridian Member Handbook and keep it handy. The right care for you. If your pregnancy is at high risk, we may call you. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. %PDF-1.7 % When you go to file, youll want to write when and where the incident took place, and what happened. Your call will be returned within the next business day. 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. It will also explain our responsibilities to you, as well as outline the following details: You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. The call is free. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 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. Understanding the ins and outs of your health plan can be difficult. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. You can make an appeal if you disagree with our verdict. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! Find a doctor, explore coverage, review documents and much more. Your call will be returned within the next business day. The benefit information is a brief summary, not a complete description of benefits. 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. Meridian covers all counties in Illinois. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 0000068680 00000 n 0 0000002177 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. 0000047422 00000 n Monday-Friday, 8 a.m. to 5 p.m. CST The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. We need to be able to send you important information in the mail. You can get this document for free in other formats, such as large print, braille, or audio. On weekends and on state or federal holidays, With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. The call is free. 0000006553 00000 n <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Limitations, copays, and restrictions may apply. Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 0000040678 00000 n Meridian Making healthcare decisions can be tough--who to see for care, what to ask, when to go. startxref This handbook will help you understand your coverage. 0000151745 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. You will need Adobe Reader to open PDFs on this site. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. If we fall short, you can file a grievance or appeal. View our Frequently Asked Questions page. 167 33 %PDF-1.4 % Moving? 0000025639 00000 n MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Llame al. 0000072727 00000 n Your handbook is full of important information about your health care and Meridian. 1-855-580-1689 (TTY 711) Su llamada ser devuelta dentro del siguiente da hbil. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. providerhelp.IL@mhplan.com. 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. 2023 Other pharmacies/physicians/providers are available in our network. Call Member Services if youd like paper copies of any of these documents. 3. 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. [CDATA[ It also explains how to find care and how to earn rewards. The COC lays out all the details so that you can stay on top of your coverage. Monday-Friday, 8 a.m. to 8 p.m. CST 0000046386 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Want a paper copy? You can join our Start Smart for Your Baby program. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! // ]]>. trailer Your call will be returned within the next business day. 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. 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. HealthChoice Illinois is the smart way most Medicaid members get quality care. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 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. 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. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Please contact the plan for more details. 0000041209 00000 n Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ 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. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. This is not a complete list. Report an address update to HFS online. On weekends and on state or federal holidays, you may be asked to leave a message. Usually a mail-order pharmacy order will get to you in no more than 5 days. Each link will open a new window and is either a PDF or a website. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 199 0 obj <>stream 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Meridian 0000014634 00000 n It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 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. 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. With HealthChoice Illinois, you have a health plan partner to turn to for help. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. For more information contact the plan or read the Meridian Member Handbook. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The call is free. 0000041585 00000 n 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 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. For more information contact the plan or read the MeridianComplete Member Handbook. 0000046799 00000 n The benefit information is a brief summary, not a complete description of benefits. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 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 can get this document in Spanish, or speak with someone about this information in other languages for free. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If you experience any problems receiving your mail order prescription, call Member Services at. 1-855-580-1689 (TTY 711) Its full of tips and resources for pregnant members and new parents. 0000041668 00000 n member.ILmeridian.com. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 1-855-580-1689 (TTY 711) The Health Library is a free resource exclusively for MeridianComplete members and providers. 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. 2500 0 obj <>stream The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Monday-Friday, 8 a.m. to 8 p.m. CST endstream endobj startxref Provider Network 6 0000046966 00000 n %%EOF 0000000956 00000 n 0000010510 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000001708 00000 n Want a paper copy? This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. An appeal is a way for you to ask for a review of our actions. It also explains how to find care and how to earn rewards. 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. For more information contact the plan or read the Meridian Member Handbook. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Call 1-855-580-1689 (TTY: 711). We will send you a notice before we make a change that affects you. Other pharmacies/physicians/providers are available in our network. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 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. It outlines services and benefits that areand are notcovered. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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.
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