meridian illinois member handbook

ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. The Personal Wellness Assessment is a short form about you and your health journey. 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. Your call will be returned within the next business day. This way, we can connect you with the right care. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Copays for prescription drugs may vary based on the level of Extra Help you receive. 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. All Rights Reserved. If you wish to stay on this website, please click Cancel. 0000025639 00000 n [CDATA[ La llamada es gratis. 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, 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 more information contact the plan or read the MeridianComplete Member Handbook. 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. 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. On weekends and on state or federal holidays, you may be asked to leave a message. 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 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. If we fall short, you can file a grievance or appeal. 167 33 For more information contact the plan or read the Meridian Member Handbook. All Rights Reserved. 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. 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. 0000006553 00000 n providerhelp.IL@mhplan.com. 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! It outlines services and benefits that areand are notcovered. You've got questions and we've got answers. Su llamada ser devuelta dentro del siguiente da hbil. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Download the Member Handbook (PDF). If your pregnancy is at high risk, we may call you. Language Assistance & Notice of Nondiscrimination. Your call will be returned within the next business day. 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. The call is free. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. %PDF-1.4 % Looking for your plan home page or interested in becoming a member? 2023 The COC lays out all the details so that you can stay on top of your coverage. Don't forget to call your local HFS oce and Meridian Member Services with your new address. 0000080946 00000 n This handbook will help you understand your coverage. If you experience any problems receiving your mail order prescription, call Member Services at. Call Member Services if youd like paper copies of any of these documents. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. See if you qualify, and explore the HealthChoice Illinois advantage. Check out the Interoperability page to learn more. 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. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! 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. We want you to be happy with your healthcare services. You can get this document for free in other formats, such as large print, braille, or audio. La llamada es gratis. 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. 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. Other pharmacies/physicians/providers are available in our network. Your call will be returned within the next business day. Want a paper copy? The call is free. Youll tell us about any health conditions, recent hospital visits, medications, and more. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. You can get this document in Spanish, or speak with someone about this information in other languages for free. Copyright 2023 Meridian All Rights Reserved. When you go to file, youll want to write when and where the incident took place, and what happened. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 0000068208 00000 n endstream endobj startxref Other pharmacies/physicians/providers are available in our network. For example, we may not approve your providers request for a certain drug. 0000067553 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000002041 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. View your Provider Manual, important plan information and more. 0000002131 00000 n 0000047422 00000 n An appeal is a way for you to ask for a review of our actions. 0000151745 00000 n 0000014634 00000 n Download the Member Handbook (PDF). Learn more about how being a Meridian provider benefits you. Other pharmacies/physicians/providers are available in our network. On weekends and on state or federal holidays, you may be asked to leave a message. At the right time and place. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. We can connect you with support, services, and even rewards. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. This is not a complete list. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> xref You are now able to view your health information from a third-party app on a mobile device or PC! Su llamada ser devuelta dentro del siguiente da hbil. 0000000956 00000 n JB Pritzker, Governor Theresa Eagleson, Director. 3. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. trailer Want a paper copy? Monday-Friday, 8 a.m. to 8 p.m. CST member.ILmeridian.com. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. 866-606-3700 . You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. You can also visit the Illinois Client Enrollment Services website. 0000002220 00000 n Please visit our new website to see up to date information about your plan. 0000040678 00000 n The call is free. For more information contact the plan or read the Meridian Member Handbook. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Meridian will work with you to make sure you get all of the care you need, when you need it. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. Understanding the ins and outs of your health plan can be difficult. For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Download the free version of Adobe Reader. Meridian is for people eligible for both Medicaid and Medicare. Each link will open a new window and is either a PDF or a website. Just call Member Services with your new address. 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. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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 also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 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. 0000046799 00000 n 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. 1-855-580-1689 (TTY 711) providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. 0000067354 00000 n hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ You can also file a grievance or appeal on the phone by calling Member Services or in writing via mail or fax. It also explains how to find care and how to earn rewards. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. It also explains how to find care and how to earn rewards. 0000046966 00000 n It looks like your browser does not have JavaScript enabled. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. 0000002074 00000 n Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 HealthChoice Illinois is the smart way most Medicaid members get quality care. Monday-Friday, 8 a.m. to 5 p.m. CST Call 1-855-580-1689 (TTY: 711). Provider Network 6 Meridian 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. We want you to be happy with the treatment and services you get from Meridian and our providers. You can also visit the Illinois Client Enrollment Services website. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Catching a Breath Complex Case Management Flu Outreach Opioids (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. Please contact the plan for more details. 0000017969 00000 n We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! %%EOF Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all More information is in your Member Handbook(PDF). You can get this document for free in other formats, such as large print, braille, or audio. 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. 0000041668 00000 n 0000001708 00000 n It will help you get the care you need. 0000041585 00000 n The call is free. 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. 0000040481 00000 n The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. 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. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. You can make an appeal if you disagree with our verdict. 0000068680 00000 n %PDF-1.7 % This is not a complete list. On weekends and on state or federal holidays, 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. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. With HealthChoice Illinois, you have a health plan partner to turn to for help. 0 Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. 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. 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. Click the link below to view or save a copy. La llamada es gratis. You will need Adobe Reader to open PDFs on this site. 0000010510 00000 n This is not a complete list. 2500 0 obj <>stream We will send you a notice before we make a change that affects you. Meridian A grievance is a complaint about a provider or about the quality of care or services you received. 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. Monday-Friday, 8 a.m. to 8 p.m. CST Its full of tips and resources for pregnant members and new parents. Material ID:H6080_WEBSITE_2023_Accepted_09282022. If you wish to stay on this website, please click Cancel. Your handbook is full of important information about your health care and Meridian. 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. If you wish to stay on this website, please click Cancel. A certificate of coverage (COC) tells you what to expect from your healthcare plan. Member ID Cards 5. 0000046576 00000 n The Health Library is a free resource exclusively for MeridianComplete members and providers. Please turn on JavaScript and try again. View our Frequently Asked Questions page. Open Enrollment 6. 0000041209 00000 n %%EOF Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist 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. 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. 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. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. You will need Adobe Reader to open PDFs on this site. The right care for you. // endobj With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. Please review the various programs below. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711).

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