meridian illinois member handbook meridian illinois member handbook

You will be able to work with one health plan for all of your health insurance needs. For more information contact the plan or read the MeridianComplete Member Handbook. 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 0000068208 00000 n If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. 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. 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. The call is free. 0000001774 00000 n MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. v4P+r-k E`:8\TV%F1MeLT=LyMit+GYrUn*mH gp`x Y;EgPCSSphf>op!mOQtkC v^K#x" Meridian On weekends and on state or federal holidays, you may be asked to leave a message. Download the Member Handbook (PDF). Don't forget to call your local HFS oce and Meridian Member Services with your new address. 2023 Your call will be returned within the next business day. Monday-Friday, 8 a.m. to 8 p.m. CST Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 1-855-580-1689 (TTY 711) It explains the medical, dental, vision, and pharmacy services that are covered by your 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. HFS sends paperwork in the mail that you need to renew your Medicaid coverage. Monday-Friday, 8 a.m. to 8 p.m. CST Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. If you wish to stay on this website, please click Cancel. Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all // ]]>. If your address changes, let us know. 0000047422 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. Please turn on JavaScript and try again. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. Member ID Cards 5. 0000002131 00000 n This is not a complete list. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. 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 Each link will open a new window and is either a PDF or a website. A certificate of coverage (COC) tells you what to expect from your healthcare plan. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 0000041585 00000 n 0000046799 00000 n Monday-Friday, 8 a.m. to 5 p.m. CST Download the Member Handbook(PDF). ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 0000068680 00000 n You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. On weekends and on state or federal holidays, you may be asked to leave a message. 0000067354 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 information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. We want you to be happy with the treatment and services you get from Meridian and our providers. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Keep in mind that everything you choose to share is confidential. Your handbook is full of important information about your health care and Meridian. Su llamada ser devuelta dentro del siguiente da hbil. You can get this document for free in other formats, such as large print, braille, or audio. Please review the various programs below. providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. You can also visit the Illinois Client Enrollment Services website. Be sure to read your Meridian Member Handbook and keep it handy. For more information contact the plan or read the Meridian Member Handbook. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We want you to be happy with your healthcare services. 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. 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. You've got questions and we've got answers. It also explains how to find care and how to earn rewards. Call 1-855-580-1689 (TTY: 711). 2369 0 obj <> endobj Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). La llamada es gratis. With HealthChoice Illinois, you have a health plan partner to turn to for help. You will need Adobe Reader to open PDFs on this site. On weekends and on state or federal holidays, you may be asked to leave a message. Each link will open a new window and is either a PDF or a website. More information is in your Member Handbook(PDF). HealthChoice Illinois is the smart way most Medicaid members get quality care. This is not a complete list. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. For a more comprehensive description of the plan benefits, please refer to your Member Handbook. 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 Member Handbook (PDF). // stream 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. 0000010510 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation 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. %%EOF The call is free. Your call will be returned within the next business day. 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 <. 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. Member Request for Reimbursement (PDF) Mandatory Training Attestation (PDF) Mandatory Training Attestation (PDF) Preventive Care (HEDIS) (PDF) Annual Care for Older Adults (COA) Form (PDF) Breast Cancer Screening Exclusion Form (PDF) Colorectal Cancer Screening Exclusion Form (PDF) Diabetes Exclusion Form (PDF) A grievance is a complaint about a provider or about the quality of care or services you received. 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. If your pregnancy is at high risk, we may call you. Usually a mail-order pharmacy order will get to you in no more than 5 days. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. Meridian is for people eligible for both Medicaid and Medicare. Find a doctor, explore coverage, review documents and much more. At the right time and place. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. All Rights Reserved. View your Provider Manual, important plan information and more. Copyright 2023 Meridian All Rights Reserved. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. 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. 0000002177 00000 n 0000046386 00000 n Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 0000067553 00000 n Learn more about how being a Meridian provider benefits you. The benefit information is a brief summary, not a complete description of benefits. Download the free version of Adobe Reader. 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. 0000001708 00000 n You will need Adobe Reader to open PDFs on this site. If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). Your call will be returned within the next business day. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). It looks like your browser does not have JavaScript enabled. 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. hKq?wNe?t!ARk;v6[IqK,h!i2jLnn}>^| ! 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. Its full of tips and resources for pregnant members and new parents. Call 1-855-580-1689 (TTY: 711). The call is free. You can get this document in Spanish, or speak with someone about this information in other languages for free. 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. The benefit information is a brief summary, not a complete description of benefits. Call Member Services if youd like paper copies of any of these documents. The benefit information is a brief summary, not a complete description of benefits. JB Pritzker, Governor Theresa Eagleson, Director. 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. An appeal is a way for you to ask for a review of our actions. 0000040481 00000 n Please visit our new website to see up to date information about your plan. It will also explain our responsibilities to you, as well as outline the following details: Click the link below to view or save a copy. %PDF-1.7 % On weekends and on state or federal holidays, 0000040678 00000 n 0 View our Frequently Asked Questions page. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Material ID:H6080_WEBSITE_2023_Accepted_09282022. Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. 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. Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. 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. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. The call is free. xref 0000072727 00000 n This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. 167 33 The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. Call 1-855-580-1689 (TTY: 711). Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 0000025980 00000 n Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. 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 will send you a notice before we make a change that affects you. endstream endobj startxref For more information contact the plan or read the Meridian Member Handbook. 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. <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> The call is free. If you experience any problems receiving your mail order prescription, call Member Services at. %PDF-1.4 % Su llamada ser devuelta dentro del siguiente da hbil. 0000006553 00000 n Each link will open a new window and is either a PDF or a website. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Language Assistance & Notice of Nondiscrimination. 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. 0000000016 00000 n Catching a Breath Complex Case Management Flu Outreach Opioids 0000151745 00000 n You can join our Start Smart for Your Baby program. 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! 866-606-3700 . The Member Handbook, along with your enrollment form, serves asMeridian Medicare-Medicaid Plan's (MMP) contract with you. Provider Network 6 Meridian will help make your Medicare and Medicaid benefits work better together and work better for you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. You can get this document for free in other formats, such as large print, braille, or audio. 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. 199 0 obj <>stream 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. With HealthChoice Illinois, you have a health plan partner to turn to for help. 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. You can get this document for free in other formats, such as large print, braille, or audio. Each link will open a new window and is either a PDF or a website.