Want a paper copy? 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Meridian Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 0000010510 00000 n Su llamada ser devuelta dentro del siguiente da hbil. 0000041668 00000 n You can get this document in Spanish, or speak with someone about this information in other languages for free. The call is free. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. member.ILmeridian.com. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Keep in mind that everything you choose to share is confidential. If we fall short, you can file a grievance or appeal. Su llamada ser devuelta dentro del siguiente da hbil. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Copyright 2023 Meridian All Rights Reserved. Be sure to read your Meridian Member Handbook and keep it handy. +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 MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. We will send you a notice before we make a change that affects you. You can get this document for free in other formats, such as large print, braille, or audio. MeridianHealth is now Meridian! If you wish to stay on this website, please click Cancel. 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. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). JB Pritzker, Governor Theresa Eagleson, Director. With HealthChoice Illinois, you have a health plan partner to turn to for help. This handbook will help you understand your coverage. All Rights Reserved. Monday-Friday, 8 a.m. to 8 p.m. CST Each link will open a new window and is either a PDF or a website. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. Provider Network 6 La llamada es gratis. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. If your address changes, let us know. Copays for prescription drugs may vary based on the level of Extra Help you receive. 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. This is not a complete list. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). This is not a complete list. Meridian is for people eligible for both Medicaid and Medicare. 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. Each link will open a new window and is either a PDF or a website. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. La llamada es gratis. Learn more about how being a Meridian provider benefits you. Language Assistance & Notice of Nondiscrimination. 0000072727 00000 n This way, we can connect you with the right care. 0000040678 00000 n Call 1-855-580-1689 (TTY: 711). HealthChoice Illinois is the smart way most Medicaid members get quality care. 0000025980 00000 n 0000068680 00000 n The call is free. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! If you wish to stay on this website, please click Cancel. Understanding the ins and outs of your health plan can be difficult. Each link will open a new window and is either a PDF or a 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. La llamada es gratis. 0000068208 00000 n Please turn on JavaScript and try again. 0000021917 00000 n You can join our Start Smart for Your Baby program. This is not a complete list. Want a paper copy? Call 1-855-580-1689 (TTY: 711). It outlines services and benefits that areand are notcovered. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. 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. 0000067553 00000 n Your call will be returned within the next business day. For more information contact the plan or read the Meridian Member Handbook. 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. Llame al. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Other pharmacies/physicians/providers are available in our network. [CDATA[ 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 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. 0000046799 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 199 0 obj <>stream ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Call 1-855-580-1689 (TTY: 711). More information is in your Member Handbook(PDF). Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. You will need Adobe Reader to open PDFs on this site. Report an address update to HFS online. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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 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. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! It also explains how to find care and how to earn rewards. Material ID:H6080_WEBSITE_2023_Accepted_09282022. With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. Your call will be returned within the next business day. 1-855-580-1689 (TTY 711) A grievance is a complaint about a provider or about the quality of care or services you received. 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. Other pharmacies/physicians/providers are available in our network. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 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. 0000046966 00000 n On weekends and on state or federal holidays, you may be asked to leave a message. The benefit information is a brief summary, not a complete description of benefits. Want a paper copy? 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. Meridian Member Services . You can make an appeal if you disagree with our verdict. Limitations, copays, and restrictions may apply. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. You can also visit the Illinois Client Enrollment Services website. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. Please contact the plan for more details. Each link will open a new window and is either a PDF or a website. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. All Rights Reserved. xref 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. 0000151745 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 3. Meridian 0000041209 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. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. You will need Adobe Reader to open PDFs on this site. We want you to be happy with the treatment and services you get from Meridian and our providers. 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. trailer Just call Member Services with your new address. %%EOF 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. 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 <. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. The call is free. Its full of tips and resources for pregnant members and new parents. The call is free. endstream endobj startxref We want you to be happy with your healthcare services.