You can also visit the Illinois Client Enrollment Services website. 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 are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! 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! 0000014634 00000 n
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. You will need Adobe Reader to open PDFs on this site. Your call will be returned within the next business day. If you need help finding a network provider and/or pharmacy, please call 1-855-580-1689 (TTY: 711) or visit mmp.ILmeridian.com to access our online searchable directory. This site contains various MeridianComplete (Medicare-Medicaid Plan) links and resources. You will need Adobe Reader to open PDFs on this site. For certain kinds of drugs, you can use the plans network mail-order services. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. Meridian is for people eligible for both Medicaid and Medicare. 2022 Provider Manual (PDF) Meridian Provider Manual Errata Sheet (PDF) Documents and Forms Medical Referrals & Authorizations Pharmacy Billing Mandatory Training Attestation Don't forget to call your local HFS oce and Meridian Member Services with your new address. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. 0000040678 00000 n
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, call MeridianComplete Member Services or read the MeridianComplete Member Handbook. 0000041209 00000 n
Call MeridianComplete at 1-855-323-4578 (TTY users should call 711), 8 a.m to 8 p.m., seven days a week. h|kPQevkmNRIDrDI-)Vw*DYS7cgcr!349g3. 0000025639 00000 n
If you wish to stay on this website, please click Cancel. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. Please turn on JavaScript and try again. Its full of tips and resources for pregnant members and new parents. [CDATA[ For a more comprehensive description of the plan benefits, please refer to your Member Handbook which can also be found on this page. https://www.illinois.gov/hfs/healthchoice/Pages/HealthPlans.aspx, https://www.illinois.gov/hfs/healthchoice/reportcard. 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. 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. Download the Member Handbook (PDF). PDF ILLINOIS MEMBER HANDBOOK - Meridian Illinois Managed Care Plans 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. Understanding the ins and outs of your health plan can be difficult. PDF 2021 Member Handbook - Meridian Medicare Medicaid Plan See if you qualify, and explore the HealthChoice Illinois advantage. Complete the Member Notification of Pregnancy(PDF) form in the Member Portal. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). Please review the various programs below. Meridian Medicare Medicaid Plan For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 0000006553 00000 n
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. It also explains how to find care and how to earn rewards. If your address changes, let us know. The benefit information is a brief summary, not a complete description of benefits. Monday-Friday, 7:00 a.m. to 5:30 p.m. (TTY: 711) Ser vice area . The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. PDF here's your member handbook. All Rights Reserved. It explains the medical, dental, vision, and pharmacy services that are covered by your plan. If you wish to stay on this website, please click Cancel. Limitations, copays, and restrictions may apply. %%EOF
Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. 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. Catching a Breath Complex Case Management Flu Outreach Opioids With HealthChoice Illinois, you have a health plan partner to turn to for help. Other pharmacies/physicians/providers are available in our network. If you have any questions, call Meridian Member Services toll-free at 866-606-3700. endstream
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<. 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 MeridianComplete. The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. 2390 0 obj
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We need to be able to send you important information in the mail. 0000067553 00000 n
Be sure to read your Meridian Member Handbook and keep it handy. 0000046576 00000 n
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The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. You can get this document for free in other formats, such as large print, braille, or audio. Providers - MeridianComplete With our Medicare-Medicaid Plan (MMP) youre getting: An assigned care manager to help answer questions and coordinate your care. An appeal is a way for you to ask for a review of our actions. On weekends and on state or federal holidays, you may be asked to leave a message. 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. %PDF-1.4
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You will need Adobe Reader to open PDFs on this site. You can make an appeal if you disagree with our verdict. Other pharmacies/physicians/providers are available in our network. It also explains how to find care and how to earn rewards. endstream
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Member Handbook | Meridian Complete of Illinois 0000000016 00000 n
providerhelp.IL@mhplan.com, The Interoperability and Patient Access Rule. The call is free. The Member Handbook, along with your enrollment form, serves as Meridian Medicare-Medicaid Plan's (MMP) contract with you. If we fall short, you can file a grievance or appeal. Our Population Health Management Programs are offered to Meridian members and designed to improve your overall health and quality of care. View our Frequently Asked Questions page. 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. Provider Manual | Meridian Health Plan of Illinois Meridian
Member Handbook | Meridian Health Plan of Illinois 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. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 2023
window.location.replace("https://mmp.ilmeridian.com/member/benefits-coverage/whats-covered/member-handbook.html"); You can join our Start Smart for Your Baby program. 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. 0000046386 00000 n
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. A grievance is a complaint about a provider or about the quality of care or services you received. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist you. If you wish to stay on this website, please click Cancel. Each link will open a new window and is either a PDF or a website. If you are using a Meridian provider, you will not have to pay a plan premium, deductible, or copay. View your Provider Manual, important plan information and more. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. This site contains various Meridian Medicare-Medicaid Plan (MMP) links and resources. The benefit information is a brief summary, not a complete description of benefits. MeridianComplete is a health plan that contracts with both Medicare and Illinois Medicaid to provide benefits of both programs to enrollees. You are now able to view your health information from a third-party app on a mobile device or PC! 2500 0 obj
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Call 1-855-580-1689 (TTY: 711). member.ILmeridian.com. Other pharmacies/physicians/providers are available in our network. 0000041585 00000 n
We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Report an address update to HFS online. Want a paper copy? JB Pritzker, Governor Theresa Eagleson, Director. You will need Adobe Reader to open PDFs on this site. More information is in your Member Handbook(PDF). 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)! 0000068680 00000 n
It also explains how to find care and how to earn rewards. Prior Authorization, Step Therapy and Quantity Limits, Coverage Determinations and Redeterminations for Drugs, Notice of Nondiscrimination & Language Assistance. Call Member Services if youd like paper copies of any of these documents. The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. It will help you get the care you need. Each link will open a new window and is either a PDF or a website. Download the Member Handbook (PDF). 0000040481 00000 n
Member Handbooks and Forms 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 call our Member Services number or see your Member Handbook for more information, including the cost-sharing that applies to out-of-network services. Call, Usted puede obtener gratuitamente este documento en espaol o hablar con alguien sobre esta informacin en otros idiomas. 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. On weekends and on state or federal holidays, On weekends and on state or federal holidays, you may be asked to leave a message. The call is free. This way, we can connect you with the right care. Out-of-network/non-contracted providers are under no obligation to treat Meridian members, except in emergency situations. 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. For example, we may not approve your providers request for a certain drug. Your call will be returned within the next business day. 1-855-580-1689 (TTY 711) For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 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. Open Enrollment 6. ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. On weekends and on state or federal holidays, you may be asked to leave a message. This is not a complete list. Click the link below to view or save a copy. Looking for your plan home page or interested in becoming a member? Su llamada ser devuelta dentro del siguiente da hbil. Material ID:H6080_WEBSITE_2023_Accepted_09282022. Learn more about how being a Meridian provider benefits you. It outlines services and benefits that areand are notcovered. 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. When you go to file, youll want to write when and where the incident took place, and what happened. You will need Adobe Reader to open PDFs on this site. Usually a mail-order pharmacy order will get to you in no more than 5 days. 0000025980 00000 n
Visit your Member Portal or call Member Services. Your call will be returned within the next business day. 0000047422 00000 n
2021 Member Handbook Illinois Counties: Cook, DuPage, Kane, Kankakee, Lake, Will . 2023
ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. You are leaving this website to go to a website managed by a contracted company, which provides service on our behalf. Su llamada ser devuelta dentro del siguiente da hbil. The COC lays out all the details so that you can stay on top of your coverage. Making healthcare decisions can be tough--who to see for care, what to ask, when to go. If you experience any problems receiving your mail order prescription, call Member Services at. You also need to make sure that the Department of Healthcare & Family Services (HFS) has your new address. 0000002220 00000 n
Language Assistance & Notice of Nondiscrimination. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. 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. 167 33
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Monday-Friday, 8 a.m. to 8 p.m. CST Member Handbook - Meridian Medicare Medicaid Plan With added benefitslike supportmakingsmart health choices, personal care coordination, 24-hour nursing help line, and more. 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. hbbd``b`R@AH&="> $ $= @+D C[} "Fod(AE+
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Llame al. 0000000956 00000 n
La llamada es gratis. HealthChoice Illinois | HFS MeridianComplete (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. Llame al 1-855-580-1689 (los usuarios de TTY deben llamar al 711). 0000072727 00000 n
The handbook will explain your rights, benefits, and responsibilities as a member of Meridian. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia lingstica. There are a few ways to complete the form: We want you to have a safe, healthy, and happy pregnancy! Meridian will work with you to make sure you get all of the care you need, when you need it. Other pharmacies/physicians/providers are available in our network. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Want a paper copy? 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. 0000067354 00000 n
A certificate of coverage (COC) tells you what to expect from your healthcare plan. Representatives are available Monday-Friday, 8 a.m. to 8 p.m. to assist 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. Documents and Forms - Meridian Medicare Medicaid Plan PDF Welcome to MeridianHealth Intro to Plan 0
Want a paper copy? You can also visit the Illinois Client Enrollment Services website. 866-606-3700 . Meridian will help make your Medicare and Medicaid benefits work better together and work better for you.
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