meridian illinois member handbook

The Health Library is a free resource exclusively for MeridianComplete members and providers. On weekends and on state or federal holidays, you may be asked to leave a message. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. 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. 1-855-580-1689 (TTY 711) The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. trailer Other pharmacies/physicians/providers are available in our network. +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 0000041209 00000 n Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. 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 free version of Adobe Reader. 0000000956 00000 n We need to be able to send you important information in the mail. Monday-Friday, 8 a.m. to 8 p.m. CST You can also visit the Illinois Client Enrollment Services website. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Meridian will work with you to make sure you get all of the care you need, when you need it. 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. 0000017969 00000 n 167 33 PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan 0000002041 00000 n 1-855-580-1689 (TTY 711) We want you to be happy with the treatment and services you get from Meridian and our providers. HealthChoice Illinois is the smart way most Medicaid members get quality care. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Keep in mind that everything you choose to share is confidential. Documents and Forms - Meridian Medicare Medicaid Plan JB Pritzker, Governor Theresa Eagleson, Director. 0000046799 00000 n You can get this document for free in other formats, such as large print, braille, or audio. 0000068208 00000 n Your call will be returned within the next business day. Provider Network 6 Meridian is for people eligible for both Medicaid and Medicare. For more information contact the plan or read the Meridian Member Handbook. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 If you wish to stay on this website, please click Cancel. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Catching a Breath Complex Case Management Flu Outreach Opioids 0000072727 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. 1-855-580-1689 (TTY 711) 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. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. It outlines services and benefits that areand are notcovered. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. The right care for you. The benefit information is a brief summary, not a complete description of benefits. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Member Handbook | Meridian Complete of Illinois If you wish to stay on this website, please click Cancel. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. providerhelp.IL@mhplan.com. 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. 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 0000068680 00000 n You can make an appeal if you disagree with our verdict. 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. Material ID:H6080_WEBSITE_2023_Accepted_09282022. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. If you wish to stay on this website, please click Cancel. Monday-Friday, 8 a.m. to 8 p.m. CST You will need Adobe Reader to open PDFs on this site. PDF <DATE> Program called HealthChoice Illinois . We have been working hard It explains the medical, dental, vision, and pharmacy services that are covered by your plan. View your Provider Manual, important plan information and more. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. %%EOF 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. 2369 0 obj <> endobj 0 Don't forget to call your local HFS oce and Meridian Member Services with your new address. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 0000046576 00000 n xref The call is free. 0000006553 00000 n 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. 0000014634 00000 n It also explains how to find care and how to earn rewards. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); 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! The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. This handbook will help you understand your coverage. 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 MeridianComplete Member Handbook. View our Frequently Asked Questions page. You can get this document in Spanish, or speak with someone about this information in other languages for free. The COC lays out all the details so that you can stay on top of your coverage. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Each link will open a new window and is either a PDF or a website. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Other pharmacies/physicians/providers are available in our network. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Your call will be returned within the next business day. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Youll tell us about any health conditions, recent hospital visits, medications, and more. Call 1-855-580-1689 (TTY: 711). Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. This is not a complete list. For Members | Meridian When you go to file, youll want to write when and where the incident took place, and what happened. La llamada es gratis. For more information contact the plan or read the Meridian Member Handbook. %PDF-1.7 % If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Download the Member Handbook (PDF). La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. Your call will be returned within the next business day. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Each link will open a new window and is either a PDF or a website. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. It also explains how to find care and how to earn rewards. %%EOF h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. With HealthChoice Illinois, you have a health plan partner to turn to for help. On weekends and on state or federal holidays, you may be asked to leave a message. 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 Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Check out the Interoperability page to learn more. The call is free. Copays for prescription drugs may vary based on the level of Extra Help you receive. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. If you experience any problems receiving your mail order prescription, call Member Services at. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). You will need Adobe Reader to open PDFs on this site. You will need Adobe Reader to open PDFs on this site. Call Member Services if youd like paper copies of any of these documents. 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. 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)! 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. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Visit your Member Portal or call Member Services. Meridian Your call will be returned within the next business day. member.ILmeridian.com. 0000041668 00000 n 0000001708 00000 n It also explains how to find care and how to earn rewards. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. 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. An appeal is a way for you to ask for a review of our actions. Limitations, copays, and restrictions may apply. Find a doctor, explore coverage, review documents and much more. Report an address update to HFS online. You can join our Start Smart for Your Baby program. Material ID:H6080_WEBSITE_2023_Accepted_09282022. This is not a complete list. A certificate of coverage (COC) tells you what to expect from your healthcare plan. For example, we may not approve your providers request for a certain drug. 0 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . The benefit information is a brief summary, not a complete description of benefits. 0000021917 00000 n You can also visit the Illinois Client Enrollment Services website. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. 2023 0000067553 00000 n [CDATA[ Learn more about how being a Meridian provider benefits you. 2500 0 obj <>stream 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. 0000010510 00000 n Other pharmacies/physicians/providers are available in our network. Moving? 0000001774 00000 n Language Assistance & Notice of Nondiscrimination. 2023 Meridian Member Services . We can connect you with support, services, and even rewards. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 199 0 obj <>stream 0000040678 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. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> Providers - MeridianComplete Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Llame al. Meridian covers all counties in Illinois. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. 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 your address changes, let us know. If we fall short, you can file a grievance or appeal. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Copyright 2023 Meridian All Rights Reserved. 0000002074 00000 n MeridianHealth is now 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. Click the link below to view or save a copy.

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