Member Handbook - Meridian Medicare Medicaid Plan 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. Call 1-855-580-1689 (TTY: 711). 0 Monday-Friday, 8 a.m. to 8 p.m. CST 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 are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. 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. [CDATA[ 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. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Check out the Interoperability page to learn more. The Member Handbook, along with your enrollment form, serves as MeridianCompletes contract with you. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Important Phone Numbers & Contacts In an Emergency 911 Meridian Member Services 866-606-3700 // 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. 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. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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. 0000047422 00000 n Moving? Other pharmacies/physicians/providers are available in our network. With HealthChoice Illinois, you have a health plan partner to turn to for help. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. We need to be able to send you important information in the mail. Call Member Services if youd like paper copies of any of these documents. 0000151745 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. Material ID:H6080_WEBSITE_2023_Accepted_09282022. 0000000016 00000 n You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. Click the link below to view or save a copy. 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. xref 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. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. On weekends and on state or federal holidays, you may be asked to leave a message. It also explains how to find care and how to earn rewards. 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. This is not a complete list. 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. Out-of-network/non-contracted providers are under no obligation to treat MeridianComplete members, except in emergency situations. trailer providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. La llamada es gratis. It will also explain our responsibilities to you, as well as outline the following details: 3. window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); Download the Member Handbook (PDF). 0000046576 00000 n We want you to be happy with your healthcare services. 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 Health Library is a free resource exclusively for MeridianComplete members and providers. 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. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 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. Su llamada ser devuelta dentro del siguiente da hbil. For more information contact the plan or read the Meridian Member Handbook. Provider Network 6 Your call will be returned within the next business day. PDF <DATE> Program called HealthChoice Illinois . We have been working hard 0000041668 00000 n 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation When you go to file, youll want to write when and where the incident took place, and what happened. On weekends and on state or federal holidays, Your call will be returned within the next business day. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. Each link will open a new window and is either a PDF or a website. Your handbook is full of important information about your health care and Meridian. Visit your Member Portal or call Member Services. 0000040678 00000 n 0000017969 00000 n Usually a mail-order pharmacy order will get to you in no more than 5 days. PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans Member Handbook | Meridian Health Plan of Illinois For more information, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 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. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. Just call Member Services with your new address. 0000041209 00000 n Meridian Medicare Medicaid Plan If you wish to stay on this website, please click Cancel. 0000041585 00000 n 0000046799 00000 n If you experience any problems receiving your mail order prescription, call Member Services at. 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. 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. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. It also explains how to find care and how to earn rewards. La llamada es gratis. Under our plan, you will have one card for your Medicare and Medicaid services, including long-term services and supports and prescriptions. The call is free. 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! <<0B5A082EC79D7049BD46C1656B63CA22>]/Prev 539953>> 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. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. On weekends and on state or federal holidays, you may be asked to leave a message. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. 0000067354 00000 n 0000002177 00000 n 0000068680 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. 0000002220 00000 n PDF here's your member handbook. Meridian This is not a complete list. // ]]>. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. %PDF-1.7 % 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. Find a doctor, explore coverage, review documents and much more. For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+ We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 0000021917 00000 n 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. (los usuarios de TTY deben llamar al 711), lunes a domingo, de 8 a.m. a 8 p.m. La llamada es gratuita. It will also explain our responsibilities to you, as well as outline the following details: 2369 0 obj <> endobj 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. You will need Adobe Reader to open PDFs on this site. 2500 0 obj <>stream The Personal Wellness Assessment is a short form about you and your health journey. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. On weekends and on state or federal holidays, you may be asked to leave a message. Documents and Forms - Meridian Medicare Medicaid Plan Your call will be returned within the next business day. Provider Manual | Meridian Health Plan of Illinois Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . You've got questions and we've got answers. 2023 If you have questions, please call MeridianComplete (Medicare-Medicaid Plan) Member Services at 1-855-580-1689 (TTY users should call 711). The benefit information is a brief summary, not a complete description of benefits. View our Frequently Asked Questions page. 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) Starting January 1, 2018, the Illinois Medicaid Managed Care Program is expanding to include all 2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . Copays for prescription drugs may vary based on the level of Extra Help you receive. The call is free. Su llamada ser devuelta dentro del siguiente da hbil. 0000006553 00000 n If your address changes, let us know. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Meridian Member Services . At the right time and place. %PDF-1.4 % We will send you a notice before we make a change that affects you. 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. It looks like your browser does not have JavaScript enabled. You will need Adobe Reader to open PDFs on this site. Call 1-855-580-1689 (TTY: 711). 0000010510 00000 n The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. 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 benefit information is a brief summary, not a complete description of benefits. Other pharmacies/physicians/providers are available in our network. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan 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. 0000025639 00000 n Each link will open a new window and is either a PDF or a website. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. 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. 0000014634 00000 n Your Member Handbook is a great resource if you have any questions or just want to learn more about your coverage. The handbook will explain your rights, benefits, and responsibilities as a member of MeridianComplete. PDF Welcome to MeridianHealth Intro to Plan Fill out the Member Notification of Pregnancy form(PDF)to let us know if you are pregnant. You are now able to view your health information from a third-party app on a mobile device or PC! HFS sends paperwork in the mail that you need to renew your Medicaid coverage. 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.
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